HomeMy WebLinkAboutInsurance Certificate: Rogue River-Sisikyou National Forest USFS
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 concition 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 13LASH 7/1/2013 7/1/2014 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 13LASH 7/1/2013 7/1/2014 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 13APDASH 7/1/2013 7/1/2014
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 13PASH 7/1/2013 7/1/2014 Per Filed Values
X Boiler and Machinery A 13BASH 7/1/2013 7/1/2014 Per Filed Values
X Excess Crime B 13ECASH 7/1/2013 7/1/2014 Per Loss: $250,000
Excess Earthquake
Excess Flood
Excess Cyber Liability
Workers' Compensation
Description: Proof of insurance for the City of Ashland, Oregon. This relates to Reeder Reservoir and the City's Special Use Permit through the
U.S. Forest Service.
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 River - Siskiyou National Forest such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or
U.S. Forest Service the issuer of this certificate.
3040 Biddle Road
Medford, OR 97504
.A-.'e - -1- ,`Date: July 2, 2013