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HomeMy WebLinkAboutInsurance Certificate: Rogue Waste Systems CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information DIRECT only 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 110 herein. citycounty insurance services Named Member or Participant Companies Affording Coverage City of Ashland COMPANY A - Citycounty Insurance Services (CIS) 20 East Main Street COMPANY B - National Union Fire Insurance Company of Pitts, PA Ashland, OR 97520 COMPANY C - RSUI Indemnity 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. Company Certificate Effective Termination Type of Coverage Letter Number Date Date Coverage Limit General Liability A 11 LASH 7/1/2011 7/1/2012 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 11 LASH 7/1/2011 7/1/2012 General Aggregate: None X Scheduled Autos Each Occurrence: $5,000,000 X Hired Autos X Non-Owned Autos Auto Physical Damage A 11APDASH 7/1/2011 7/1/2012 X Scheduled Autos X Hired Autos X Non-Owned Autos X Property A 11PASH 7/1/2011 7/1/2012 Per Filed Values X Boiler and Machinery A 11 BASH 7/1/2011 7/1/2012 Per Filed Values X Excess Crime B 11 ECASH 7/1 /2011 7/1/2012 Per Loss: $250,000 Excess Earthquake Excess Flood Workers' Compensation Description: For loads hauled by the City of Ashland to the Dry Creek Landfill on Rogue Waste System's private access road from Highway 140 during FY ending June 30, 2012. Rogue Waste Systems, LLC, and its subsidiaries are named as an additional member. 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 Rogue Waste Systems, LLC such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or & Its Subsidiaries the issuer of this certificate. P.O. Box 3187 Central Point, OR 97502 Bye` U4 - .1~' r ~•,.~-fat : September 20, 2011