HomeMy WebLinkAboutInsurance Certificate: Southern OR Repertory Sing
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PRODUCER
CERTIFICATE OF LIABILITY INSURANCE o:0'8r~r4 I DAT~~M;::~)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE P.OLlCIES BELOW.
Western States Ins. - Medford
38 N. Central Ave Suite 100
Medford OR .97501
Phone: 541-779-'1321 "'Fax:54l~779-9187'
INSURERS AFFORDING .CbVER4GE. . _
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Southern Oregon Repertory
PO Box 1091
Ashland OR 97520
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COVERAGES
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INSURER A:.
INSURER 8:
INSURER c:
INSURER 0:
INSURER E:
Fir5t National Ins of:~/ilc~:
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INSURED
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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 I '9_q'1rl'~='V;\ I POLICYEXPII<A~~ I LIMITS
DATE MM/DO!YYYV DATEiMMIODNYYY
~NERAL LIABILITY I EACH OCCURRENCE '1,000,000
A X COMMERCIAL GENERAL LIABILITY 01CH94133730 06/01/11 I UAMAl;il: l YF~EN I!:U '1,000,000
06/01/12 PREMISES Eaoccurence)
I I CLAIMS MADE ~ OCCUR I MED EXP (Anyone person) '10,000
!--- I PERSONAL & ADV INJURY '1,000,000
- I GENERAL AGGREGATE '2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER' I PRODUCTS - COMPIOP AGG ,2,000,000
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POLICY JECT LOC
OOMOBILE LIABILITY I I COMBINED SINGLE LIMIT
,
~ ANY 'UTO (Eaaccldent)
- -... j ALL OWNED AUTOS .- .. -. , ..'
. I BODILY INJURY
r=- :.~~~.~~~.L.E? ~.U+O~. . ,
I (Per person}
.0:.... .,. ::....-;:.:";)~~"1 ;.?" ~i~' .. .
fHIRED AUTOS' .' - ~ ,:.E' '~'_j,( . i BODILY INJURY
f-- - , .
NON-OWNED AUTOS 1\ " .. {Per accident)
!--- .. . r---
,., ,,<,. . 1 ,
",J I PROPERTY DAMAGE
,.... r .. - - .. ,
','-1 , .. . l-'i_ ,',' . I '. (P7r~ccident) .
, I I ,
'''.1 GARAGE LIABILITY AUTO ONLY. EA ACCIDENT I'
~,. " .. R ANY AUT~ I
.. . OTHER THAN EA ACC $
AUTO ONLY. AGG $
EXCESS I UMBRELLA LIABILITY ~CH OCCURRENCE I,
~ OCCUR D CLAIMS MADE AGGREGATE ,
I ,
~ ~EDUCTIBLE I $
RETENTION , I ,
I WORKERS COMPENSA nON I I LLrQR'v"L1MITS I IOJ.-1
AND EMPLOYERS' LIABILITY
\ ~/N I ! EL EACH ACC1DI'"NT I $ ..
ANY PROPRIETORlPARn-';;:RlEXECU1IVD ,
I OFFlCERiMEMSER EXCLUDED? I ,
(Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $
If ~es, desc(/oo under I E.L. DISEASE - POLICY LIMIT! S
S ECIAL PROVISIONS below
OTHER I
I
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN I
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL .
IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Ashland
Finance Director
20 E Main St
Ashland OR 97520
ACORD 25 (2009/01)
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