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OSHKOSH-01
KOMA
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNY)
1/2:3/2007
PRDDUCER (920) 739-7711 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
122 E College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 877
Appleton, WI 54912-0877 INSURERS AFFORDING COVERAGE
-~--- --_._--~-~--_.__. " -. ----.
INSURED City Of Oshkosh ~I3ER A:l.~i'lgy~ of WI Municig,i'lJitle_sNlJ.ltuaJ Jn~.urgrL~___~____
ATTN: Don LaFontaine INS~f3E'R B: ~____________________________
-~_,_--'--,--"._-------_.'----'--"-
POBox 1130 _INSQ.RER~_~___~___.__________
Oshkosh, WI 54903-1130 INSURER D:
--------~-~_._._----------_._--,--"---,---
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.
IN~~~-;~;;;SURAN~~ POLICY NUMBER i POLICY EFFECTIVE
A
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE DOCCUR
X Public Official E & 0
X Emplo~ Benefit Liabilit
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
70266
2/1/2007
POLICY EXPIRATION i LIMITS
i-=CH Os::.CURR~f\ls::.~ $ ~__~,Q.QQ,OO
2/1/2008 JIRE DA~G!'J~)'o~efi~~L _i_____--.lNC
. -I MEDEXP (Anyone person) $ -EXCLUDED
I PERSONAL & ADV INJURY -;-----------INC
i-
L GENERALAGGREGATE:~ $ _____ NON
I PRODUCTS - COMP/OP AGG _L_______~Mg
Public Official E & 0 Incl/No De
LOC
A
AUTOMOBILE LIABILITY
--1
X . ANY AUTO 70266
~j ALL OWNED AUTOS
~-! SCHEDULED AUTOS
xl HIRED AUTOS
.i--I NON-OWNED AUTOS
_J____~_~____
2/112007
2/1/2008
COMBINED SINGLE LIMIT
(Ea accident)
$
INCLUDED
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
GARAGE LIABILITY
----I ANY AUTO
PROPERTY DAMAGE
(Per accident) $
i AUTO ONLY - EA ACCIDENT I $
,_.____._......-_..__.._.._._ _._. _._.._..____[.. .n...... _.._.. _'.'__'___"-_"
I EAACC $
OTHER THAN . . .... ..... ... _.__________________n________
AUTO ONLY: AGG $
EAQI:!_Q.~.\J~~E:f\lQL_____ ~____.._
_~~REG.!_I.E.______~__ L__~____
. .._______n__..n_______ ~_____________
-----------------_.~---~-_._---_-._--_.
, $
-i~!~~~~~~~~~I::--~::j~c ....c.... :~.~.......--.~~.-~.
::~ ~::::;~;;~~~~Z,~i~-----.-m---n---.- .
EXCESS LIABILITY
OCCUR [~J CLAIMS MADE
I"
L
I ~ DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
ADDITIONAL INSURED; INSURER LETTER:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PR
CERTIFICATE HOLDER
CANCEL
Grand Opera House Foundation
215 Church Avenue
Oshkosh, WI 54901-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~ 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
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
@ACORD CORPORATION 1988
ACORD 25-S (7/97)