HomeMy WebLinkAboutRogue Valley Opera
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PO Box 5000
Dupont, WA 98327-5000
RENEWAL CERTIFICATE
II
Business Policy
JUN 162006 to JUN 162007
1-15- 2024-F472 F N 3
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18144 401 AI Agent LAURA BIXBY FOX INS AGCY INC
N Telephone (541) 482-2461
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CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520-1850
Insured: ROGUE VALLEY OPERA
ASSOCIATION
Location: 235 S OAKDALE AVE STE 203
MEDFORD OR
97501-3160
Add Ins-II: RUSS DALE PROPERTIES
Add Ins-II: CITY OF ASHLAND
Forms, Options, and Endorsements
Special Form 3
Emp Dishonesty $25,000
Amendatory Endorsement
Tree Debris Removal
Business Policy Endorsement
Glass Deductible Deletion
Additional Insured
Amendatory Endorsement
Additional Insured Endorsement
Fungus (Including Mold) Excl
Subcontractor Pd Exclusion
Additional Insured Endorsement
Continued on next page
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PAID BY SPECIFIED PARTY
Coverages and Limits
Section I
A Buildings
B Business Personal Property
C Loss of Income
Excluded
11,600
Actual Loss
Deductibles - Section I
Basic
Other deductibles may
apply - refer to policy
500
Section II
L Business Liability
M Medical Payments
Gen Aggregate (Other than PCO)
Products-Completed Operations
(PCO Aggregate)
$1,000,000
5,000
2,000,000
2,000,000
FP-6103
OPT ED
FE-6237.1
FE-6451
FE-6464
FE-6538.1
FE-6320
FE-6551
FE-6494
FE-6566
FE-6598
FE-6361
Annual Premium
Forms, Opts, & Endrsmnt
Bus Liability - Cov L
Total Amount
$206.00
85.00
9.00
$300.00
Premium Reductions
Renewal Year Discount
Yrs in Business Discount
Claim Record Discount
Cov. A - Inflation Index:
Cov. B - Consumer Price:
N/A
199.2
4-z 56 3679 7995
See reverse side for important information.
REB
Prepared APR 24 2006
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5tate Farm Fire and Casualty Company
PO Box 5000
Dupont, WA 98327-5000
I [
1-15- 2024-F472 F N 3
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520-1850
CONTINUED
Forms, Options, and Endorsements
Inc Cost and Demolition Cov
Policy Endorsement- Business
Terrorism Insurance Cov Notice
FE-6587
FE-6610
FE-6999
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18145
N
401 AI
Agent LAURA BIXBY FOX INS AGCY INC
Telephone (541) 482-2461
RES
Prepared APR 24 2006 1