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HomeMy WebLinkAboutInsurance Certificate: Ashland Artisan Gallery & Art Center ,acoRO0 DATE (MM/DDIYYYY) ~ CERTIFICATE OF LIABILITY INSURANCE 06/03/2016 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 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 Jon Snowden State Farm Insurance CONTACT NAME: Jon Snowden _ 420 Bridge St PHONE - T Fax - o. Extj: 541-482-2461 (A/c, Noy 541-482-4957 E-MAIL Ashland, OR 97520 ADDRESS_Lon@jonsnowden.com O INSURER(S) AFFORDING COVERAGE _ NAIC INSURER A : State Farm Fire and Casualty Connpany_ 25143 - INSURED ASHLAND ARTISAN GALLERY & INSURERS ART CENTER INC INSURER C : 357 E MAIN ST INSURER O ASHLAND OR 97520-1834 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR DL SU R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER (MWDDNYYY) MM/DD/YYYY LIMITS GENERAL LIABILITY 97-E2-0940-2 06/13/2015 06/13/2016 EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMI AG~T~I~ N TED 97-E2-0940-2 06113/2016 06/13/2017 PREMISES (Ea occurrence S I CLAIMS-MADE I OCCUR MED EXP (Any one person) ! S 5,000 j PERSONAL & ADV INJURY S _ I GENERAL AGGREGATE 5 2,000,000 rGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 PROPOLICY T LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident i $ ANY AUTO BODILY INJURY (Per person) S All OWNED SCHEDULED I BODILY INJURY (Per accident)' S AUTOS AUTOS r NON-OWNED HIRED AUTOS AUTOS I (Per acciden1t S _ --i $ UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION S i S WC STATU- ! WORKERS COMPENSATION TORY LIMIT ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERiEXECUTIVE ! E.L EACH ACCIDENT S OFFICEIMEMBER EXCLUDED? N/A (Mandatory in NH) E L. DISEASE - EA EMPLOYE S _ If yes. describe under E.L DISEASE - POLICY LIMIT S DF-SCRIPTION OF OPERATIONS below i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Aft Gallery & Studio CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ITS OFFICERS & EMPLOYEES ACCORDANCE WITH THE POLICY PROVISIONS. 20 E MAIN ST ASHLAND OR 97520-1814 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012