HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Symphony Assoc
~
~R CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDIYYYY)
OP 10 KSR
ROGUE27 07/31/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Pilot Rock Ins Agency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501
Phone: 541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A American States Ins Company 19704
INSURER B'
Ro~e Valley S~phony Assoc INSURER c:
12 0 Siskiyou lvd INSURER 0:
Ashland OR 97520
r 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.
LTR NSRC TYPE OF INSURANCE POLICY NUMBER CAT~I.~MIDDIYYYY} DA~~iM~b~~ LIMITS
~NERAL LIABILITY EACH OCCURRENCE .1,000,000
A X X COMMERCIAl GENERAL LIABILITY 01CE641830 09/01/09 09/01/10 PREMISES Ea occurence) .1,000,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) .10,000
PERSONAL & ADV INJURY .1,000,000
GENERAL AGGREGATE .1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG .1,000,000
Xl, .nPRO- n, Liauor Included
X POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT .
ANY AUTO (Eaaccident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) .
- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
f-- .
NON-OWNED AUTOS (Per accident)
f--
I- PROPERTY DAMAGE .
(Peraccidenl)
R~GE LIABILITY AUTO ONLY - EAACCIDENT .
ANY AUTO OTHER THAN EA ACC .
AUTO ONLY: AGG .
S~SS I UMBRELLA LIABILITY EACH OCCURRENCE .
OCCUR D CLAIMS MADE AGGREGATE .
.
~ ~EOUCT'BLE .
RETENTION . .
WORKERS COMPENSATION I TORY LIMITS I IU~R
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETORfPARTNER/EXECUTU E.L. EACH ACCIDENT .
OFFICERfMEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE .
~~~21~~S~Wov~s1o~s below E.L. DISEASE - POLICY LIMIT .
OTHER
DESCRIPTION OF OPERATIONS I LOCA nONS I VEHICLES J EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
As additional insured per policy form CG7635 (0207) :
CERTIFICATE HOLDER CANCELLATION
City of Ashland
20 E Main Str
Ashland OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITYAS2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2009/01)
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