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HomeMy WebLinkAboutOregon Stage Works NON PROFIT PROFESSIONAL LIABILITY POLICY THIS IS A CLAIMS MADE POLICY. PLEASE READ THIS POLICY CAREFULLY. NEW Renewal of Number . UNITED STATES LIABILITY INSURANCE COMPANY WAYNE, PENNSYLVANIA 040051 CUSTOMER COPY No. NDOI056498 POLICY DECLARATIONS ITEM I. PARENT ORGANIZATION AND PRINCIPAL ADDRESS 8lr~u Stage Works 191 A Street Ashland, OR 97520 9~ ITEM II. POLICY PERIOD: (MM/DDIYYYY) FROM 317/2006 TO 317/2007 12:01 AM STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE IN RETURN FOR THE PA Yf.1ENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY, f THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH LIMITS OF LIABILITY ARE INDICATED. t I Coverage Part A. Non Profit Directors and Officers Liability f ITEM III. LIMITS OF LIABILITY: $1,000,000 EACH CLAIM I Not Covered FIDUCIARY LIABILITY LIMIT ~ $1,000,000 IN THE AGGREGATE ITEM IV. RETENTION: $0 EACH CLAIM ITEM V. PREMIUM: $744 Coverage Part B. Employment Practices Liability ITEM III. LIMITS OF LIABILITY: $1,000,000 EACH CLAIM $1,000,000 IN THE AGGREGATE ITEM IV. RETENTION: $0 EACH CLAIM ITEM V. PREMIUM: $156 NOTICE: DEFENSE COSTS SHALL BE APPLIED AGAINST THE RETENTION. ITEM VI. Coverage Form(s)/Part(s) and Endorsement(s) made a part of this policy at time of issue: USL-DQJ (04-00) Policy Jacket 00-273 (04-02) FLSA, Exclusion NPPLA (09-05) Application 00-279 (05-05) Broad Form Protection and Cov. Amend. Endt. DNOTIC (12-02) DiscI. Notice of Terrorism Insurance Coverage OO-OR (02.Q1) Oregon State Amendatory Endt 00-100 (04-00) Coverage Part A 00-101 (04-00) Coverage Part B Date Issued: 31912006 ::D(11:DEMNITYEX~:US;~::>:~:1 ~~~ 8 ZURICH MARYLAND CASUAL TV COMPANY PRECISION PORTFOLIO POLICY - COMMON DECtARA TIONS PRECISION PREMIER INSTITUTIONAL PROGRAM 1'f\i$J)oticyconsists of the declarations as well as the coverage forms and endorsements Jist~do'l. the Forms and Endorsements Applicable List SURED AM) MAILING ADDRESS .1.:!lt:...::::::6~:~~:s:~::::=~:::::6~::::~~~~i~i~~::::~,~:~~~::::::::::]l'!:!l:! I NStRANCE CENTER PO BOX 6 JACKSONVillE m 97530-0006 (541) 899-9535 I'fNAMEAND SERVICING ADDRESS :~~:I:r:':':':::':':':":'::"""':':"':":'::':':..;~~;~;.;~~.;.~~....:.:..:....:..:.......:..:...:."'..:.:.:.:.:....:::1~:::1:~ :~~tt;:::~:::::::::::::::::::::::::;:::::::::::::::::::.:::::::::::::;::::::7:::':::::;::~;:::::::::::::;:::::;:;:::;:::::::::::::::;::;:::;:;:::;:::;:;:::;:;:::;:;::~:::~::::::::::::::::::;::::::;:::::::::::::::}~~~~~~~ ZtlUCH tmlf - SEAmE P.O. BOX 10197 JACkSONVIllE, FL 32247-6197 (800) 800-3901 FROM 02/15/2006 12:01 am TO U\ITIL CANCB..lED1 NON-RENEWED f BUSINESS ENTITY: CORPOOATION POlICY PREMUMS loret\Jrn fl)r the payment of the premium, and subject to all the terms of this policy, Weiilgr~~.With you to provide the insurance as stated in this policy. ThisJ)c>licy consists of the following coverage parts. This premium may be subject to iildj\Jsttnetlt CtIIfRCfAL.WSlTY