HomeMy WebLinkAboutInsurance Certificate: RVCOG
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Agent This certificate is issued as a matter of information only and confers no rights upon the
Wilson Heir ood Associates certificate holder other than those provided in the coverage document. This certificate
g does not amend, extend or alter the coverage afforded by the coverage documents listed
I 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 Company of Pitts, PA
20 East Main Street COMPANY C - RSUI Indemnity
Ashland, OR 97520
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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 07LASH 7/1/2007 7/1/2008 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 07LASH 7/1/2007 7/1/2008 General Aggregate None
X Scheduled Autos Each Occurrence $1,000,000
X Hired Autos
X Non-Owned Autos
A Auto Physical Damage 07APDASH 7/1/2007 7/1/2008
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
A X Property 07PASH 7/1/2007 7/1/2008 Per Filed Values
A X Boiler and Machinery 07BASH 7/1/2007 7/1/2008 Per Filed Values
B Excess Crime
C Excess Earthquake
C Excess Flood
A Workers' Compensation
escription: For the Ashland Senior Program's Services in providing information and assistance services to Jackson County clients 60
nd older (11113) for Senior and Disability Services for Fiscal Year 2007-2008 in according with the contract between the Rogue Valley
ouncil of Governments (RVCOG) and the Ashland Senior Program with Amendment #1 dated June 27, 2007, extending this contract to
une 30, 2008, or the date that RVCOG accepts the Ashland Senior Program's completed performance, whichever date occurs first.
ertificate Holder CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date
Rogue Valley Council of Governments, thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail
he State of Oregon, Department of such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the
uman Services (DHS) and its divisions, issuer of this certificate.
officers, and employees.
P.O. Box 3276
Central Point, OR 97602 By: / .•rr Date: July 6, 2007