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From: 541-488-4458
To: One Time Fax
Page: 314
Date: 6/2312006 4:10:52 PM
ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID P9 DATE (MMlDDIVYVY)
SOI']L-1 06/23/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Reinholdt & O'Harra ~nsurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
518 washington street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ashland OR 97520
Phone: 541-482-1921 rax:541-488-4458 INSURERS AFFORDING COVERAGE NAlC.
INSURED INSlJ<ER A Aa.".,aDCe ClIIIplUIy of _rica 19305
INSlJ<ER B
Southern Oregon rilm Society INSlJ<ER c:
POBox 218 INSlJ<ER D:
Aahland OR 97520
INSlJ<ER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWlTHST ANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERT AlN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
LTR NtAI' TYPE OF INSURANCE POLICY NUMBER I~ DAn:~ LIMITS
GEJlERAL LIABILITY EACH OCCURRENCE $ 1000000
I--
A ~ COMMERCIAL GENERAL LIABILITY PPS042329442 07/01/06 07/01/07 PREMIsEs (Ea occurence) $ 1000000
- =:J CLAIMS MADE D occu< '-ED EXP (Anyone person) $ 10000
PERSONAL & ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
-
GEN'l AGGREGATE LIMIT APPLIES PER PROOUCTS - COMPIOP AGG $ 2000000
I P<X.ICY n ~g;. n LOC
AUTOMOBLE LIABLITY COMBINED SINGLE LIMIT
- $
IWY AUTO (Ea accident)
"-
ALL OWNED AUTOS BODILY INJURY
c- $
SCHEDULED AUTOS (Per person)
I--
HIRED AUTOS BODILY INJURY
I-- $
NON-OWNED AUTOS (Per accident)
I--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR o ClAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ITOR'), tl;AI'rs I IUEfl"
EIA.OYERS' LIABILITY E.L EACH ACCIDENT $
ANY PROPRIETORIPARTNERlEXECUTIVE
OFFICERlMEMBER EXCLUDED? E.L DISEASE - EA EWPlOYEE $
~~~~I~sr~t~:NS below EL DISEASE - POLICY LIMIT $
OTHER
DESCRIPT10N OF OPERAllONS I LOCAllONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certi~icate holder is named as an additional insured per endorsement to the
policy.
CERTIFICATE HOLDER
CANCELLATION
CI'n'OI'A SHOULD AN'( OF THE ABOVE DESCRIBED POLICIES BE CANCaLED BEFORE THE EXPR\llON
DATE THEREOF, 1llE ISSUING INSURER WILL ~ - DAYS WRITTEN
City of Ashland, its officers, NOllCE TO llE CERTlFICATE HOLDER NAMED TO '!liE LEFT, BUT FAILURE TO 00 so SHALL
directors and employee IMPOSE NO OBLlGAllON OR LlABLITY OF AN'( KIND UPON THE INSURER, ITS AGENTS OR
20 E. Main
Ashland, OR 97520 REPRESENTATlYES.
AUTHORIZE) REPRESENTATIYE
baie I'owler
ACORD 25 (2001108)
@ ACORD CORPORATION 1_
~----'--'--' ------,------~.-
ACQRlJ..
CERTIFICATE OF LIABILITY INSURANCE
OP 10 DATE (MM/DD/YYYY)
SOFIL-1 03 27 07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Reinholdt & O'Harra Insurance
518 Washington Street
Ashland OR 97520
Phone: 541-482-1921 Fax:541-488-4458
INSURED
INSURERS AFFORDING COVERAGE
SOUTHERN OREGON FIlM SOCIETY 0
POBox 218
Ashland OR 97520
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
Assurance
NAIC#
19305
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ll'lSR 'N~~[j TYPE OF INSURANCE POLICY NUMBER I PD'i~1MMIDDNYt DATE'IMM/DDiYY)" LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
-
A X X COMMERCIAL GENERAL LIABILITY PPS042329442 07/01/06 07/01/07 ~~~~~S lEa occurence\ $ 1000000
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10000
PERSONAL & ADV INUURY $ 1000000
GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS-COM~OPAGG $2000000
I n PRO-
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
0- $
SCHEDULED AUTOS (Per person)
--
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-DWNED AUTOS
--
--- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
R DEOUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 1WC-::SIAIU-/ IUJr-
TORY LIMITS ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
---
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~~~~I~tS~~v~~?6~s below E.L. DISEASE - POLICY LIMIT $
OTHER
A Commercial Applica PPS042 329442 07/01/06 07/01/07
A Proper tv Section PPS042329442 07/01/06 07/01/07
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CULTURAL CLUBS
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND OR 97520
CrTYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTlFICATIE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIveS. .
AUTHOQI ESi;NTATlVE
An:i; F~.(~
ORD CORPORATION 1988
ACORD 25 (2001/08)