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HomeMy WebLinkAboutInsurance Certificate: Youth Symphony of Southern OR AC(:>RL7® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ,ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Liberty mutual insurance NAME: PO Box 188065 PHONE FAX, Fairfield, OH 45018 E-MAIL 800-962-7132 A/C No): 800-845-3666 ADDRESS: BusinessService@LibertyMutual.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Ohio Casualty Insurance Company 24074 INSURED INSURER B : American Fire and Casualty Company 24066 Youth Symphony Of Southern Oregon PO BOX 4291 INSURER C : Medford OR 97501 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 27223056 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDLSUBR POLICY EFF POLICY EXP INSR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDWYY LIMITS A COMMERCIAL GENERAL LIABILITY BLO56812029 11/24/2015 11/24/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1,000,000 CLAIMS-MADE ❑ OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 15,000 1,000,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 1,000,000 1,000,000 ✓ POLICY ❑ PRO LOC PRODUCTS -C )MP/OPAGG $ JECT $ - OTHER: AUTOMOBILE LIABILITY BAA56812029 11124/2015 11/24/2016 EO BINEDtSINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ - ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON--OWNED PROPERTY DAMAGE $ ✓ HIRED AUTOS ✓ AUTOS Per accdent UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION $ ' $ WORKERS COMPENSATION 1. 1 PR STATUTE ! OTRH- AND EMPLOYERS' LIABILITY ❑I, N / A E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE YIN, OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE' $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Finance Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE / Kyle Buchanan ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 27223056 156812029 115-16 Master Certificate Kyle Buchanan 11!5i2C15 3:23:27 PM 'EST, ?age 1 of 1