HomeMy WebLinkAboutInsurance Certificate: COA
Cert No. 4888
CERTIFICATE OF COVERAGE ISSUEDATE(MM/DD/YY)
5/21/2018
Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,
HOUSING AUTHORITIES RISK RETENTION POOL EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
7111 NE 179th Street Companies Affording Coverage
Vancouver, Washington 98686
(360) 574-9035 Company HARRP
(360) 574-9401 FAX Housing Authorities Risk Retention Pool
Covered Entity Letter A
Housing Authority of Jackson County Company
2251 Table Rock Road
Medford, OR 97501 Letter B
Coverages
THIS IS TO CERTIFY THAT THE POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED ENl1TYNAMED ABOVEFOR THE POLICY PERIOD INDICAIED. NUTWHHSTANDINGANY REQUBtFMENT.
TERM OR CONDITION OF ANY CONTRACT OROTHERDOCUN.ENTS WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED ORMAY PERTAIN. THE INSURANCE AFFORDEDBYTHEPO ICIES
DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIM SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER CERTIFICATE EFFECTIVE CER]IFICATEDlPIRATION ALLLP.HIS
LM DAM(kMDD/YY) DATE (M!dDD/YY)
GENERAL LIABILITY GENERAL $2,000,000.00
AGREGATE
XX COMMERCIAL GENERAL LIABILITY _ EACH 52,000,000.00
A 00046-PLEAF 7/1/2018 7/l/2019- OCCURRENCE
CLAIMS MADE XX OCCURRENCE FIRE DAMAGE (my $2,000,000.00
one fire)
OWNERS' & CONRACTOR'S PROT. MEDICAL EXCLUDED
EXPENSES
AUTOMOBILE LIABILITY COMBINED
SINGLE LIbBT
ALL OWNED AUTOS BODILY INJURY
(PER ACCIDENT)
00046-PLEAF 7/1/2018 7/1/2019 PROPERTY
SCHEDULED AUTOS DAMAGE
HIRED AUTOS ANNUAL
_ NON-OWNED AUTOS AGGREGATE
00046-PLEAF 7/112015 7/1/2019
DESCRIPTION OF OPERATIONS/LOCATIONSNEIHCLES/RESTRICTIONS/SPECIAL ITEMS
AS RESPECTS:
COMMUNITY DEVELOPMENT BLOCK GRANT
- Per the interest of the CERTIFICATE HOLDER as shown below:
Certificate Holder CANCELLATION
SHOULDANYOFTMABOVEDESCR POLICESBECANCELLED BEFORETHEEXPIRATION
' DATE THEREOF, THEISSUING COMPANY WILL ENDEAVOR TO MAH. 30 DAYS WRITTEN
NOTICETOTHECMTn'ICATEHOLDMNAMEDTOTHELEFT,HUTFAn.UREMRA SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OF LIABILITY OF ANY RIND UPON THE COMPANY,
TTS AGENTS ORREPRESENTATrvES.
CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES & AUTHORIZED REPRESENTATIVE
AGENTS
ATTN: LINDA REID
20 E. MAIN STREET
ASHLAND, OR 97520
l
WILLIAM E. GREGORY, EXECUTIVE DIRECTOR