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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon University ,AC✓40Rf>a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F6/28/2015 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(ies) 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 CONTACT NAME: Anita Bruner Arthur J. Gallagher Risk Management Services, Inc. PHONE 303-889-2574 FAX 6399 S. Fiddler's Green Cir., #200 A/c N : 303-889-2575 Greenwood Village CO 80111-4949 EMAIL AbDRESS, anita bruner@ajg.com aRERAR RER S AFFORDING COVERAGE NAIC # INSURED PUBLUNi-01 ducators Ins 10020 Southern Oregon University1250 Siskyou Blvd Ashland, OR 97250 INSURER F , COVERAGES CERTIFICATE NUMBER: 90656512 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSIIRANCF_ 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP _LM/DDfYYYY) MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY PURMIT2015GL /112015 71112016 EACH OCCURRENCE $1,000,000 CLAIMS-MADE 111 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 POLICY PRO- JECT [1] LOC PRODUCTS - COMP/OP AGG $1,000,000 X OTHER: Per Institution $ A AUTOMOBILE LIABILITY PURMIT2015BA /1/2015 7/1/2016 O f SINGLE Ea accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS IX NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ B UMBRELLA LIAB X OCCUR GLX201500468800 /1/2015 7/1/2016 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION $1,000,000 $ WORKERS COMPENSATION PER -5TH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of insurance for permanent university street pennants. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, its agents directors, officers, ACCORDANCE WITH THE POLICY PROVISIONS. employees and volunteers 20 East Main Street Ashland OR 97520 USA AUTHORIZED PRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 008542