HomeMy WebLinkAboutInsurance Certificate: Sandler Films INC
ACORD~ CERTIFICA TE OF LIABILITY INSURANCE I DATE {MMfDDIYYYVI
12/11/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
WEST.fKN STATES INS AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
'38 NORTH CENTRAL AVE STE 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MEDFORD, OR 97501
(8881661.3938
XW894 882 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A:THE TRAVELERS INDEMNITY COMPANY OF AMERICA
SANDLER FilMS, INC
750 A STREET, SUITE C INSURER B: THE CHARTER OAK FIRE INSURANCE COMPANY
ASHLAND, OR 97520 INSURER C:THE TRAVELERS INDEMNITY COMPANY
INSURER 0:
, 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 CERTlFICA TE MAYBE 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.
~~~R ~~~'; POLICY EFFECTI~~ POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY DATE IMM/DD/YY) LIMITS
B X ~NERAL lIABllTY 680-3463C999-10 01/25/2010 01/25/2011 EACH OCCURRENCE $1000000
~ 3~MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000
CLAIMS MADE [K] OCCUR ""
e- - $5000
MED EXP An one rson)
PERSONAL & ADV INJURY $1,000,000
r.eNERA AGGREGATE $2,000,000
~N;L AGGREGn LiMIT AnE1S PER: PRODUCTS - COMp/OP AGG $ 2,000,000
PRO-
X POLICY JECT LOC
A AUTOMOBILE LIABILITY BA-3065N478.09 02/23/2009 01/25/2010 COMBINED SINGLE LIMIT
e- (EaaccidentJ $ 1 ,000,000
~ ANY AUTO
I- ALL OWNED AUTOS BODILY INJURY $
(Per person)
e- SCHEDULED AUTOS
e- HIRED AUTOS BODILY INJURY
(Per accident) $
e- NON-OWNED AUTOS
PROPERTY DAMAGE $
(peraccidentl
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=J ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
c ,fr:SS/UMBRELLA LIABILITY CUp.3850Y96A.10 01125/2010 01/25/2011 EACH OCCURRENCE $1,000,000
X OCCUR D CLAIMS MADE AGGREGATE $1,000,000
$
:;:1 ~EOUCTIBLE $
X RETENTION $5,000 $
WORKERS COMPENSATION AND I T~~ySI~Vs I I OJ~
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
OTHER
DESCRIPTION OF OPERATIONS /lOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
AS RESPECTS TO GENERAL L1A81L1TY, CERTIFICATE HOLDER IS ADDITIONAL INSURED. STATE OR POL
SUBDIVISIONS.PERMITS.PRM, CG 20 13 , FOR:
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHlANO
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
ACORD 25 (2001/08)