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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Repertory Singers A~'~ ~ DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITYINSURANCE 6/2212017 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 have ADDITIONAL INSURED provisions or 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 Liberty Mutual InSUranCe NAMEACT PO Box 188065 PHONE FAX Fairfield, OH 45018 x : 800-962-7132 AIC, No): 800-845-_3666 EMAIL ADDRESS: BusinessService Libert Mutual.com INSURER S AFFORDING COVERAGE NAIC ~ INSURER A : West American Insurance Com an 44393 INSURED INSURER B : Southern Oregon Repertory Singers INSURERC: PO Box 1091 Ashland OR 97520 INSURERD: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 36279077 REVISION NUMBER: THIS IS TO CERTIFY THAT THF. POLICIES OF INSURANCE LISTED 9ELOV1r HAVE SEEN ISSUED TO THE INSURED PlA~4ED ABOVE FOR THE POLICY PER►OD 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 MMlDDIYYYY MMIDDIYYYY A COMMERCIAL GENERAL LIABILITY ~ BKW57800816 61112017 61112018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 15,000 PERSONAL d ADV INJURY $ 1,~017,~00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,~lJI) ✓ POLICY ~ PRO ❑ PRODUCTS - COMPlOP AGG $ 2 00,000 JECT LOC , OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY Y ! N STATUTE ER _ ANYPROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under CcSCRiPTiON GF OPEhi+TIOiVS bei0w E.L. GiSEASE - POLICY Liiv1~T ; $ DESCRIPTION OF OPERATIONS 1 LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland, it's officers and employees are Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. CERTIFICATE HOLDER CANCELLATION City of Ashland, it's officers and employees THEUEXPIRAOONHDATEVTHEREOFBENOTICEI WILBL BECDELIVEREDORIN 20 E Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 AUTHORIZED REPRESENTATIVE 1 r r~~ Kimberleigh Howard ©1988.2015 AGORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 16279077 17000037978 ! 17-18 Master Certificate I Kimberleigh Howard 16/22/2017 10:53;39 AM (CDT} I Paye 1 of 1