HomeMy WebLinkAboutInsurance Certificate: Sandler Films
ACORD. CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY)
12/18/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
WESTERN STATES INSURANCE AGENCY INC ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICA TE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
POBOX 6-'3 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ASHLAND, OR 97520
I (888) 661-3938
XW894 882 INSURERS AFFORDING COVERAGE NAIC #
I INSURED INSURER A:THE CHARTER OAK FIRE INSURANCE COMPANY
SANDLER FILMS, INC
391 DEAD INDIAN MEMORIAL RD INSURER B: THE TRAVELERS INDEMNITY COMPANY
JEANETTE HUTCHINSON INSURER C:
ASHLAND, OR 97520 INSURER 0:
I INSURER E:
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.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
L TR INSRIJ TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY)
A X ~NERALlIABIITY 680-3463C999-08 01/25/2008
X COMMERCIAL GENERAL LIABILITY
:=r=J CLAIMS MADE [KJ OCCUR
X HIRED AUTO
X NON OWNED AUTO
LIMITS
01/25/2009
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES IE~ nr.r.llrrence)
$ 1 000,000
$ 300,000
$ 5,000
$ 1,000,000
$ 2,000,000
$ 2,000,000
MED EXP (Anv one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
7:1 nPRO- n
X I POLICY JECT LOC
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
(Per person)
~ SCHEDULED AUTOS
I.--- HIRED AUTOS
I.--- NON-OWNED AUTOS
BODILY INJURY
(Per accident)
rpRe~~~~~~n~tMAGE $
GARAGE LIABILITY
R ANY AUTO
EXCESS/UMBRELLA LIABILITY CUP-3850Y96A-08
00 OCCUR D CLAIMS MADE
AUTO ONLY - EA ACCIDENT $
OTHER THAN
AUTO ONLY:
EA ACC
AGG
$
$
$1,000,000
$1,000,000
$
$
$
B
01/25/2008
01/25/2009
EACH OCCURRENCE
AGGREGA TE
n DEDUCTIBLE
rxl RETENTION $5,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
I WC STATU- I 10TH
TORY LIMITS ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
AS RESPECTS TO GENERAL LIABILITY, CERTIFICATE HOLDER IS ADDITIONAL INSURED - STATE OR POL
SUBDIVISIONS-PERMITS-PRM, CG 20 13. FOR THE FOLLOWING LOCATION 281 4TH ST " ASHLAND, OR 97520.
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHLAND
20 E MAIN STREET
ASHLAND, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE 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,
AUTHORIZED REPRESENTATIVE
@ ACORD CORPORATION 1988
I I
ACORD 25 (2001/08)