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ACORD", CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MMlDDNVYY)
1/8/2007
PRODUCER (541)772-1111 FAX: (541) 772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Security Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
707 Murphy Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504 INSURERS AFFORDING COVERAGE NAICtf.
INSURED INSURER A: American States Insurance 19704
YOUTH SYMPHONY OF SOUTHERN ORE INSURER B
PO BOX 4291 INSURER C
INSURER D
MEDFORD OR 97501 INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'M-iICH 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.
.&.r..;~~I'r::AT~' ...,~~ ~H{)\AJN M.&.V I-lAVE RFFtJ ";~~..,~~~ ",..'"
INSR ADD'L Pg>k+~~~~~g&W,E ~~lfJt~~t~!gN LIMITS
TYPE or INSURANCE POLICY NUMDER
~NERAL LIABILITY EACH OCCURRENCE S 1,000,000
~ OMERCIAL GENERAL LIABILITY ~~~~~H9E~~J~?ence\ s 200,000
A CLAIMS MADE [iJ OC;C;UR 01CE14456410 11/24/2006 11/24/2007 w:n i="P (Anv on "' $ 10 000
~
f-- PERSONAL & ADV INJURY $ 1,000,000
~ GENERAL AGGREGATE $ 1,000,000
@'L AGGREnE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000
X PRO- ~
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
ANY AUTO (Ea accident)
f-- 11/24/2007
A ALL UWNi=LJ AU I U~ 01CE144~6410 11/24/2006 BODILY INJURY
f-- (Per person) $
f-- SCHEDULED AUTOS
~ HIRED AUTOS BODILY INJURY $
~ NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==i ANY AUTO OTHER THAN i=AACC $
AUTO ONLY AGG $
:=JESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION . $
WORKERS COMPENSATION AND I T~fIfJNs I IOTH-
ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
II yes, describe under EL DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Winter Concerts:
January 11, 2007 Chamber Music Concert, 4:00 p.m. Mountain Meadows Retirement Community, Ashland.
~ebruary 12, 2007 Concerto Competition, 7:30 p.m. 50U Music Recital Hall.
February 23, 2007 7:30 p.m. Performing Arts center, Grants Pass. February 24, 2007 7:30 p.m . Craterian Theater,
Medford. February 25, 2007 3:00 p.m. SOU Music Recital Hall, Ashland.
CERTIFICATE HOLDER
CANCELLATION
(541) 488-5300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland-Finance Department EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
20 East Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Ashland, OR 97520 -
FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)
INS025 (0108).08 AMS
@ '" V\Iolters Kluwer Financial Services
@ ACORD CORPORA nON 1988
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