HomeMy WebLinkAboutInsurance Certificate: SOU
CERTIFICATE OF COVERAGE
Issue Date: July 30. 2010
Certificate Number 5504
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AGENCY COVERED This certificate is issued pursuant to ORS Chapter 278 and the state self-insurance
Oregon University System program and recognizes the parties listed below.
Southern Oregon University
1250 Siskiyou Blvd. COVERAGE PROVIDED BY
Ashland. OR 97520
STATE OF OREGON INSURANCE FUND
COVERAGES
This is to certify that the coverage indicated below is provided to the State of Oregon agency named above for the period indicated.
Notwithstanding any requirement; term or condition of any contract or other document with respect to which this certificate may be issued or
may pertain, the coverage provided as described herein is subject to all the terms exclusions and conditions of the policy manuals issued by
this division to the agency.
TYPE OF COVERAGE COVERAGE COVERAGE LIMITS OF LIABILITY
-E-F,FECTIVE D T-E EXPIRATION DATE DESCRFPTIO+t EACtil-OCCURRIENCE
GENERAL LIABILITY (Refer to ORS 30.271 and 30.273)
XX Tort Claims Act Form July 1, 2010 June 30, 2011
Property damage
XX Occurrence
Any single claimant 100.100
All claimants 500,600
All other
Any single claimant 1,600,000
All claimants 3,200.000
AUTOMOBILE LIABILITY (Refer to ORS 30.271 and 30.273)
XX Owned Autos July 1. 2010 June 30, 2011
TX Hired Autos Property damage
XX Non-Owned Autos Any single claimant 100.100
All claimants 500.600
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All other
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Any single claimant 1,600.000
All claimants 3,200.000
PROPERTY Replacement Cost
All Risk including September 1, 2008 Continuous
Earthquake & Flood Deductible is: 2;500
Extended Coverage For most perils
Mortgage Clause
Lenders Loss
Payable Clause
Description of Operations/Locations/Vehicles/Restrictions/Special Items
Evidence of insurance for permanent university street pennants.
Other: The State of Oregon shall indemnify, by the Oregon Insurance Fund to the limits of the Oregon Tort Claims Act, the Certificate Holder
against liability for damage to life or property arising out of the agency's activities or operations relating to the above described, except for any
liability arising out of the wrongful acts of employees or agents of the Certificate Holder.
It is agreed that the Certificate Holder is included as an additional indemnitee, to the extent permitted by Article XI, Section 7 of the Oregon
Constitution and by the Oregon Tort Claims Act. ORS 30.260-30.300, but only with respect to liability arising out of the activities or operations of
the Agency.
CERTIFICATE HOLDER
City of Ashland, its agents, State of Oregon by and through its Department of Administrative Services, Risk
directors, officers, employees and volunteers Management Division
20 East Main Street
Ashland, OR 97520 Carina Bergeland?
Authorized Representative
U I SOU 5504 cent
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