HomeMy WebLinkAboutInsurance Certificate: Jackson County
CERTIFICATE OF COVERAGE
Agent This certificate is issued as a matter of information only
DIRECT and confers na rights urn 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.
cilycaunfy 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 keen issued to the Named Member herein for the Coverage period indicated. Notwithstanding any
requirement, term ar condition of any contract or other document with respect to which the certificate maybe issued ar 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 7/1/2017 7/1/2018 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 711/2017 7/112018 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 17APDASH 7/112017 7/112018
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 17PASH 7/1/2017 7/112018 Per Filed Values
X Bailer and Machinery A 17BASH 7!1/2017 71112018 Per Filed Values
X Excess Crime B 17ECASH 7/112017 7/112018 Per Loss: $750,000
X Excess Earthquake C 17EQASH 71112017 711/2018 Each Occurrence: $5,000,000
X Excess Flood G 17FASH 7/112017 711/2018 Each Occurrence: $5,000,000
X Excess Cyber liability A 17ECLASH 7/1/2017 7/1/2018 Occurrence/Aggregate: $450,000
Workers' Compensation
Description: Jackson County is named as additional named per the agreement made between Jackson County and the City of Ashland giving
Ashland Fire & Rescue the exclusive right to provide ambulance service in ASA #3.
Certificate Holder: CANCEI.lATION: Should any of the coverage documents herein be cancelled before the expiration date
thereof, GIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such
Jackson County notice shall impose no obligation ar liability of any kind upon CIS, its agents ar representatives, or the issuer
140 South Holly Street of this certificate.
Medford, OR 97501
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~y: m„_ Date: June 19, 2017