COVERAGE PART COIlPCIAl.GEtIRAl. LIABILITY COVERAGE PART PREMIUM S 870.00 S 3,432.00 PREIIltIISIZE .,T S 88.00- FEDERAL TERlftIUSltPREIIl1l S 86.00 TOTAl AI\N.IAl.f'REMIlN S 4,300.00 YOII PRECISION POlICY RENElAl. PREUllIllIltrei A lQSS-fREE CREDIT. Countersigned by Authorized Representative Date CONI\<<)N 9S5007 Ed. 09-02 includes copyrighted material of Insur..ce Services Office. IRC., with its p.rmissioIL Copyright. InsurHce Services Offic., Ine.. 1984. Copyright. Morylond Cosuolty Compony, 1992. INSlIED'S afY 1.1.1 01/10/2006 --------...----_. .-...- i'__@ f@Imm@fi, U~i~18:~~W It:i\i9;::m~tI: i'it:mfi:iii\igjjft!@~~i@:::ttII :m:i:@~::m:ti@~II::m:~t:tl~~i:i::I:::@m::::::. OPPS .'867541 17048778 M013280302-001-00001 AtftJAL '~.kV ~RICH GROUP - ANtIIVERSARY EFF 02/15/2006 .aJU 9S5007 COMVION 9S5OO8 Ed. 3-00 .....-..--- --._--,-- .-- PRECISION PORTFOLIO POLICY SUPPLEMENTAL DECLARATIONS PRECISION PREMIER INSTITUTIONAL PROGRAM o ZURICH .:.::::::::iii~i:!:n~i~j~.j:f~I!::"fj:jji:ij:f:f::.ii~.~iilll.iijl__~.:1_lIiil..ii.'i".'iili:i:..:i.":i':lj.:.lilii":.1 aJII)N POll CY DECI..ARA TIOMS 0902 Retained UinilUl PreliUl - $100 ImED'S copy 1. 2. 1 01/10/2006 " ; NON PROFIT PROFESSIONAL LIABILITY POLICY THIS IS A CLAIMS MADE POLICY. PLEASE READ TIllS POLICY CAREFULLY. NEW Renewal of Number UNITED STATES LIABILITY INSURANCE COMPANY WAYNE, PENNSYL VANIA t , 040051 CUSTOMER COPY No. NDOIOS6498 POLICY DECLARATIONS ITEM I. PARENT ORGANIZATION AND PRINCIPAL ADDRESS Oregon Stage Works 191 A Street Ashland, OR 97520 9~ ITEM It POLICY PERIOD: (MM/DDIYYYY) FROM 3/7/2006 TO 3/7/2007 12:01 AM STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE IN RETURN FOR THE PA Ytl1ENT OF THE PREMIUM. AND SUBJECT TO ALL THE TERMS OF THIS POLICY. WE AGREE \NITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF TIlE FOLLOWING COVERAGE PARTS FOR WHICH LIMITS OF LIABILITY ARE INDICATED. Coverage Part A. Non Profit Directors and Officers Liability ITEM III. LIMITS OF LIABILITY: $1,000,000 EACH CLAI~ Not Covered FIDUCIARY LIABILITY LIMIT $1,000,000 IN THE AGGREGATE ITEM IV. RETENTION: $0 EACH CLAIM ITEM V. PREMIUM: $744 Coverage Part B. Employment Practices Liability ITEM III. LIMITS OF LIABILITY: $1,000,000 EACH CLAIM $1,000,000 IN THE AGGREGATE ITEM IV. RETENTION: $0 EACH CLAIM ITEMV. PREMIUM: $156 NOTICE: DEFENSE COSTS SHALL BE APPLIED AGAINST THE RETENTION. ITEM VI. Coverage Form(s)/Part(s) and Endorsement(s) made a part of this policy at time of issue: USL-OOJ (04-00) Policy Jacket 00-273 (04-02) FLSA. Exclusion NPPLA (09-05) Application 00-279 (05-05) Broad Form Protection and Cov. Amend. Endt. . DNOTlC (12-02) DiscI. Notice of Terrorism Insurance Coverage DO-OR (02-01) Oregon State Amendatory Endt 00-100 (04-00) Coverage Part A 00-101 (04-00) Coverage Part B Date Issued: 31912006 INDEMNITY EXCESS & SURPLUS AGENCY, INC. (:~23] ~ A~ .~~ ' "41 I. () Authorized Representaf USL-DOD (11/97) O""~~ .J:.:.o ~~,....~ .;: Agent: ...T....--. ".ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 1~ OAt!; (1I/l1',1lOorrrm OREGO-l 07/14/06 ~ROOUCEJt THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION rhe InsuranC& Center, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~40 West "C" Street HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXiENP OR ?OBox6 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jacksonville OR 97530 Phone: 541-899-9535 Fax: 541-899-9532 INSURERS AFFORDING COVERAGE NAle. NSURED INSURER A: Zurich Insurance Company INSURER B: Oregon Stage Works,Inc. INSURER c: 191 A Street INsUReR D: Ashland OR 97520 INSURER E: IHE INSURANCE CENTER Fax; 541-899-9532 Jul 14 2006 03;21pm P001/001 ::OVERAGES THE PO~'C'E$ OF INSURANCE LISTED BELOW HAVE BEEN ISSUEo TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO, NOTwiTHSTANDING !f,NIY REQUIREMet>IT, TERM OR CONDITION OF ANY CONTRACT OR OTHeR DOCUMENT WITH REQPECT TO WHICH THIS C!;RTlFICATE MAY BE ISSUED OR MAY PE~TAIN, THE; 1N8URA"ICE AI=FORDED BY THE POliCIes DESCRIBED H!;RI;I~ IS 6UilJECT TO ALL THE TERMS, EXCLUSIONS AND CONOITIONS OF :;;UCI-l POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE IlE1EN REDUCED BY PAID CLAIMS. _Tit )l~t(Q TYPE OF INSURANC!! POL.ICY NUMBER 'DA'ii(MMiriifiWr DATsrM~ LIMITS ! GENERAL LIA8IUTY EACH OCCUR~eNcE $1000000 A X ~."o., G""",ce"""" PPS041867541 02/15/06 02/15/07 PR~M~'fS (E~ OOClI~nce) $ 1000000 CLAIMS MADE ~ OCCiJ~ MED EXP (Anyon" per3on) $10000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2000000 - n'L AGGREGATE LIMIT APPLIES PER. PRODUCT5-COMnOPAGG S 2000000 .n.PRO- .n- POuCY JEeT LOC AiJTOIIIIOBILE LIABILllY COMElINED SINGLE I.,IMIT '-- $ ANY AUTO (Ea ~a:idQnl) r- "" ALL OWNED AUTOS BODILY INJURY I-- $ SCHEDULED AUTOS (Per perean) I-- r- HIRED AUTOS BOOI~ Y INJURY S NON-OWNED AUTOS (P8r ~<X:laenl) r-- I-- PROPERTY DAMAGE $ (Per ~ccid"nt) GAAA.e;~ llAall-lTY AUTO ONLY - EA ACCIOENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ON~ V: AGG $ CXCESSl\JMBftELLA llABILITY EACH OCCURRENCE $ I:J OCCUR C CLAIMS. MADE AGGREGATE $ S R OEDUCTIBLE $ ir,f. RETENTION $ $ WORKERliI COMPiNSAllON AND ITo'~yOLtM;Ts I IOJ~- I!MPLOYERS' I.IASILllY ANY PROPRIETORlPARTNE;RJEXECUTIVe: E.L. EACH ACCIDENT $ OPFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ ~~E~~~5~~J:a?~~s below E.L. DISEASE - POLICY liMIT $ OTHE~ l.ESCRlPllON 01' O~~IV<TloNe' LOCATIONS' V~HleL~t/ (I;)(CL.UeIONS ADDiD BY ENDOltSE&lEN1', SPECIAL PROVISIONS ~amed Additional Insured: City of Ashland, It's Office:rs, Employ-Gas and ~nts fit ;ERTIFfCATE HOlDt:;R . CANCELLATION CITYASH liIHOULD ANYOFTH~ AElO~ DI;!SCRISED POLICIES BE CANCELLED a~FORe THE EXPIRATION DA.TE THER!!OI', THE ISt/UINe INSURER WILL ENDI!AVOIt TO NIAlL ~ DA.YS WRnTEN NOllC! TO TH~ OERTlFIOATE HOLDER NAM!!D TO THE; LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILflY OF ANY KIND UF>ON THE INSURER, ITS AGENTS OR RiPRESENTATIVE$. AUTHORIZED ~EPIt~$eNTATIVi Geor e Wheeler Ci.ty of Ashland 20 East Main St. Ashland OR 97520 \CORD 26 (2001/08)