HomeMy WebLinkAboutInsurance Certificate: US Express Leasing
City County Insurance Services CERTIFICATE OF COVERAGE' Rev: 7/7105
Agent This certificate is issued as a matter of information only and confers no rights upon the
certificate holder other than those provided in the coverage document. This certificate
Wilson Heirgood Associates does not amend, extend or alter the coverage afforded by the coverage documents listed
2930 Chad Drive herein.
Eugene, OR 97408-7382
Companies Affording Coverage
Named Member or Participant COMPANY A - City County Insurance Services (CIS)
City of Ashland COMPANY B - National Union Fire Insurance co. of Pittsburgh, PA
20 East Main Street COMPANY C - RSUI Indemnity
Ashland, OR 97520
COVERAGES
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.
CO Type of Coverage Certificate # Effective Expiration Limits
LT Date Date
A General Liability 06LASH 7/1/2006 7/1/2007 General Aggregate $3,000,000
X Commercial General Liability Each Occurrence $1,000,000
X Public Officials Liability
X Employment Practices
X Occurrence
A Auto Liability 06LASH 7/1/2006 7/1/2007 General Aggregate None
X Scheduled Autos Each Occurrence $1,000,000
X Hired Autos
X Non-Owned Autos
A Auto Physical Damage 06APDASH 7/1/2006 7/1/2007
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
A X Property 06PASH 7/1/2006 7/1/2007 Per Filed Values
A X Boiler and Machinery 06BASH 7/1/2006 7/1/2007 Per Filed Values
B Excess Crime
C Excess Earthquake
C Excess Flood
A P Workers' Compensation
escription: Certificate holder is named as Loss Payee and Additional Insured for the leased Canon C3220 Copier
overed under Account No. 40263492-1, which is leased to the Ashland Parks and Recreation Department, City of
shland. Copier is located at the North Mountain Park Nature Center and is being leased for the term beginning
anuary 16, 2007, to January 16, 2010.
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
US Express Leasing, Inc. such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the
issuer of this certificate.
c/o Insurance Center
P.O. Box 3886
Bellevue, WA 98009 By: Date: Feb. 21, 2007