HomeMy WebLinkAboutInsurance Certificate: Ashland Historic Railroad
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ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDfYYYY)
~ 3/21/2011
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. 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
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORT ANT: 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 endorsementls).
PRODUCER ~2~~~CT Cathy Damstra-Lepley, CIC
Beecher Carlson Insurance Agency LLC PHONE (541) 772-1111 I r~ Nol: (541) 772-3785
lAlC...No..Eg}:
707 Murphy Rd ~:o'~~ss: cathy. damstralepley@beechercarlson.com
I ~~~~::~~~rDIJ.OOO88613
Medford OR 97504 INSURERtSl AFFORDING COVERAGE NAle.
INSURED INSURER A :Pirst National Ins Co of AM 24724
INSURER B :
ASHLAND HISTORIC RAILROAD MUSE INSURER C :
406 IOWA ST INSURER 0 :
INSURER E :
ASHLAND OR 97520 INSURER F :
COVERAGES
CERTIFICATE NUMBER:2011 GL Cert. s
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 AODL SUBR :~M5~\ ~~~~%~I LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
- DAMAGE TO RENTED 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES lEa occurrencel $
A I CLAIMS-MADE [i] OCCUR 25CC27785920 8/21/2010 8/21/2011 MED EXP (Anyone person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
-il'~ AGGREGATE LIMIT APPLIES PER: PRODUCTS - CaMP/OP AGG $ 2,000,000
X POLICY n ~~9; n LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
- (Eaaccidenl)
- ANY AUTO BODilY INJURY (Per person) $
- ALL OWNED AUTOS BODilY INJURY (Per accident) $
- SCHEDULED AUTOS PROPERTY DAMAGE
$
- HIRED AUTOS (Peraccidenl)
$
- NON-OWNED AUTOS
$
UMBRELLA LlAB H OCCUR EACH OCCURRENCE $
-
EXCESS LlAB CLAIMS-MADE AGGREGATE $
- DEDUCTIBLE $
RETENTION $ ,
WORKERS COMPENSATION I WC STATU-. I IOJ~'
AND EMPLOYERS' LIABILITY YI"
ANY PROPRIETOR/PARTNER/EXECUTIVE D NI' E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $
~~S~~r~~r~~ On~OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remal1ta Schedule, If more apace la required)
Certificate holder included as additional insured as respects general liability where required by written contract.
This form is subject to policy terms, conditions, and exclusions.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
The City of Ashland, its officers ACCORDANCE WITH THE POLICY PROVISIONS.
and employees AUTHORIZED REPRESENTATIVE
Attn: Mellissa Huatala
20 E Main St
Ashland, OR 97520 t..., 6. d-,-.
Larry Thompson/LARRY
ACORD 25 (2009/09)
INS025 (200909)
@ 1988-2009 ACORD CORPORATION. All rights reserved.
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