HomeMy WebLinkAboutInsurance Certificate: City of Ashland (2)
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 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.
Type of Coverage Company Certificate Effective Termination Date Coverage Limit
Letter Number Date
General Liability A 18LASH 7/1/2018 7/1/2019 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 18LASH 7/1/2018 7/1/2019 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 18APDASH 7/1/2018 7/1/2019
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 18PASH 7/1/2018 7/1/2019 Per Filed Values
X Boiler and Machinery A 18BASH 7/1/2018 7/1/2019 Per Filed Values
Excess Liability
X Excess Crime B 18ECASH 7/1/2018 7/1/2019 Per Loss: $1,000,000
X Excess Earthquake C 18EQASH 7/1/2018 7/1/2019 Each Occurrence: $10,000,000
X Excess Flood C 18FASH 7/1/2018 7/1/2019 Each Occurrence: $10,000,000
Difference in Conditions
X Excess Cyber Liability A 18ECLASH 7/1/2018 7/1/2019 Occurrence/Aggregate: $950,000
Workers' Compensation
Description: The Oregon Department of Transportation (ODOT) is named as additional named, with respects to the 42nd Annual 4`" of July Run in
Ashland, Oregon, to be held on July 4, 2018, with road closures to begin at 6 a.m. and continuing until the conclusion of the July 4`h parade per written
agreement. Traffic control will be provided by the City of Ashland Police Department and the City of Ashland Street Department.
Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date
Maintenance & Operations Branch thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such
Oregon Department of Transportation notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer
100 Antelope Road of this certificate.
Medford, OR 97503 )
By. J
~ t f; ~-ry~ yip_ Date: June 5, 2018
~I
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. 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.
Type of Coverage Company Certificate Effective Termination Date Coverage Limit
Letter Number Date
General Liability A 18LASH 7/112018 7/1/2019 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 18LASH 7/1/2018 7/1/2019 General Aggregate: None
X Scheduled Autos Each Occurrence: $5,000,000
X Hired Autos
X Non-Owned Autos
Auto Physical Damage A 18APDASH 7/1/2018 7/1/2019
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A 18PASH 7/1/2018 7/1/2019 Per Filed Values
X Boiler and Machinery A 18BASH 7/1/2018 7/1/2019 Per Filed Values
Excess Liability
X Excess Crime B 18ECASH 7/1/2018 7/1/2019 Per Loss: $1,000,000
X Excess Earthquake C 18EQASH 7/1/2018 7/1/2019 Each Occurrence: $10,000,000
X Excess Flood C 18FASH 7/1/2018 7/1/2019 Each Occurrence: $10,000,000
Difference in Conditions
X Excess Cyber Liability A 18ECLASH 7/1/2018 7/1/2019 Occurrence/Aggregate: $950,000
Workers' Compensation
Description: Jackson County, and its elected officials, officers, volunteers, agents, and employees are added as additional named with respect to the
42nd Annual 41" of July Run in Ashland, Oregon, to be held during the hours of 7:45 a.m. and 9:45 a.m. on July 4, 2018. During this two-mile run/walk
and the 1 OK run, Eagle Mill Road from Valley View Road to the Eagle Mill Road/Oak Street intersection and greenway between Valley View and Oak
Street will be closed from approximately 7:30 a.m. to 8:45 a.m. for runners on the road. 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 and the
City of Ashland Street 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 such
Jackson County Risk Management notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer
10 South Oakdale, Room 200 of this certificate.
Medford, OR 97501 J~ / p
By. 4^4 dk-*" ~A ~ I~~ yyv ~r Date: June 5, 2018