HomeMy WebLinkAboutInsurance Certificate: Housing Authority of Jackson County
SUE DATE M1Y)
CERTIFICATE OF COVERAGE S 06/0 1/13
1/13
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
HOUSING AUTHORITIES RISK RETENTION POOL POLICIES BELOW.
7111 NE 179TH STREET
VANCOUVER, WASHINGTON 98686 COMPANIES AFFORDING COVERAGE
(360) 574-9035
(360) 574-9401 FAX
COMPANY HARRP
COVERED ENTITY Housing Authorities Risk Retention Pool
HOUSING AUTHORITY OF JACKSON COUNTY LETTER A
2251 TABLE ROCK ROAD
MEDFORD, OR 97501 COMPANY
LETTER B
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED ENTITY NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTS 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. LETS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DDVY)
A GENERAL LIABILITY
GENERAL AGGREGATE $2,000,000
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2000000
CLAIMS MADE X OCCURRENCE 046-PLEAF 07/01/13 07/01/14 FIRE DAMAGE (any one Hre) $2,000,000
OWNERS'S & CONRACTOR'S PROT.
MEDICAL EXPENSES
EXCLUDED
AUTOMOBILE LIABILITY COMBINED
SINGLE LIMIT S
_ ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (PER PERSON) $
PROPERTY
HIRED AUTOS DAMAGE $
_ NON-OWNED AUTOS
ANNUAL
AGGREGATE $
A OTHER
Declared Value Loss Limit /
PROPERTY 046-PLEAF 07/01/13 07/01/14 Per Occurrence / Replacement
SPECIAL CAUSES OF LOSS Cost / $1,000 Deductible
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
AS RESPECTS: COMMUNITY DEVELOPMENT BLOCK GRANT, Per the interest of the CERTIFICATE HOLDER As
shown below:
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE ISSUING COMPANY WILL ENDEAVOR TO MAIL N DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OF LIABILITY OF
ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
See attached list of Certificate Holders AUTHORIZED REPRESENTATIVE
WILLIAM E. GREGORY, EXECUTIVE DIRECTOR
Z:\Ceni6cates & Endon menEC2013-2014Uackson County\lack-008.doc
COVERED ENTITY: HOUSING AUTHORITY OF JACKSON COUNTY
MEMBER NO.: 046-PLEAF
COVERAGE PERIOD: 07/01/13 - 07/01/14
AS RESPECTS: COMMUNITY DEVELOPMENT BLOCK GRANT
CERTIFICATE HOLDERS:
CITY OF ASHLAND
Its Officers, Employees & Agents
ATTN: BOB NELSON
20 E. MAIN STREET
ASHLAND, OR 97520
JOSEPHINE COUNTY
- - HOME REPAIR PROGRAM
ATTN: MARK SORENSEN, CDBG PROJECT MANGER
500 N.W. SIXTH STREET
GRANTS PASS, OR 97526
GOLD HILL REHABILITATION
ATTN: CITY RECORDER/TREASURER
P. 0. BOX 308
GOLD HILL, OR 97525
MEDFORD EMERGENCY REPAIR
ATTN: HUD GRANT ADMINISTRATOR
200 S. IVY STREET
MEDFORD, OR 97501
HARRP
Housing Authorities Risk Retention Pool
Z:\Cmficates & Endor ments\2013-2014Uackson County\Jack-008.doc