HomeMy WebLinkAboutInsurance Certificate: Ashland Springs Hotel
CERTIFICATE OF INSURANCE 02/23/2009 _
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I
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
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I 'NSURED INSURERS AFFORDING COVERAGE
Track & Field. Inc. INS. A. AXIS Insurance Company_
o2 East Washington Street, Suite 800 INS. B:
j Indianapolis, IN 46204-3723 INS. C:
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ASHLAND SPRINGS HOTEL
212 E. MAIN STREET
ASHLAND, OR 97520
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CERT NUMBER: 1000747914
EVENT CODE: 09-37-019
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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aggregate _ 2,000,0001
i GL AXGL01100182-08 11/01/2008 11/01/2009 Products-Completed Operations Aggregate 1,000,000
A 12 01 a.m. 12:01 a.m. Personal and Advertising Injury 1,000,000
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~ I Each Occurrence 1,000,000'
Damage to Premises Rented to You (Any-One Premises) 1,000,000.i
Medical Expense Limit An One Persons Excluded
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
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
and
award ceremonies.
The Certificateholder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Form AXIS 1003-Additional Insured -
Certificateholders,bul only with respect to the OREGON CHOCOLATE FESTIVAL CHOCOLATE 5K RACE on March 08, 2009
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CERTIFICATE HOLDER CANCELLATION
THE CITY OF ASHLAND, ITS AGENTS AND EMPLOYEES SHOULD ANY OF THE ABOVE DESCRIBED
ATTN: MARTHA BENNETT, CITY ADMINISTRATOR POLICIES BE CANCELED BEFORE THE
20 EAST MAIN STREET EXPIRATION DATE THEREOF THE ISSUING
COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
ASHLAND, OR 97520 WRITTEN NOTICE TO THE CERTIFICATE
HOLDER, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES
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AUTHORIZED REPRESENTATIVE
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