HomeMy WebLinkAboutInsurance Certificate: Ashland Gallery Association
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP 10 D~ DATE (MMIOOIYYYY)
ASHLA-5 04/12/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Marketplace, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1998 Skypark Dr Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504
Phone: 541-779-0177 Fax: FAX 772-8235 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: American States Ins. Co. 19704
INSURER B:
Ashland Gallery Association INSURER c:
John Davis
POBox 241 INSURER 0:
Ashland OR 97520
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 NSR TYPE OF INSURANCE POLICY NUMBER "'D~'f~1,i~EDC~E P8k~E MM/DD TI N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X X COMMERCIAL GENERAL LIABILITY 01-CH-770410-3 03/31/10 03/31/11 PREMISES lEa occurence) $200,000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $10,000
X Host Liquor PERSONAL & ADV INJURY $1,000,000
X EPL $10k GENERAL AGGREGATE $2,000,000
~'~ AGG~nE~lIMIT APnSI PER: PRODUCTS.COM~OPAGG $2,000,000
PRO-
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-0WNED AUTOS (Per accident)
-
PROPERTY DAMAGE $
{Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
S~SS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
~ ~EDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND IT~,\'/LIMITS I IVE,r
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT -"---
OFFICER/MEMBER EXCLUOED? E.L. DISEASE - EA EMPLOYEE $
~~~~,~i$~~~v~s~6~s below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Ashland and its officers, employees and agents are additional
insureds.
CERTIFICATE HOLDER
CANCELLATION
DIRECTO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Director of Finance IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
20 E. Main St.
Ashland OR 97520 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
R. Scott Weaver, CIC
ACORD 25 (2001108)
@ACORDCORPORATION 1988