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ACORD,.. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY)
12/28/2006
PRODUCER (541) 772-1111 FAX: (541)772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JBL&K Risk Services, LLC 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 NAIC#
INSURED INSURER A Philadelphia Indemnity
Oregon Shakespeare Festival INSURER B:
PO Box 158 INSURER C.
INSURER D
Ashland OR 97520 INSURER E.
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
IMITe:; !':HOWN MAY HAV~ R~I= ~ I r.1 AIM!':
INSR ADD'L P~l-+~~~~~68~f Pg~W/~~~~N LIMITS
TYPE OF INSURANCE POLICY NUMBER
~NERAL LIABILITY EA"H orrl "'R~Mr<: $ 1,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~~UO RENTED nce' $ 100,000
A I CLAIMS MADE ~ OCCUR PHPK208200 1/1/2007 1/1/2008 MED EXP (Anv one oerson' $ 5,000
- PER<::OMAI & Anv I '"'CV $ 1,000,000
- GENERAL AGGREGATE $ 2,000,000
~'L AGGREnE LIMIT AAES PER pc,m"('Til _ r.OMP/OP dlO'" $ 2,000,000
X POLICY ~f}PT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
~ ANY AUTO (Ea accident)
A - ALL OWNED AUTOS PHPK208200 1/1/2007 1/1/2008 BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN Cd d('(' $
AUTO ONLY AGG $
tiJESS/UMBRELLA LIABILITY ~ArH $ 2,000,000
X OCCUR 0 CLAIMS MADE A'~GREGATE $ 2,000,000
Products/Comp Oos $ 2,000,000
A g DEDUCTIBLE PHUB076657 1/1/2007 1/1/2008 $
X RETENTIOM Jt 10 000 Jt
WORKERS COMPENSATION AND I we STATU- I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under E.L DISEAilE - POLICY LIMIT
<::PE~IAL PRm'I<::loN<:: below $
OTHER Liquor Liability PHPK208200 1/1/2007 1/1/2008 Each Common Cause $1,000,000
A Aggregate: $1,000,000
DESCRIPTION OF OPERA TlONSlLOCA TlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate holder is an additional insured as respects General Liability when required by written agreement. This
form is subject to policy terms, conditions and exclusions.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Its Officers, Employees and Agents 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Attn: Bryn Morrison -
20 E Main FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Ashland, OR 97520 INSURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ere ~Q~~
e Damstra-Lepley,
ACORD 25 (2001/08)
INS025 (0108)OBa
@ ACORD CORPORATION 1988
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