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HomeMy WebLinkAboutInsurance Certificate: Brava! Opera Theater (2) A~~ ® DATE (MMIDDIYYYY) ~ CERTIFICATE OF LIABILITY INSURANCE 0612112017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY ORNEGATIVELY 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 CONTACT NAME: Dyan Bates (Renewals) Evergreen Insurance Managers Inc al~NNo Ext : (503) 259-3060 alc No : (503} 259-3065 5293 NE Elam Young Pkwy Ste 160 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Hillsboro OR 97124 INSURERA: Northfield Insurance Company 27987 INSURED INSURER B Brava! Opera Theater INSURER C 2924 Siskiyou Blvd Suite 204 INSURER D INSURER E Medford OR 97504 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 AMAGE TO NT D 1 OQ C~~ X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE ~ OCCUR MED EXP An one erson $ 5,000 q Y WS283581 10/15/2016 10/1512017 PERSONAL&ADVINJURY $ 1,000,000 GENERALAGGREGATE $ 2~~~~~~~~ GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS -COMPIOPAGG $ 2~~~~~~~~ X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERlEXECUTIVE ❑ N 1 A E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required/ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Ashland, its Officers, Employees, and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St AUTHORItED REPRESENTATIVE Ashland OR 97520 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD