HomeMy WebLinkAboutInsurance Certificate: Youth Symphony of So OR
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
12/1/2008
PRODUCER (541)772-1111 FAX: (541)772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Beecher Carlson Insurance Agency 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 INSURERA:American States Insurance 19704
YOUTH SYMPHONY OF SOUTHERN OREGON INSURER B: SAIF Corporation
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. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VV1TH 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- IIMIT~ SHOWN MAY HAVF BFF~ ccnlll"cn BY PAID CLAIM~
I~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER ~A~~i:68~ ~~flf:''70~N LIMITS
GENERAL LIABILITY IIDDt:Ut"t: $ 1,000,000
- DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY $ 1,000,000
A I CLAIMS MADE ~ OCCUR 01CH65230420 11/24/2008 11/24/2009 MED EXP IAnv one nAnOnn\ $ 10,000
D $ 1,000,000
>---
>--- GENERAL AGGREGATE $ 1,000,000
@'LAGGREnE LIMIT AAES PER: "'R()n1ICTS _ COMP/OP Ar.r. $ 1,000,000
X POLICY ~c-RT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
i-- $
ANY AUTO (Ea acciclent)
i--
A ALL OWNED AUTOS 01CH65230420 11/24/2008 11/24/2009 BODILY INJURY
i-- (Per person) $
- SCHEDULED AUTOS
~ HIRED AUTOS BODILY INJURY $
~ NON-OWNED AUTOS (Per accident)
i-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN FA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY IIDDt:Ut"t: $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
=i DeDUCTIBLE $
RFTFNTION $ $
B WORKERS COMPENSATION AND X I T~~T~Ws I 10.m-
EMPLOYERS' UABlLITY 500,000
ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? 729229 10/1/2008 10/1/2009 E.l. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under E.l. DISEASE - POLICY LIMIT $ 500,000
~PFr.IAI PROVI~ION~ below
OTHER
DESCRIPTION OF OPERA TlONSlLOCA TlONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
*******Verification of Insurance****** 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
FINANCE DEPARTMENT 10 DAYS WRITTEN NOTICE TO THE CERTlRCATE HOLDER NAMED TO THE LEFT, BUT
20 EAST MAIN STREET -
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 ~~
Phyllis Hite/LYNNZU
ACORD 25 (2001/08)
INS025 (0108).08a
@ ACORD CORPORATION 1988
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