HomeMy WebLinkAboutInsurance Certificate: Oregon University System regon Department of Administrative Services
State Services Division-Risk Management
John A.Kitzhahcr,MD,Govemor 1225 Ferry Street SE U 150
Salem,Oregon 97301-4287
PHONE:503-373-7475
FAX: 503-373-7337
MEMORANDUM
To: W*1.2 oncern
From: e of Oregon DAS Risk Management Manager
RM, Oregon University System Chief Risk Officer
Date: M
Subject: End of State Self-Insurance Coverage for Oregon University System
This is notice that any certificates of coverage issued by the state of Oregon, DAS Risk
Management, on behalf of the Oregon University System will not be valid past 12:01
a.m. on July 1, 2012.
By operation of Senate Bill 242 (2011), on July 1, 2012,'the Oregon University System
will separate from the Department of Administrative Services (DAS), including the
state's self insurance. All self-insurance coverage the state has extended to the Oregon
University System (OUS) will end at 12:01 a.m. on July 1, 2012. Please note that OUS
is in process of securing coverage for OUS as of 12:01 a.m. July 1, 2012 and
ensuing zero gaps in coverage.
The Oregon University System (OUS) will provide certificates of insurance within 15
business days of binding of their new coverage, noting binding will take place before
June 30, 2012.for coverage dates effective 12:01 a.m. July 1, 2012. Should you
require evidence of such coverage, please submit your request and OUS will have the
certificate sent to you by their broker of record, Arthur J. Gallagher.
Please contact Mary Robinson, OUS Chancellor's Office at 503-373-7490 or email
Mary_Robinson @ous.edu, with questions regarding coverage for effective date(s) of
July 1, 2012 and after. If you have questions regarding coverage prior to July 1, 2012,
please contact Luella Ackerson, (503) 373-7003, at DAS Risk Management.
MAY 2 1 2012
CERTIFICATE OF COVERAGE
" Issue Date:July 30,2010
Certificate Number 5504
AGENCY COVERED This certificate is issued pursuant to ORS Chapter 278 and the state self-insurance
Oregon University System program and recognizes the parties listed below.
Southern Oregon University
1250 Siskiyou Blvd. COVERAGE PROVIDED BY
Ashland,OR 97520
STATE OF OREGON INSURANCE FUND
COVERAGES
This is to certify that the coverage indicated below is provided to the Slate of Oregon agency named above for the 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 coverage provided as described herein is subject to all the terms, exclusions, and conditions of the policy manuals issued by
this division to the agency.
TYPE OF COVERAGE - COVERAGE COVERAGE LIMITS OF LIABILITY
-- - �-- - - -
'EFFECTIVE DATE -EXPIRATION DATE --DESCRIPTION - EACH OCCURRENCE
GENERAL LIABILITY (Refer to ORS 30.271 and 30.273)
XX Tort Claims Act Form July 1,2010 June 30,2011
XX Occurrence Property damage
Any single claimant 100,100
All claimants 500,600
All other
Any single claimant 1,600,000
All claimants 3,200,000
'AUTOMOBILE LIABILITY . ,r (Refer to ORS 30.271 and 30.273)
XX'Owned Autbs July 1,2010 June 30,2011. :: - -
XX Hired Autos1--- -- ---- - - -- - _ Property damage - - -- ---,
.XX.Non-Owned Autos._-�
— .._100,100-
._.... -._.._ -.. .. ._.. ... .. . ... .. . - All claimants 5 00,600 1
_ 1
All other
Any single claimant 1,600,000
All claimants 3,200,000
PROPERTY Replacement Cost
All Risk including September 1,2006 Continuous
Earthquake 8 Flood Deductible is ` 2,500
Extended Coverage For most perils
Mortgage Clause
_Lenders Loss
Payable Clause
Description of Operations/Locations/Vehicles/Restrictions/Special Items
Evidence of insurance for permanent university street pennants.
Other: The State of Oregon shall indemnify,by the Oregon Insurance Fund to the limits of the Oregon Tort Claims Act.the Certificate Holder
against liability for damage to life or property arising out of the agency's activities or operations relating to the above described,except for any
liability arising out of the wrongful acts of employees or agents of the Certificate Holder.
It is agreed that the Certificate Holder is included as an additional indemnitee,to the extent permitted by Article XI,Section 7 of the Oregon
Constitution and by the Oregon Tort Claims Act,ORS 30.260-30.300,but only with respect to liability arising out of the activities or operations of
the Agency.
- - CERTIFICATE HOLDER I
'City ofAShland,its agents, �r,p, :11 State of Oregon by and through'its'Department of Administrative Services,Risk ?
directors�offibeis, employees and volunteers Management Division
;Ashland,OR 97520 Corina Bergeland �o,..- ,Z.._ i - "f'
Authorized Representative
U/SOU 5504 cent