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HomeMy WebLinkAboutSouthern Oregon Film Society 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)