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HomeMy WebLinkAboutInsurance Certificate: Ballet Folklorico Ritmo Alegre (3) .4CEOR DATE(MMIDD/YYYY) �...--� CERTIFICATE OF LIABILITY INSURANCE 08/24/2023 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(les) must be endorsed. If SUBROGATIONIS 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 certificateholder In lieu of such endorsement(s). PRODUCER CONTACT NAME; AP INTEGO INSURANCE GROUP LLC 76250846 PHONE (888)289-2939 FAX • 375 WOODCLIFF DRIVE STE 103 E M No,Ext):• ' (A/C,No): FAIRPORT NY 14450 E-MAIL ADOREsS. INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Hartford Casualty Insurance Company 29424 INSURED INSURER B BALLET FOLKLORICO RITMO ALEGRE INSURER C; . PO BOX 8225 MEDFORD OR 97501-0525 INSURER D INSURER E: ' INSURER F: • COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: N. 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 ANDY REQUIREMENT,TERM OR CONDITION OF ANY.CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS o CERTIFICATE MAY BE ISSUED. OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE o TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , ' INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS' LTR ' INSR WVD (MM/DPNYYYI' (MM/DDIY YYYI ' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ' CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY—7 PRO- LOCPRODUCTS-COMP/OP AGG JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _- • (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED • BODILY INJURY(Per accident) —AUTOS —AUTOS :1;1 I HIRED NON-OWNED PROPERTY DAMAGE ::I! AUTOS AUTOS • (Per accident) :1.1 i , — • ;hI•i; _ UMBRELLA LIAB OCCUR EACH OCCURRENCE I 1�I EXCESS LIAB — CLAIMS-,' — ''"" MADE AGGREGATE DED RETENTION$. . WORKERS COMPENSATION • x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E.L.EACH ACCIDENT $500,000 A PROPRIETOR/PARTNER/EXECUTIVE — NIA • 76 WEG'AU2Y2C 09/22/2023 _ 09/22/2024 'OFFICER/MEMBER EXCLUDED? - - E.L.DISEASE-EA EMPLOYEE $500,000 — (Mandatory In NH) — If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS ilelow DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) • Those usual to the Insured's Operations,City of Ashland,It's officers,agents,and employees are listed as an additional Insured per the Business Liability Coverage Form SS0008 attached to this policy.RE:Grant funding'for a 2019-20 Economic,,Cultural,Tourism,Sustainability Grant from the City of Ashland. CERTIFICATE HOLDER CANCELLATION . . City of Ashland SHOULD ANY. OF THE.ABOVE DESCRIBED POLICIES BE CANCELLED 20 E MAIN ST BEFORE THE EXPIRATION DATE.THEREOF,NOTICE WILL BE DELIVERED ASHLAND OR 97520-1814 , IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE • ©,1988.2015 ACORD CORPORATION.All rights reserved. ' ACORD 25(2016/03). The ACORD name and logo are registered marks of ACORD • . THE HARTFORD ' BUSINESS SERVICE CENTER: THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 August 24,2023 MB 01 000317 85883 H 2 A 'II!III'IIIIII1111111IIIIIIII11111II1III11111II'IIII"IIIIIiliill City of Ashland 20.E MAIN ST ASHLAND OR 97520-1814 • v . 0 Account Informations' rwn BALLET FOLKLORICO RITMO Contact Us Policy-Holder Details,: Need Help? ALEGRE Chat online or call us at • (866)467-8730. We're here Monday- Friday. .1 e Enclosed pleasefind a Certificate Of Insurance for the above referenced Policyholder: Please contact us if you have any ;c•, questions or concerns. . :'•: Sincerely, : ; Your Hartford Service Team WLTR005