HomeMy WebLinkAboutInsurance Certificate: ScienceWorks Hands-On-Museum
A@" CERTIFICATE OF LIABILITY INSURANCE I ;;;~~~O;';;"I
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON'THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMA TIVEL Y OR NEGA TIVEL Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE .DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING'INSURER(S), AUTHORIZED
- REPRESENfAiIV~ OR PRODUCEi( AND THE CERTIFICATE HOLDER. - U -.. . - " .-. --- . -.-- ',' - - -'" - --
IMPORTANT: 'If the 'certificate holder is an. ADDITIONAL INSURED. the policy(ies) must be endorsed. If SUBROGA T10NAS:WAIVED, subjecl'lo" .
the'teiTrisifilCl conditions of the policy,' certain p:Olicies may require an endorsement. A statement on this'certificate does~not-conferrights.tothe;,
certificate'holder-in'l1eu'of such'endorSeme'nt(s): :: ~~:-: ~ ~,;;~ ~.:~:~.. ._l'~_ -~ ~'-': .'~--'
PRODUCER-- .'''1' _.1"_ r'o "C''', I I ~2=r'CTJulie Asher ~.~-...--,;;-,::?;::.:-.~--t-:-~--+- ':',,-..'
': I I I" ~",::,v_'+, \v.":...J I';; I ~;O:r0-'S1\'~+\ PHONE ....(541)'.482..0831 I FAX V"
Ash~a~.c:t-.l;.I'l;suranc~' Inc, (~->--NQ,_E1!:!1; ,- ..-1'IAlC. NOI:'(5411 488-585!
585r~;;~~r_eet Suite 1 I ~s:jasher@ashlandinsurance;com- -. -.. .~,)'.:-
P. -0.- Box 880 -- . -.. ,. h . ~~~~.!!~~:JD-,POOl1920
Ashland OR 97520 INSURERISI AFFORDING COVERAGE NArc #
INSURED INSURERA:NonErofit Ins Alliance of CA
INSURER 8 :
ScienceWorks Hands-On Museum
POBox 11 77
Ashland
COVERAGES
OR 97520
INSURER C:
INSURER D:
INSURER E:
INSURER F :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOT\MTHSTANDING 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 TYPE OF INSURANCE AOl>L1SUBR :~Mgrv~~~l 1 f~gMg~~~1
LTR IN:R WVD POLICY NUMBER LIMITS
GENERAL LIABILITY .' - I EACH OCCURRENCE - 1$ 1,000.,000
;Y C~~~E;;I~~ GENE~~ L1A~ILlTY .' ., .
--- , ~': --: -..: -- '- -- bAMAGE~TO-RENTED 1 ~
, . . .: -I ~IM;-MADE ~ OC~UR . ~ , ~.. .. .. '.. ~;:1>..iEa occu~re~cel :~ ,.'~ . ,..- ~ .500,000
A. X 2010-24747 I"" ,;~,~~,,~,.,., f"~' '"" . MEDEXP(Anl'oneper~on) -~$ - --- 20,000
~"';l " -- ~ . --- ~ _..- ~ --"- .PERSONAL &ADV INJURY'-~.$- - 1,000,000
..... --. ._~-'- . !~,~~ --.---. -".
" "-'" ....,.... r,..'" .... ,~..,,: b'~S
..J,' L..::. _::,!.. ~:, ;:......( lr C 1~ ~~_ ~ :.' ~~. (",,~ . .:::'.';. l":"'~' . . _ , ~. i. ",. ... ....r":': ..:- ,''':..'~ -': :.. ' GENERAL AGGREGATE '-,. ,,$. ;2,000,000
@'L AGG~EnE LIMIT-!fPLlES~~: . - ,.. ,.,,-- ".- -- . .' .. ,.. . . .. ... ,PRODUCTS-_COMP/OPAGG- $ .' 2;000,000
-.-. .. , . . - , .
X POLICY ,~~RT.' n LOC. .. . - -~ . - - $ ~ -- ~ - .
AUTOMOBILE LIABILITY , - .. COMBINED SINGLE LIMIT I'
f-- (Eaaccidenll
f-- ANY AUTO BODILY INJURY (Per person) ,
f-- ALL OINNED AUTOS BODILY INJURY (Per accident) ,
f-- SCHEDULED AUTOS PROPERTY DAMAGE
,
f-- HIRED AUTOS (PeracckJent)
NON-OINNED AUTOS ,
f--
,
UMBRELLA LIAS H OCCUR EACH OCCURRENCE ,
f- EXCESS LIAB
CLAIMS-MADE AGGREGATE ,
DEDUCTIBLE , - .
r- ~ ,;------
RETENTION ,
WORKERS COMPENSATION I T':\"i mTUs.LrTH+.--
AND EMPLOYERS' LIABILITY VIN T RY IMll t:R
ANY PROPRIETOR/PARTNER/EXECUTlVE D NI. E.L. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED?
{Mandatory In NHI E.L. DISEASE - EA EMPLOYEE: $
g~st~i~ir~ On~OPERATIONS below E.L. DISEASE - POLICY LIMIT I $
I I I I I I I
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Renarb Schedule, If more apace Is required)
City of Ashland, their officers, employees and agents are listed as an additional insured.
CERTIFICATE NUMBER'CL1l21802946
REVISION NUMBER'
CERTIFICATE HOLDER
(541)488-5320
CANCELLATION
City of Ashland
Finance Department
Attn, Bryn
20 E. Main St.
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Q~
Julie Asher
ACORD 26 (2009/09)
INS025 12009091
@19 009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD