HomeMy WebLinkAboutInsurance Certificate: Risk Management Jackson County
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
herein.
citycounty insurance services
Named Member or Participant Companies Affording Coverage
City of Ashland COMPANY A - 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 12LASH 7/1/2012 7/1/2013 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 12LASH 7/1/2012 7/1/2013 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 12APDASH 7/1/2012 7/1/2013
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 12PASH 7/1/2012 7/1/2013 Per Filed Values
X Boiler and Machinery A 12BASH 7/1/2012 7/1/2013 Per Filed Values
X Excess Crime B 12ECASH 7/1/2012 7/1/2013 Per Loss: $250,000
Excess Earthquake
Excess Flood
Excess Cyber Liability
Workers' Compensation
Description:
Jackson County, and its elected officials, officers, volunteers, agents, and employees are added as additional insureds with respect to the 36"
Annual 4`h of July Run in Ashland, Oregon, to be held during the hours of 7:45 a.m. and 9 a.m. on July 4, 2012. During this two-mile run/walk and
the 10K run Eagle Mill Road from Valley View Road to the Eagle Mill Road/Oak Street intersection will be closed from approximately 7:30 a.m. to
8:30 a.m. Participants will run on Jackson County right-of-way on sections of Eagle Mill Road and the Bear Creek Greenway Path. Traffic control
will be provided by the City of Ashland Police Department.
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
Risk Management such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or
Jackson County the issuer of this certificate.
10 South Oakdale, Room 200
Medford, OR 97501
~ ' `._.-.•.1 ~ti T Date~ June 20, 2012
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