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HomeMy WebLinkAboutInsurance Certificate: Siskiyou Singers Inc �� CERTIFICATE OF LIABILITY INSURANCE OP ID K9 =12/02/11/YYYY) SISKI-3 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Ins. - Medford HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR .38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97501 'Phone: 541-779-1321 Fax:541-779-9187 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: A,erican stated lrauzanca-CO -- 1 INSURER S. 1 _ Siskiyyou Singers, Inc. .._ Pat Gleitsmann INSURER C'. PO Box 3041 INSURER D: Ashland OR 97520 I INSURER E: COVERAGES 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. MR VUL LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO/YYYY DATE MWDDrYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 01CI28554930 11/28/11 11/28/12 PREMISES Eaoc rence) $ 1,.000,000 CLAIMS MADE U OCCUR MED EXP(Any one Person) S 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PRO- JECT 7 LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS .. -' (Per.Person) - - HIREDAUTOS _ _ BODILY INJURY NON-OWNED AUTOS - - _ - (Per accident $ PROPERTY DAMAGE $' r-- - - - ?era dent) __. GARAGE LIABILITY y - - - AUTO ONLY-EA ACCIDENT $' - -MY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F_1 CLAIMS MADE AGGREGATE $ 8 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORJPARTNEWEXECUTIVG—, E.L.EACH ACCIDENT OFFICEWMEMBER EXCLUDED? u (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 8 It yas,desaibe under SP ECIALPROVISIONSbelaw E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I 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 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR City of Ashland REPRESENTATIVES. Rossann Grim AUTHOR DREPRESE TATNE 20 East Main a shlnd OR 97520 ACORD 25(2009101) ©1988-2 09 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD