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Insurance Certificate: Oregon Shakespeare Festival
A`°RO® CERTIFICATE OF LIABILITY INSURANCE 1/31/2012' 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 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 endorsements . PRODUCER CONTACT NAME: Pam Breaz eale Beecher Carlson Insurance Agency LLC PHONE (541)494-2655 FAX . (541)191-2x55 E,tI 707 Murphy Rd EMAIL .pam.brea z ea.l e @beechercarl son.com INSURERS AFFORDING COVERAGE NAIC4 Medford OR 97504 INSURERA:Great American Insurance Cc 16691 INSURED INSURERB:Great American Alliance Ins Co 26832 Oregon Shakespeare Festival INSURER C: PO BOX 158 INSURER D: INSURER E: Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:2012 GL,Auto & Umb 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. MISR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MIN YY MM D YYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES We occurrence) $ 100,000 A CLAIMS-MADE XOCCUR X PAC8049553 1/1/2012 1/1/2013 MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP ADD $ 2,000,000 X POLICY PRO- LOC $ JFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es acccdem 11000,000 A X ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED APS049554 1/1/2012 1/1/2013 AUTOS AUTOS X BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ PIP-Basic $ 15.000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAR CLAIMS-MADE AGGREGATE $ 51000,000 DED I X I RETENTION$ 10,00 8049555 1/1/2012 1/1/2013 $ WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORPARTNERIEXECUTIVE E.L.EAOH ACCIDENT $ OFFICERMEMBER EXCLUDED? MIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ -If yo,do ddb i,moi _ - - ._._.—__ _- _ - _ _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder included as additional insured as respects general liability on a primary & noncontributory basis where required by written contract. This form is subject to policy terms conditions & exclusions. � E n � 2: V CERTIFICATE HOLDER AN ION SHO OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPI TION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDA E WITH THE POLICY PROVISIONS. City of Ashland Its agents, directors, off employees and volunteers AUTHORIZED REPRESENTATIVE 20 H Main Ashland, OR 97520 Pam Breazeale/PAMBRE u � ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS02512m005101 Th. Ar-r1Rn r,nrrus Pnd Irunn Aro rAesiet.ro,f,..erkid of Arnwn