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HomeMy WebLinkAboutInsurance Certificate: SOU iP1�PSW Q AC R° Im CERTIFICATE OF LIABILITY INSURANCE 16/i2"2 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 sr LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER p IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. N 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 andomemen s. PROORRER 1-303-773-9999 CONTACT Anita Bruner Arthur J. Gallagher Risk Mamgamsnt Services, Inc. PHONE FAX Na.Ent 303-889-2574 IAIC.NOT 303-089-2575 6399 S. Fiddlers green Cir EA p ES ; anita_brunereajq.com z, Suite 200 w Green ood Village, CO 80111 INSURER(51 AFFOROINS COVERAGE NNCe Karen Graham INSURERA: UNIT® EDUCATORS INS RRG INC 10020 INSURED INSURER B: Southern Oregon University INSURER C 1250 Slskyou Blvd INSURER O: Ashland, OR 97520 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 283=4462 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 REGUIREMENT,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. IN9R TYPE OF INSURANCE POLICY EFF POLICY UP LTR POLICY NUMBER M YM D LIMITS • GENERAL UAaARY BLX201200468800 07/01/1 07/01/13 EACIOCCURRENCE f 500,000 Z COMMERCIALGENERA.UABILITY DAMAG T(Ea ED 500,000 PREMISE Ee oc.mnc f CLAIMS-MADE O OCCUR MEDEXP".Pelson $Rx:cluded Z $500,000 Self Insured 500,000 PERSONALAADV INJURY i Z Retention GENERALAGGREGATE f 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO Slncl.Above POLICY PRO- E LOC $ • AWOMOIN ELIABILITY BLX201200468800 COMBINED SINGLE LIMIT Ecdcddem i Incl.Above Z ANY AUTO BODILY INJURY(Pw peaon) S ALL OWNED SCHEWLED BODRYINJURY(P.. t) $ AUTOa AUTOS NON-0WNED PROPERTY DAMAGE Z HIRED AUTOS Z AUTOS P.acdd. f S A UMBRELLA LUR Z OCCUR OL1201200468000 07/01/1 07/01/13 EACH OCCURRENCE f 5,000,000 Z EXCESS IJAB CLAIMS NUDE AGGREAITE $5,000,000 DEO I I RETENTION $ YORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LUBILOY YIN ANYPROPRIETORIPARTNEREXECUDVE E.LrACHACCIDENT S OFFICERIMEMBER EXCWDEDi ❑ NIA (Mmdda'In NH) E.L.DISEASE-EA EMPLOYE f Il yyeeaa 6ne UM. DESCRIPTION OF OPERATIONS OeLw EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AUACN ACORD 101,AddltNnM RrineNS SCAOduM,O b r ue ) Evidence of insurance for pezmenent university street pennants. The certificate holder is mmed AN -Additional insured- with respect to their interests, to the eztent USE can indemnify the certificate holder, subject to Article XI, Section 7 of the Oregon Comtitution, the Oregon Tort Claima Act (ORS 30.260-30.300), and ORE 351.086, but only with respect to liability arising out of the negligent or wrongful acts or omissions of the State of Oregon, acting by and through the State Board of Higher Education, on behalf of the Dreg= University System (DUE). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, its agents THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN directors, officers, e.Vloyeas and volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Mein Street AUTHORIZED REPRESENTATNE / `' Ashland, of 97520 `—{ 08A --CL 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD prabbasden 28314462 PtEtlUENMIt Arthur.l.Gullagher Risk Dfanagernent Services,Inc. _ 6399 S.Fiddlers Green Cir Suite 200 Grcenwraxl Village,CO 80111 21112117171124 Electronic Service Requested EBIX BPO 0 ALL FOR AADC 970 24614 0.5234 AB 0.371 1.II�1'I��Ilrrllllu�r�rlrlll��'�111�1'II111��'Illlll��rrrl�ll�ll b City of Ashlantl, its ag9ents `r DIRECTORS, OFFICERS, Ef7PL0YEES AND VOLUNi63 ? 20 EAST WAIN STREET z ASHLAND, OR 97520-1614 w This document was brought to you by CertificatesNow and Arthur J. Gallagher Risk Management Services, Inc. in Greenwood Village, CO.- Any documents forwarded with the certificate request were reviewed for the sole purpose of c leting the certificate.- If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance.- The data included in this notice and in the attached document is confidential to - Rbix and Arthur J. Gallagher Risk Management Services, Inc.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CenificatesNow-www.Con6rmNet.wnn-877.669.8600 r— —