HomeMy WebLinkAboutInsurance Certificate: Youth Symphony
~
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYYY)
~ 11/5/2009
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.
I ,
Medford OR 97504 ! INSURERS AFFORDING COVERAGE j NAIC#
INSURED INSURERA:American States Insurance Co 119704
YOUTH SYMPHONY OF SOUTHERN ORE INSURER B: SAIF 152412
PO BOX 4291. INSURER c:
-- -- --~ _d ,
I INSURER 0: ,
MEDFORD , OR 97501 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.
IIN~: '~~~~I ~.<n< I POLICY NUMBER I A2TLJCY EFFECTI~ I POW:X EXPIRATION I LIMITS
OAT M
~,..~'~ ~EACHOCCURRENCE~' 1,000,000
DAMA'GE'To"RENTED - -
COMMERCIAL GENERAL LIABILITY ~REMISES(E,o""cc',,,) ~ --------.1, QOQ,_Oo.Q.
A - ::=J CLAIMS MADE D OCCUR IOlCH65230430 11/24/2009 11/24/2010 MED EXP (Any one person} $ 10,000
-- I PERSONAL--;' ADV INJUR~ I $ 1, 000 , 000
--, I GENERAL AGGREGATE I. 1,000,000
I
I-il'L AGGREGATE LIMIT APPLIES PER: I I I PROOUCTS-COM~OPAGG . 1,000,000
I X POLICY n ~~9-.: n LOC I I
~TOMOBILE LIABILITY I 111/24/2009 COMBINED SINGLE LIMIT . 1,000,000
ANY AUTO (Eaaccident)
l- I.
A I- ALL OWNED AUTOS OlCH65230430 11/24/2010 BODILY INJURY
SCHEDULED AUTOS (Per person)
I-
~ HIRED AUTOS BODILY INJURY I.
I~ NON-OWNED AUTOS (Per accident)
I (- PROPERTY DAMAGE .
I (Per accident) ,
~AGE LIABILITY I I I AUTO ONLY - EA ACCIDENT i $
ANY AUTO I I I OTHER THAN EAACC I.
n AUTO ONLY: AGG I.
f3ESS I UMBRELLA LIABILITY I I EACH OCCURRENCE I.
OCCUR D CLAIMS MADE I AGGREGATE I.
I I. ---
R DEDUCTIBLE I.
, RETENTION - - $ -- I.
B 1 WORKERS COMPENSATION I ! U wc STATU- LJ"TH-I
AND EMPLOYERS' LIABILITY Y I N TORY_LIMITS ER
I ANY PROPRIETOR/PARTNER/EXECUTIVE D E.L. EACH ACCIDENT I. 500,000
OFFICER/MEMBER EXCLUDED? ,
, (Mandatory In NH) 729229 10/1/2009 10/1/2010 E.L. DISEASE - EA EMPLOYEE $ 500,000
I If~es,describeunder I E.L. DISEASE - POLICY LIMIT I $ 000
I S ECIAL PROVISIONS below 500
I OTHER I
I I
DESCRIPTION OF OPERATIONS I LOCATIONS {VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
*******Verification of Insurance****** This form is subject to policy terms, conditions, and exclusions.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF ASHLAND DATE THEREOF, THE ISSUING INSURER 'MLL ENDEAVOR TO MAIL ~ DAYS WRITTEN
FINANCE DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
20 EAST MAIN STREET
ASHLAND, OR 97520 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE (Lp, g"r
Pam BreazealejPAMBRE
ACORD 25 (2009/01)
INS02S (200901)
@ 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD