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A CORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY)
4/2/2007
PRODUCER (541) 772-1111 FAX: (541) 772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JEL&K 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 NAIC#
INSURED INSURER A: American States Insurance 19704
Youth Symphony of Southern Oregon INSURER B:
PO:Box 4291 INSURER C: ,
INSURER 0:
Meford OR 97501 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.
. , ''''T~ _. I r.1 AIM!':
I~~: ~~~~ TYPE OF INSURANCE POLICY NUMBER P~Al{i~9~~g8tW:= PgjlW,~~~~N LIMITS
~NERAL LIABILITY $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 200,000
A I-- ~ CLAIMS MADE W OCCUR Ol-CE-144564-10 11/24/2006 11/24/2007 MED EXP (Anv one oerson\ $ 10,000
.. om/'''"'<>V $ 1,000,000
I--
I-- GENERAL AGGREGATE $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: _ ~^..n'^n AN" $ 1,000,000
~. -n PRO- n
X POLICY "<:rT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
I-- ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- 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=AAr.r. $
AUTO ONLY: Ar.r. $
=SESSlUMBRELLA LIABILITY $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION S S
WORKERS COMPENSATION AND I T~~T~JI~~ I 10J~-
EMPLOYERS' UidllLITY
ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~~=~I~eSCri?~. ~~~~~.~ E.L. DISEASE - POLICY LIMIT $
PIAl DR I low
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
(541)488-5300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Finance Dept. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
20 E. Main St. -
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 ~-wv
Phyllis Hite/PHYLHI
ACORD 25 (2001/08)
INS025 (0108).08 AMS
III 1M Wolters Kluwer Financial Services
@ ACORD CORPORATION 1988
Page 1012
A CORD_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDNYYY)
10/31/2007
PRODUCER (541)772-1111 FAX: (541) 772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
JBL&K 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.
Medfor<:! OR 97504 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA-: American States Insurance 19704
YOUTH SYMPHONY OF SOUTHERN ORE INSURER B-
PO BOX 4291 INSURER c:
INSURER 0:
MEDFORD OR 97501 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 AFFORO~~,~~ ~~;, ~~'::;.sn,~;;g~~~~,~~~;~~o'S SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
INSR ~~D'L TYPE OF INSURANCE POLlOY NUMBER ~l-+~~:~~8~~ ~~!fJ ~J;~~~N LIMITS
~NERAL l.IABILITY EACH OCCURRENCE $ 1,000,000
COMtvERCIAL GENERAL LIABILITY ~~~~~~9~~~~~nc.3\ $ 1,000,000
A I CLAIMS MADE D OCCUR 01CH65230410 11/24/2007 11/24/2008 MED EXP Anv one nerson' $ 10,000
PERSONAL e. ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 1,000,000
~.~ AGG~EnE LIMIT AnES PER PRODUCTS.COMP/OPAGG $ 1,000,000
X POLICY ~~8f LaC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Eaaccident)
- ANY AUTO
- ALL UVVNI:::.U AU I 00 BODILY INJURY
(Perper&on) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY $
f- NON_O\o\tJED AUTOS (Per accident)
PROPERTY DAMAGE $
{Per accident)
RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY AGG $
OESSIUMBRELLA LIABILITY $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
R ,DEDUCTIBLE $
RETENTION ~ I,
WORKERS COMPENSATION AND I T1\im:u,y" I IOJt'-
EMPLOYERS' L1ASILlTY
ANY PROPRIETORfPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? EL DISEASE - EA EMPlOYEE $
~~,~Ibe under EL D1~ASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSlLOCA TIONSlVEHICLESlEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Verification of Insurance
This form is subject to policy terms, conditions, and exclusions.
(541) 488-5300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Finance Dept. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
20 E. Main St. -
Ashland, OR 97520 FAILURE TO 00 so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER ITS AGENTS OR REPRESENTATIVes,
AUTHORIZED REPRESENTATIVE ~~
Phyllis Hite/REBDEV
CERTIFICATE HOLDER
ACORD 25 (2001/08)
INS025 (0108).08a
CANCELLATION
@ ACORD CORPORATION 1988
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