HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Growers and Crafters MarketA CWL> CERTIFICATE OF LIABILITY INSURANCE
DAT£(MM1ODfYYY}
02/05/2025
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 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
Hart Insurance Agency
PO Box 1240
Grants Pass OR 97528
CONTACT
Grants Pass Hart Insurance
_
PHONE
C o Ext: (541) 979-5521 �[AlC.Na): (541) 474-1890
EMAIL
ADDRIESS: 'maphet@hartinsurance,com
INSURER(S)AFFORDINGCOVERAGE
NAFC
_
14SURERA: SAIF CorPoratiori
36196
_
INSURED �.
INSURERB:Mutual Of Enumclaw Ins. Co.
14761
Rogue Valley Growers and Crafters Market
INSURER C
INSURER D:
P.O. BOX 4041
INSURERE:
Medford OR 97501
INSURERF:
(541) 261-5045
1%rN%1CCA -CC nu 1 CDTICI!`ATC AiI IIURGL7•f`nrF Tn 111S9 19% RF-VIXIrTN NtIMFlf-H.
THIS IS TO CERTIFY THAT THE POLICfES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERRA 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.
I R
_._......_...._____IADDLj
I TYPE OF INSURANCE
I
SUE
R
POLICY NUMBER
POLICY EFF
(MWDqffYM
POLICY EXP
IWWDD
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CiAINIS-LIADE � OCCUR
Y
CPP0003917
04/06/2025
04/06/2026
EACH OCCURRENCE
DAI.IAGE TO RENTED
PREMISES Ea occurrence ....
( 5 1,000,000
S 300,000
HIED f XP (Any one person)
5 10,000
PERSO.NALSADVINJURY
5 1,000,000
GEN'L
X
AGGREGATE LIMIT APPLIES PER..
PRO-
POLICY ElPRO JECT El LOG
OTHER7
GENERAL AGGREGATE
5 2,000,000
PRODUCTS - COMPIOP AGG
5 2,000,000
Cyber/Data Breach
S 100,000
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY � AUTOS ONLY
i i
COMBINED SINGLE LIMIT
Ea aaide!i
$
BODILY INJURY (Per person)
S
BODILY INJURY {Per accident)
S �.
.,
PROPERTY
Per accident)
...
S
5
UMBRELLA LIAB OCCUR
j; EXCESS LLAB H- CLAIMS -MADE
j DIED I � RETENTIONS
EACH OCCURRENCE_
AGGREGATE
S
S
S
A
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANYPROPRIETORPARTNEWEXECUTIVE ❑
OFFICERIMEMBEREXCLUDEO?
(Mandatory in NH)
ii yes, describe under
DESCRIPTION OF OPERATIONS beiow
NIA
!
962496
03/01/2025
I
I 03/01/2026'
PER
X STATUTE _ OTH
ER
E.L.EACHACCIDENT
500,000
--- -
E.LDISEASE-EAEMPLOYEE
_5
S 500,000
E.L. DISEASE - POLICY LIMIT
5 500,000
{
S
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD fOl, Additional Remarks Schedule, may be attached if more space Is required)
Blanket Additional Insured when required by written contract or agreement per the attached EG2018
10/12.
(:tK I I1-IUA It HULUtK %,MI[4%oCLLH t IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
20 E Main St AUTHORIZED REPRESENTATIVE
Ashland OR 97520
(S) lVtSB-YU'13 AUUKU UUKt'VKA I IUN, Ail rlgnis reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Page 1 of 1
COMMERCIAL GENERAL LIABILITY
EG 20 18 10 12
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II - Who Is An Insured is amended to
Include as an additional Insured:
Any person or organization when you and such
person or organization have agreed in writing in a
contract or agreement, executed prior to any "oc-
currence", that such person or organization be
added as an additional Insured on your policy.
Such person or organization is an additional in-
sured only with respect to liability for "bodily inju-
ry", "property damage" or "personal and advertis-
ing Injury" caused, in whole or in part , by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
In the performance of your ongoing operations for
the additional insured, or in connection with your
premises owned by or rented to you.
A person's or organization's status as an addition-
al insured under this endorsement ends when
your contract or agreement with such person or
organization ends.
B. The Limits of Insurance applicable to the Addi-
tional Insured are those specified in the written
contract or agreement but not more than the Lim-
its of Insurance specified in the Declarations of
this policy. The Limits of Insurance applicable to
the Additional insured are inclusive of and not in
addition to the Limits of Insurance shown in the
declarations for the Named Insured.
C. Section IV - Commercial General Liability
Conditions, Paragraph 4. Other Insurance is
amended to add the following subparagraph:
d. Additional Insured's Other Insurance As Ex-
cess Insurance
To the extent required by an "insured contract",
this insurance is primary on behalf of the addi-
tionai insured, and any other insurance main-
tained by the additional insured is excess and
not contributory with this insurance. If the "in-
sured contract" does not require this provision,
then Paragraph a. above will apply.
EG 20 18 10 12 Includes copyrighted material of Insurance Services Office, Inc, with Its permission. Page 1 of 1