HomeMy WebLinkAboutInsurance Certificate: Jackson County Sheriff's Office
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.
cilycounty insurc~r~ce 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 711!2017 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 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 7/1/2017 711/2018
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 711/2018 Per Filed Values
X Excess Crime B 17ECASH 71112017 7/112018 Per Loss: $750,000
X Excess Earthquake C 17EQASH 71112017 711/2018 Each Occurrence: $5,000,000
X Excess Flood C 17FASH 7!112017 71112018 Each Occurrence: $5,000,000
X Excess Cyber Liability A 17ECLASH 7/1/2017 7/112018 OccurrencelAggregate: $450,000
Workers' Compensation
Description: Jackson County, and its elected officials, officers, volunteers, agents, and employees are named as additional named with respect to
Jackson County's law enforcement services within the Ashland Interface and the Ashland Watershed to be provided under the intergovernmental
agreement between the county and the City of Ashland for forest patrol during the timeframe of July 1, 2017, through 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
Jackson County Sheriffs Office notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer
5179 Crater Lake Highway of this certificate.
Central Point, OR 97502
_~~,~°~~~1~'~.- ..~4~~ Date: June 19, 2017