HomeMy WebLinkAboutInsurance Certificate: US Express Leasing (2)
IV— M
Agent This certificate is issued as a matter of information only and confers no rights upon the
DIRECT 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.
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 08LASH 7/1/2008 7/1/2009 General Aggregate $15,000,000
X Commercial General Liability Each Occurrence $5,000,000
X Public Officials Liability
X Employment Practices
X Occurrence
A Auto Liability 08LASH 7/1/2008 7/1/2009 General Aggregate None
X Scheduled Autos Each Occurrence $5,000,000
X Hired Autos
X Non-Owned Autos
A Auto Physical Damage 08APDASH 7/1/2008 7/1/2009
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
A X Property 08PASH 7/1/2008 7/1/2009 Per Filed Values
A X Boiler and Machinery 086ASH 7/1/2008 7/1/2009 Per Filed Values
B X Excess Crime 08CASH 7/1/2008 7/1/2009 Per Loss $250,000
C Excess Earthquake
C Excess Flood
A Workers' Compensation
Description: 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
Ashland. Copier is located at the North Mountain Park Nature Center and is being leased for the term beginning
January 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
c/o Insurance Center issuer of this certificate.
P.O. Box 3886
Bellevue, WA 98009 By: /
r Date: July 2, 2008