HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival
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ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
I,.........---' 12/21/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTENO OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER ~2:1~CT Paula Ortiz
Beecher Carlson Insurance Agency LLC ~;riO.,EIlt); (541) 772-1111 L~.~: fS41l772-3785
707 Murphy Rd ~MDA~~ss:paula. orti z@beechercarlson.com
:UCER 1/tPOOO6488
IOMERID.
Medford OR 97504 INSURER(SI AFFORDING COVERAGE NAIC#
INSURED INSURER A :Great American / American
INSURER B :
Oregon Shakespeare Festival INSURER C :
PO Box 158 INSURER 0 :
INSURER E : .
Ashland OR 97520 INSURER F :
COVERAGES
CERTIFICATE NUMBER:11-12 G1, BA, Umb
REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AOOL SUBR f:SM%~\1 (~2~6%~ LIMITS
LTR TYPE OF INSURANCE I POLICY NUMBER
GENERAL LIABILITY 1,/,/20,2 EACH OCCURRENCE $ 1,000,000
-
X COMMERCIAL GENERAL LIABILITY ~~~~J?E:~~uE~ncel $ 100.000
A I CLAIMS-MADE [i] OCCUR X ,PACe049553 .1/1/2011 MED EXP (Anyone pllfSon) $ S,OOO
PERSONAL & mv INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
--i-l'~ AGG~nE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $ 2,000,000
X POLICY ~~Ri LaC $
AUTOMOBILE LIASIUTY COMBINED SINGLE LIMIT $ 1,000,000
- (Eaaccident)
~ ANY AUTO BODILY INJURY (Per person) $
FAPB049554 1/1/2011 1/1/2012
A - ALL OWNED AUTOS BODILY INJURY (Per accident) $
X SCHEDULED AUTOS PRDPERTY DAMAGE
(Per accident} $
~ HIRED AUTOS
NON..QWNED AUTOS PIP-Basic $ 1S,OOO
- $ 1,000,000
Uninsured motorist combined
X UMBRELLA LIAS n ~CCUR EACH OCCURRENCE $ 2,000,000
-
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2.000.000
X DEDUCTIBLE $
A RETENTION $ 10,000 _ ,mma049SSS - i1/1/2011 ;1/1/2012 $
WORKERS COMPENSATION ~rSTATU. I 10TH-
AND EMPLOYERS' LIABILITY YI" R'(UMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE D "'A E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYE $
g~~~~rtfr~~ ~~'6PERATlONS below E.L. DISEASE. POLICY LIMIT $
I I I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addlllonal Remarks Schedule, If more space Is required)
Certificate holder included as additional insured as respects general liability on a primary & noncontributory basis
where required by written contract. This form is subject to policy terms conditions & exclusions.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Its agent, directors, Officers, Employees a AUTHORIZED REPRESENTATIVE
volunteers
20 E Main
Ashland, OR 97520 '1~~-
Mike Mastroni/PAUORT
ACORD 25 (2009/09)
INS025 (200909)
@19B8-2009ACORDCORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD