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HomeMy WebLinkAboutInsurance Certificate: SOU AC~ ® DATE (MM/DD/YYYY) CERTIFICATE of LIABILITY INSURANCE 6/22/2016 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 IAA N~) 303-889-2575 6399 S. Fiddler's Green Cir., #200 E-MAIL Greenwood Village CO 80111-4949 RESS__anita__brunerPaJg•com _ INSURER(S) AFFORDING COVERAGE _ NAIC # INSURER A: United Educators Ins 100.20 INSURED PUBLUNI-01 _ INSURER B Southern Oregon University INSURER C : 1250 Siskyou Blvd Ashland, OR 97250 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 38534912 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 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, INSR TYPE OF INSURANCE ADDL 1~R,_ POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY ! BLX201600468800 7/1/2016 7/1/2017 EACH OCCURRENCE $1,000,000_ CLAIMS-MADE I OCCUR -6aEM~~ PREMISES Ea occurrence $ X SIR $500,000 MED EXP (Any one person) $ Excluded , PEO AL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICYEJ PRO LOC JECT PRO-DUCTS - COMPIOP AGG $1,000,000 X I OTHER: Per Institution $ A AUTOMOBILE LIABILITY ! BLX201600468800 7/1/2016 7/1/2017 (ECOMBINED SI GLE LIMIT a accident) $1,000,000 X ANY AUTO III BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED HIRED AUTOS X AUTOS $ X _ Per accident) A UMBRELLA LIAB X OCCUR GLX201600468800 7/1/2016 7/1/2017 I EACH OCCURRENCE $5,000,000 X EXCESS LIAB I h CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION $1,000,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N ACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? F7 E. NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yyes, describe under - - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I 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 City of Ashland, its agents directors, officers, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN employees and volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE USA © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD