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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Repertory Singers E (MM/DD/YYYY) ® 74/14/2016 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 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 have ADDITIONAL INSURED provisions or 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 800-962-7132 ~ A/c No . Fairfield, OH 45018 EAMAL°.EXt); _800-845-31666 ADDRESS: BusinessService LibertyMutual com - INSURER(S) AFFORDING COVERAGE NAIC # INSURERA First National Insurance Co of America 24724 INSURED INSURER B : Southern Oregon Repertory Singers - - PO Box 1091 INSURER C . Ashland OR 97520 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 29467880 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO HE 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. INSRT ADDLiUBR POLICY EFF 1 POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY 01 CH941 33780 6/1/2016 6/1 /2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE / OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 - -J - PRO- V ll POLICY JECT LOC II PRODUCTS -COMP/OP AGO $ 2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ~Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ _J AUTOS ONLY AUTOS - - - HIRED NON-OWNED PROPERTY DAMAGE $ I i AUTOS ONLY AUTOS ONLY Per_accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE. AGGREGATE $ 11-EXC- - - DED RETENTION $ $ i WORKERS COMPENSATION PER OTH- i AND EMPLOYERS' LIABILITY YIN STATUTE L ER - - ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED" ❑ (Mandatory in NH) NIA E L DISEASE - EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Ashland, it's officers and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 AUTHORIZED REPRESENTATIVE Tim Bell © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2946788C 1700x„ 3797? 116-17 Master ^ertif_cate I Tim 6e11 14/14!2016 3:01:38 PM (PDT! I Page 1 of 1