HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival
A CORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDfYYYY)
12/28/2007
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.
Medford OR 97504 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Great American Insurance 16691
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.
Ar.., ~RI=r..ATE LIMITS SHOWN MAY HAVE RI=EN REDUCED BY PAID CLAIMS.
INSR ADD'L p~.N~~~~~~8~~ Pg~'fJI~~~t~N LIMITS
TYPE OF INSURANCE POLICY NUMBER
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
- ~~~~U?E~~~Ju~~n~A\
X COMMERCIAL GENERAL LIABILITY $
A I CLAIMS MADE GU OCCUR PAC8049553 1/1/2008 1/1/2009 MED EXP (Anyone person) $
PERSONAL & ADV IN-IIIRY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
@'LAGGREGATE LIMIT nES PER: PRODUCTS - COMP/OP Ar.r. $ 2,000,000
xnp'~R,:
POLICY LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
I-- (Ea accident) $
X ANY AUTO
I-- 1/1/2008 1/1/2009
A ALL OWNED AUTOS CAP8049554 BODILY INJURY
t-- (Per person) $
- SCHEDULED AUTOS
~ HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
-
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EAAr.r. $
AUTO ONLY: AGG $
A EXCESS/UMBRELLA LIABILITY UMB8049555 1/1/2008 01 $ 2,000,000
~ OCCUR D CLAIMS MADE AGGREGATE $ 2,000,000
$
8 DEDUCTIBLE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND I T~g.ni'UNs I 101~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
A OTHER Liquor Liability PAC8049553 Occurrence 1,000,000
Aggregate 2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS 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 f'~~~--
Mike Mastroni/PAUORT
ACORD 25 (2001/08)
INS025 (0108).08a
@ ACORD CORPORATION 1988
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