HomeMy WebLinkAboutInsurance Certificate: Jackson County Risk Management
CERTIFICATE OF COVERAGE
Agent This certificate is issued as a matter of information only
DIRECT and confers no rights upon the certificate holder other
than those provided in the coverage document. This
certificate does not amend, extend or alter the coverage
afforded by the coverage documents listed herein.
citycounty insurance services
Named Member or Participant Companies Affording Coverage
City of Ashland COMPANY A -CIS
COMPANY B - National Union Fire Insurance Company of Pitts, PA
20 East Main Street COMPANY C - RSUI Indemnity
Ashland, OR 97520 COMPANY D - Torus National Insurance Company
LINES OF COVERAGE
This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding any
requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the coverage
documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents.
Type of Coverage Company Certificate Effective Termination Date Coverage Limit
Letter Number Date
General Liability A 16LASH 7/1/2016 7/1/2017 General Aggregate: $15,000,000
X Commercial General Liability Each Occurrence: $5,000,000
X Public Officials Liability
X Employment Practices
X Occurrence
Auto Liability A 16LASH 7/1/2016 7/1/2017 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 16APDASH 711/2016 7/1/2017
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
Per Filed Values
X Property A 16PASH 7/1/2016 7/1/2017
X Boiler and Machinery A 16BASH 7/1/2016 7/1/2017 Per Filed Values
Excess Liability
X Excess Crime B 16ECASH 7/1/2016 7/1/2017 Per Loss: $250,000
Excess Earthquake
Excess Flood
X Excess Cyber Liability A 16ECLASH 7/1/2016 7/1/2017 Occurrence/Aggregate: $100,000
Workers' Compensation
Description: Jackson County, and its elected officials, officers, volunteers, agents, and employees are added as additional insured with respect to
the 40th Annual 4th of July Run in Ashland, Oregon, to be held during the hours of 7:45 a.m. and 9:15 a.m. on July 4, 2016. During this two-mile
run/walk and the 1 OK run, Eagle Mill Road from Valley View Road to the Eagle Mill Road/Oak Street intersection and greenway between Valley View
and Oak Street will be closed from approximately 7:30 a.m. to 8:45 a.m. Participants will run on Jackson County right-of-way on sections of Eagle
Mill Road and the Bear Creek Greenway Path. Traffic control will be provided by the City of Ashland Police Department.
Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date
thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such
Jackson County Risk Management notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer
Attn.: Ashlei Richmond of this certificate.
10 South Oakdale, Room 200
Medford, OR 97501
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,j_:}_ " - ; Date: June 14, 2016