HomeMy WebLinkAboutInsurance Certificate: Ashland Ice Hockey in the Park 2010
DATE (MM/DD/YY)
1/21/2010
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FOR SERVICE CALL: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
FRANCIS L. DEAN & ASSOCIATES, INC. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
1776 S. NAPERVILLE RD., BLDG. B COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. BOX 4200 COMPANIES AFFORDING COVERAGE
WHEATON, IL 60189
(800) 745-2409 COMPANY STARR INDEMNITY & LIABILITY COMPANY
www.fdean.com A
INSURED SPORTS AND RECRECATION PROVIDERS ASSOCIATION
(PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: COMPANY
B
Ashland Ice Hockey In The Park 2010
144 Sunnyview Drive COMPANY
Ashland, OR 97520 CERT. #P1GL-103825-02 C
COMPANY
D
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, 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.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MM/DD/YY LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE $ 1,000,000.00
A X COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMPIOP AGG $ 1,000,000.00
CLAIMS MADE Fv_]OCCUR P 1 GL-100000-02 1/22/2010 1/25/2010 PERSONAL & ADV INJURY $ 1,000,000.00
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE $ 1,000,000.00
X INCLUDES ATHLETIC
PARTICPAN`S FIRE DAMAGE (Any one fire) $ 300,000.00
MED EXP (Any one person) $ 5,000.00
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER TI-AN UMBRELLA FORM $
WORKER'S COMPENSATION AND WC STATU- OTH-
EMPLOYERS' LIABILITY TORY LIMITS ER
EL EACH ACCIDENT $
THE PROPRIETOR/ I NCL
PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $
OFFICERS ARE PEXCL EL DISEASE - EA EMPLOYEE $
OTHER
Total Certificate Premium: $258.00
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Ice Hockey Activities
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Ashland Ice Hockey In The Park 2010 BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL
144 Sunnyview Drive ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE
Ashland, OR 97520 HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Francis L. Dean
ACORD 25-S (1/95) 0 ACORD CORPORATION 1988