HomeMy WebLinkAboutInsurance Certificate: SOU
CERTIFICATE OF COVERAGE
Agent This certificate is issued as a matter of information only
DIRECT 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.
citycounfy insurance services
Named Member or Participant Companies Affording Coverage
City of Ashland COMPANY A -CIS
COMPANY B -National Union Fire Insurance Company of Pitts, PA
20 East Main Street COMPANY C - RSUI Indemnity
Ashland, OR 97520
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. Notwithstanding any
requirement, term or condition of any contract or other document with respect to which the certificate maybe 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.
Type of Coverage Company Certificate Effective Termination Date Coverage Limit
Letter Number Date
General Liability A 17LASH 71112017 711/2018 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 17LASH 71112017 71112018 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 17APDASH 71112017 71112018
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 17PASH 71112017 711/2018 Per Filed Values
X Boiler and Machinery A 176ASH 711/2017 7/1/2018 Per Filed Values
X Excess Crime B 17ECASH 71112017 711/2018 Per Loss: $750,000
X Excess Earthquake C 17EQASH 71112017 71112018 Each Occurrence: $5,000,000
X Excess Flood C 17FASH 71112017 71112018 Each Occurrence: $5,000,000
X Excess Cyber Liability A 17ECLASH 7/1/2017 7/1/2018 OccurrencelAggregate: $450,000
Workers' Compensation
Description: For training(s) conducted by Ashland Fire & Rescue on property belonging to Southern Oregon University. Southern Oregon University
is additionally named for these training events.
Certificate Holder: CANCELLATfON: 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 such
Southern Oregon University notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer
A University with a Governing Body of this certificate.
1250 Siskiyou Boulevard
Ashland, OR 97520
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~ ~ r'-~~` - ~ ~ r' ~ Date: June 16, 2017
CERTIFICATE OF COVERAGE
Agent This certificate is issued as a matter of information only
DIRECT 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
COMPANY B -National Union Fire Insurance Company of Pitts, PA
20 East Main Street COMPANY C - RSUI Indemnity
Ashland, OR 97520
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. Notwithstanding any
requirement, term or condition of any contract or other document with respect to which the certificate maybe 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.
Type of Coverage Company Certificate Effective Termination Date Coverage Limit
Letter Number Date
General Liability A 17LASH 71112017 7/112018 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 17LASH 7/1!2017 711(2018 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 17APDASH 711!2017 71112018
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 17PASH 7/112017 7/1/2018 Per Filed Values
X Boiler and Machinery A 17BASH 71112017 7/112018 Per Filed Values
X Excess Crime B 17ECASH 71112017 71112018 Per Loss: $750,000
X Excess Earthquake C 17EQASH 711!2017 71112018 Each Occurrence: $5,000,000
X Excess Flood C 17FASH 7!1!2017 7/1!2018 Each Occurrence: $5,000,000
X Excess Cyber Liability A 17ECLASH 7/112017 7/1/2018 OccurrencelAggregate: $450,000
Workers' Compensation
Description: For the rental of a van from Southern Oregon University by the Ashland Parks and Recreation Department, for its use in its Youth
Conservation Corp. program. The van is to be used for transporting students from park to park. The van will be rented during scheduled dates during
the fiscal year beginning on July 1, 2017, and June 30, 2018.
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 such
Southern Oregon University notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer
A University with a Governing Body of this certificate.
1250 Siskiyou Boulevard
Ashland, OR 97520
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E;~ yi.~+. ~E.. Date: June 16, 2017
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