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HomeMy WebLinkAboutInsurance Certificate: Youth Symphony of Southern Oregon gCORO® CERTIFICATE OF LIABILITY INSURANCE OP ID NA FDATE1/2 YYYY) `� 11/22/11 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policypes)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 endomement(s). PRODUCER NAME: PHONE Liberty Northwest Insurance _M 0 Ezt: (AIC,No): PO BOX 188065 ADDRESS: Fairfield OH 45018 CUSTOMERIDO: YOUTH-3 Phone:888-451-8277 Fax:800-845-3666 INSURERS)AFFORDING COVERAGE NAICa INSURED INSURER A; American States Insurance 19704 YOUTH SYMPHONY OF INSURER B: SOUTHERN OREGON PO BOX 4291 INSURER C: MEDFORD OR 97501 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:" 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.NS LTR TYPE OFINSURANCE INSR WD POLICY NUMBER (MMIDDf/YYY) (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIALGENERALLIABIUTY 01CH65230450 11/24/11 11/34/12 PREMISES Ea occurrence) $ 1000000 CLAIMS-MADE OCCUR NED EXP(My one person) $ 10000 PERSONAL B ADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1000000 X I POLICY JE0 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) A ANY AUTO O1CH65230450 1124/11 11/24/12 BODILY INJURY(Per person) $ ALLOWNEDAUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-0WNED AUTOS $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION W - AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE[:] E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? MIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Use,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITASH3 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. a City of Ashland AUTHORIZED REPRESENTATIVE Finance Department 20 East Main Street (Ashland OR 97520 d ©198&2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD