HomeMy WebLinkAboutInsurance Certificate: Rogue Opera Association
06/22/2010 13:32
5417723999
SHANE CUNNINGHAM
PAGE 02/02
'A
This certifies that
Certificate of Insurance
~ State Farm Fire and Casually Com~ any. Bloomington, Illinois
State Farm General Insurance Co....any. Bloomingloo,lRlnols
State Farm Fire and Casually Coml1Bny, AurnnI, Ontarlo
State Farm Florida Insurance Coml1any, Winter Haven, Florid.
State Farm L1oyds. Da"." Tex..
unIlUIOIC5,
insures the following policyholder for the coverages indicated below:
Policyholder Rogue Opera Association
Address of policyholder 33 N. Central Ste 424 Medford Oregon 97501
Location of operations Jackson/Josephine County
Description of operations Music Venue
-The.poIicles.liste<l.below.have.been.lssued-to.the-policyholder-foF-the-poIicy.periods.shown,The.insumnce.described-in.these.policies.is
subject to all the tenns, exclusions, and conditions of those policies. The limits of liability stl:l'M1 may have been reduced by any paid claims.
Policy Period Umits Of Liability
Polley Number Type of Insurance Effgctlve Date ! Expiration Date (at ~inning of policy period)
97.cC-6946-1 F . Compreh$nsive 6/16/2010 , 6/16/2011 BODILY INJURY AND
,
,
I PROPERTY DAMAGE
Business Liability i
----.............---------.....-- ....--.---..---...--.....-_--,-0:---------____.....___..._____._____
This Insurcmce includes: Products - Completed Operations . I :ach Occurrence
Contractual uability $ 1,000,000.00
X Personal Injury ~ ~eneral Aggregate 2,000,000.00
Advertising Injury - $
n 'roduct - Completed $ 2.000,000.00
~ lperations Aggregate
Poliey period BODILY INJURY AND PROPERTY DAMAGE
Poliev Number. EXCESS LIABILITY Effective Date ! ExIliration Date (Combined Single Limit)
o Umbrelia , ~ 'am Occurrence $ 5,000.00
o Other i IA~ate $ 5,000.00
,
. Polley PeriOCl .
Effective Date i E;.;,iratioJl Date . Part I - Wor1ters Compensatlon - Statutory
Workers' Compensation . I ~ art II . Employ"", Liability
and Employers liability . Each Accident $
,
,
, Disease - Each Employee $
,
,
. Disease. Policy umit $
,
,
Tvoo of IllSurance Polley Period Umits of Uablllty
Policy Number Effective Date i ExniratioJl Date (at beginning of polley period)
97.cC-6.946-1 F Business Liabilty see above i 1:11 ;000000.00
!
. .
.
.
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEmlER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESI ~RIBED HEREIN.
Name and Address of Certification Holder
City of Ashland, Its Officers and Employees and Agents
20 E. Main St.
Ashland. OR. 97520
If ani I of the desc~bed policies are c:anceloid before
lhei~ expiration date, State Farm~ will try to mall a
writt41n notice tD the certificate holder days
. befol e cancellation. If we fail to mall such notice, no
obliQ ,tion or liability will be imposact on Slate Fann Or
its as ents or representatives,
~~-
Tille Dale
Sha~ e Cunningham, Agent
Agent mme
Tetepl>ll1e Number (541) 772-3040
H'II1"'"
Agent'.!t. ::octo Stamp
lIgen, C "'.
AFO Co Ie
1~, 10 D8.2s.2009