HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Runners
CERTIFICATE OF INSURANCE 02/25/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
American Specialty Insurance & Risk Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR
142 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW.
Roanoke, Indiana 46783
VSURED INSURERS AFFORDING COVERAGE
_jSA Track & Field, Inc. INS. A: Philadelphia Indemnity Insurance Company
1 RCA Dome, Suite 140 INS. B:
Indianapolis, IN 46225-0120 INS. C:
ROGUE VALLEY RUNNERS
161 EAST MAIN STREET
ASHLAND, OR 97520
CERT NUMBER: 1000609013
EVENT CODE: 08-37-009
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOT WITHSTANDING 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 CONDITION OF SUCH POLICIES. AGGREGATE UMiTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aggregate - Per Event 2,000,00
GL PHPK262716 11/01/2007 11101/2008 Products-Completed Operations Aggregate 1,000,00
A Personal and Advertising Injury 1,000,00
12:01 a.m. 12:01 a.m. Each Occurrence 1,000,00
Dama-ge to Premises Rented to You An One Premiss 1,000,00
Medical Expense Limit An One Person Exclude
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
The Certificateholder is an Additional Insured in accordance with the provisions and limitations of Form PI-AM-002 - Additional Insured - Certificateholders with respect to the
TAR 'N
TRAIL on March 15, 2008_
Coverage applies to USA Track & Field sanctioned events and registered practices, including any directly related activities, such as event set-up and tear-down, participant check-in
at
award ceremonies.
CERTIFICATE HOLDER CANCELLATION
THE CITY OF ASHLAND, ITS AGENTS AND EMPLOYEES SHOULD ANY OF THE ABOVE DESCRIBED
20 EAST MAIN STREET POLICIES BE CANCELED BEFORE THE
ASHLAND, OR 97520 EXPIRATION DATE THEREOF, THE ISSUING
COMPANY WILL ENDEAVOR TO MAIL 30 DA,
WRITTEN NOTICE TO THE CERTIFICATE
HOLDER, BUT FAILURE TO MAIL SUCH NOTI
SHALL IMPOSE NO OBLIGATION OR LIABILII
OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE