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HomeMy WebLinkAboutInsurance Certificate: Neighborhood Food Project A RD® DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 7~6~2017 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 CONTACT Sheri Hamilton NAME: Brotan & Brown Northwest a~oNluo t. X541) 772-1111 Na). {541)772-3785 3256 Hillcrest Park Drive E-MAIL shamilton@bbnw.com ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # Medford OR 97504 _ INSURERA Alliance of Nonprofits for _ 10023 INSURED INSURER B : _ Neighborhood Food Project INSURER C : PO BOX 108 9 INSURER D INSURER E : _ Ashland OR 97520 INSURER F COVERAGES CERTIFICATE NUMBER:CL177651369 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMJDD MMlDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 004 , 000 DAMAGE TO RENTED A CLAIMS-MADE X OCCUR PREMISES Ea occurrence 500 , 000 ~ 201733477 6/30/2017 6/30/2018 MED EXP {Any one person) $ 20 , 000 PERSONAL & ADV INJURY $ 1, 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 X POLICY ~ JE ~ ~ LOC PRODUCTS - COMPIOP AGG $ 2 , 000 , 000 OTHER: Liquor Liability $ 1, 000 , 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY {Per person) $ ALL OWNED SCHEDULED BODILY INJURY {Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY Y ~ N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L. EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? N 1 A - (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under - DESCRIPTION OFOPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Directors & Officers Liao 201733477D0 6/30/2017 6/30/2018 Per Occurrence 1,000,000 Aggregate Limit 1, 000 , 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTIGE WILL BE DELIVERED IN Attu : Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland ~ OR 97520 AUTHORIZED REPRESENTATIVE Sandy Orr/SANDOR ~(J1. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 r~mao~~