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Home My WebLink AboutInsurance Certificate: Rogue Valley Growers 1 .�1 9RVGROW OP ID:JS CERTIFICATE OF LIABILITY INSURANCE D 02/14/12 ) 02/14/12 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(les)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 541479-5521 CONTACT Han lnSUrenCB - 541474-1890 PHONE FAX P.O.Box 1240 ac No.Est: ac No: Grants Pass,OR 97528 E-MAIL - Hart Insurance Agency ADDRESS: INSURER(S) AFFORDING COVERAGE NAICi INSURERA:Mutual of Enumclaw 14761 INSURED Rogue Valley Growers and INSURER B: Crafters Market INSURERC: P.O. Box 4041 Medford, OR 97501 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L(SITEO_B�LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRENENT,-TERM OR-CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH 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 7ypE OF INSURANCE ter. 1-;:EOL•K:WRUMBER MMIDDY POLICY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CPP000391701 '04106/12 04106/13 PREMISES Ea oavrrence E 300,00 CLAIMS-MADE Fx_] OCCUR MED UP(Any orre person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,06 GENERAL AGGREGATE $ 2,000,06 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,06 X POLICY PRO- LOC -- - - - - $ - AUTOMOBILE LIABILI "- - COMBINED SINGLE LIMIT - -- - Ea accident) E ANY AUTO BODILY INJURY(Per person)- $ -ALL OWNED SCHEDULED - - BODILY INJURY(Per accident) $ - - - - - - AUTOS NON-OWNED - PROPERTY DAMAGE - $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LUIS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS44ADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION VJC STATU- OTH- AND EMPLOYERS!LIABILITY Y/N I TRY I ER ANY PROPRIETORfPARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,Eesmice under DESCRIPTION OF OPERATIONS hel E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) City of Ashland is named as an additional insured per attached CG202611/85 CERTIFICATE HOLDER U1 I CANCELLATION FEB . 1 5 2012 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Brian Almqulst AUTHORIZED REPRESENTATIVE 20 E Main Street HVInsuranpp c Ashland,OR 97520 ®1988-2010 A D CORPORATI N. All rights reserved. ACORD 26(2010/05) The ACORD name and log are r gistered marks of ACOIzR POLICY NUMBER: CPP 0003917 01 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization(s) CITY OF ASHLAND ATTN: BRIAN ALMOUIST CITY HALL ASHLAND OR 97520 Information required to complete this Schedule if not shown above will be shown in the Declarations. Section 11 - Who Is An Insured is amended to in- sions or the acts or omissions of those acting on clude as an additional insured the person(s) or or- your behalf: ganization(s) shown in the Schedule, but only with A. In the performance of your ongoing operations; respect to liability for "bodily injury", "property damage" or "personal and advertising injury" or caused, in whole or in part, by your acts or omis- B. In connection with your premises owned by or rented to you. CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM