The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: Rogue Valley Council of Governments 7/12/2021 SDIS Member Portal GENERAL LIABILITY and AUTO LIABILITY ADDITIONAL PARTICIPANT CERTIFICATE AGENCY/AGENT-ISSUING CERTIFICATE Date: 07/12/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER Ward Insurance-Medford OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENTS. 841 O'Hare Parkway,Ste 150 THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE Medford,OR 97504 COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS LISTED Lynn Wray HEREIN.THIS CERTIFICATE DOES NOT CONSTITUE A CONTRACT 541-687-1117 BETWEEN ANY OF THE FOLLOWING PARTIES:THE AGENCY, NAMED PARTICIPANT,CERTIFICATE HOLDER AND/OR COMPANIES AFFORDING COVERAGE. NAMED PARTICIPANT/MEMBER-REQUESTING CERTIFICATE ORGANIZATIONS AFFORDING COVERAGE Rogue Valley Council of Governments Company A-Special Districts Insurance Services(SDIS) PO Box 3275 Central Point,OR 97502 Company B-Genesis Insurance Company Pat Bale 541-664-6674 COVERAGES This is to certify that Coverage Documents listed herein have been issued to the Named Participant 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.Aggregate Limits which are shown may have • been reduced by paid Claims,Suits or Actions.The titles referenced under Type of Coverage are inserted solely for convenience of reference and shall not be deemed in any way to limit or affect the provisions to which they relate. OR/CO LTR Type of Coverage Limits Coverage Document Effective Date Expiration Date SDIS Liability Coverage Annual Aggregate None X Per Occurrence X Per Wrongful Act $5,000,000 36P44372-429 01/01/2021 12/31/2021 X Public Officials Liability A g X Employment Practices $5,000,000 Employment Practices Deductible/SIR: $0 Wrongful Acts Deductible/SIR: $0 General Liability Deductible/SIR: $0 *$10,000 Minimum deductible for terminations if SDIS or approved legal counsel is not consulted prior to an employment termination. Auto Liability X Scheduled Autos A X Hired&Non-Owned Autos B — — $500,000 36P44372-429 01/01/2021 12/31/2021 X Per Accident X Deductible/SIR: $0 Excess Auto Liability X Scheduled Autos A X Hired&Non-Owned Autos B $4,500,000 36P44372-429 01/01/2021 12/31/2021 X Per Accident X Excess of: $500,000 Supplemental Auto Liability A X UM/UIM $500,000 B Per Schedule in Coverage 36P44372-429 01/01/2021 12/31/2021 X Personal Injury Protection Document • https://sdis.org/Certificates/Summary/44372?pgm=SDIS&ins=PC&yr=Current 1/2 7/12/2021 SDIS Member Portal Remarks:When required by an Insured Contract certificate holder is an additional participant in respects to Using property for meal site,but only with respects to negligence claims for Bodily Injury,Property Damage or Personal Injury where the Named Participant is deemed to have liability.In no event shall coverage extend to any party for any Claim,Suit or Action,however or whenevenasserted,arising out of the certificate holder's sole negligence or for any Claim,Suit or Action which occurs prior to the execution of the contract or agreement. *Information is provided as of the date this certificate was generated and issued and is subject to change. Certificate Holder-Requesting Certificate CANCELLATION:Should any of the Coverage Documents herein be cancelled before the City of Ashland,its officers,employees and agents. expiration date thereof,SDIS will endeavor to provide notice in accordance with the SDIS 20 East Main Street General Liability Coverage Document provisions.Failure to mail such notice shall impose Ashland,OR 97520 no obligation or liability of any kind upon SDIS,its agents or representatives,or the issuer of this certificate. Authorized Representative of Named Participant: Date: Applicable Coverage Document Definitions: The following definitions are provided solely for convenience of reference and shall not be deemed in any way to limit or affect the provisions to which they relate,for complete details on the terms,conditions and exclusions of applicable Coverage Documents please refer to the SDIS Liability Coverage Document. Participant means the Named Participant and each of the following while acting under the direction and control of the Named Participant and within the course and scope of their duties as such: a. Directors; b. Executive Officers; c. Employees; d. agents of the Named Participant pursuant to ORS 30.285 e.Volunteers; f. Any board,commission,governmental agency,subdivision,department,municipal body,not-for profit corporation,association or other unit operated by the Named Participant,or under the Named Participant's jurisdiction,will qualify as a Participant if there is no other similar insurance in place for that organization; g. Good Samaritans at the scene of an accident,when the person's actions are not part of any official response of the Named Participant;and h. Any person,entity,or any organization the Named Participant is required by an Insured Contract to include as a Participant.The terms of the Insured Contract will have no effect on either the Per Occurrence Limit of Liability,Per Wrongful Act Limit of Liability or the Annual Aggregate Limit of Liability.The Insured Contract must be effective and executed prior to a covered Occurrence or Wrongful Act.In no event shall coverage under this Coverage Document extend pursuant to this subsection h.to any party for any Claim,however or whenever asserted,arising out of such party's sole negligence.The term"Additional Insured,"if used In an Insured Contract,shall be understood to mean the same as Additional Participant. • Insured Contract means a legally enforceable contract that includes one or more of the following: a.A provision in a lease of premises that relates to Tort liabilities assumed by the Named Participant arising out of the lease,such assumption occurring in writing prior to the date of Occurrence or Wrongful Act; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation,as required by ordinance,regulation,or statute to indemnify a Public Body; e.An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to the Named Participant's operations(including an indemnification of a Public Body In connection with work performed by or for a Public Body)under which the Named Participant assumes the Tort liability of another person or entity to pay for Bodily Injury,Property Damage,or Personal Injury to a third person or organization,provided the Bodily Injury, Property Damage,or Personal Injury is based on an Occurrence that takes place subsequent to the execution of the contract or agreement; g. An indemnification agreement between a hospital or other medical care center and the Named Participant that is required by the hospital or medical care center in connection with it providing emergency medical technician training to Participants in connection with an emergency medical technician training program; and h. Contracts for services with Public Bodies. An Insured Contract does not include that part of any contract or agreement: a.That indemnifies an architect,engineer,or surveyor acting as an independent contractor for injury or Damages arising out of professional errors or omissions; b.That indemnifies any person or organization for Damages by fire to premises rented or loaned to the Participant for an amount greater than$1 million;and c.That involve the purchase or sale of real property or personal property. https://sdis.org/Certificates/Summary/44372?pgm=SDIS&ins=PC&yr=Current 2/2