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HomeMy WebLinkAboutInsurance Certificate: Penske Truck Rental 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 7/1/2016 7/1/2017 X Scheduled Autos X Hired Autos X Non-Owned Autos X Property A 16PASH 7/1/2016 7/1/2017 Per Filed Values 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 X Excess Earthquake C 16EQASH 7/1/2016 7/1/2017 Each Occurrence: $5,000,000 X Excess Flood C 16FASH 7/1/2016 7/1/2017 Each Occurrence: $5,000,000 X Excess Cyber Liability A 16ECLASH 7/1/2016 7/1/2017 Occurrence/Aggregate: $500,000 Workers' Compensation Description: Penske Truck Rental is named as an additional insured under the City of Ashland's general and auto liability for the truck rental scheduled from October 13, 2016, through October 14, 2016, by the 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 Penske Truck Rental notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer 3976 Crater Lake Avenue of this certificate. Medford, OR 97504 (541) 770-8057 rdDate: September 29, 2016