HomeMy WebLinkAboutInsurance Certificate: City of Ashland WWTP 44414, A Stock Company FFL99.001 0519
P.O.Box 33003 4640119
St. Petersburg, FL 33733-8003 11/15/21
WRIGIITCustomer Service: 1-800-820-3242
Claims: 1-800-725-9472 2000 11523 FLD PREF
Wright National Flood Insurance Company Flood FLOOD DECLARATIONS PAGE
RENEWAL
Policy Number .° NFIP Policy Number Product Type:Preferred Risk Policy
36 1151471211 05 1151471211 General Property Form
Policy Period Date of IssueAgent Code ` Prior Policy Number
From: 10/23/21 To: 10/23/22 12:01 am Standard Time 11/15/2021 0734495 99012894812014
Agent (503)274-6511
BROWN & BROWN NORTHWEST CITY OF ASHLAND
PO BOX 29018 RISK MANAGEMENT
PORTLAND OR 97296-9018 20 E MAIN ST
ASHLAND OR 97520-1814
Property Location(if other than above) Address may have been changed in accordance with USPS standards.
1400 GRANITE ST, WATER TREAMENT PLANT, ASHLAND OR 97520
I Rating Information
Original New Business Effective Date: 10/23/2014 Flood Risk/Rated Zone: X
Grandfathered: No
Building Occupancy: Other Non-Residential
Primary Residence: N Number of Floors: Two Floors
Condo Type: N/A Building Indicator: Non-Elevated
Community#: 415589 Map Panel/Suffix: 2212 F Basement/Enclosure/Crawlspace:
Community Rating: Program Status: Regular Finished Basement
Community Name: JACKSON COUNTY
Coverage Deductible . Annual Premium
BUILDING $0 $0 $0.00
CONTENTS $250,000 $1,000 $1,319.00
ANNUAL SUBTOTAL: $1,319.00
THIS IS NOTA BILL DEDUCTIBLE DISCOUNT/SURCHARGE: $0.00
ICC PREMIUM: $0.00
DEAR MORTGAGEE COMMUNITY RATING DISCOUNT: $0.00
The Reform Act of 1994 requires you to notify SUB-TOTAL: $1,319.00
the WYO company for this policy within 60 days RESERVE FUND ASSESSMENT: $237.00
of any changes in the servicer of this loan. PROBATION SURCHARGE: $0.00
The above message applies only when there FEDERAL POLICY SERVICE FEE: $25.00
is a mortgagee on the insured location. HFIAA SURCHARGE: $250.00
Premium Paid by: Insured TOTAL WRITTEN PREMIUM AND FEES: $1,831.00
Special Provisions:
This policy covers only one building. If you have more than one building on your property,please make sure they are all covered. See III. Property
Covered within your Flood policy for the NFIP definition of"building"or contact your agent,broker,or insurance company. Please refer to the policy
for complete terms,conditions,and exclusions. A full,digital copy of your flood policy form is available at www.wrightflood.com/policyforms.html.The
form which applies to your policy coverage is:General Property Form
No Additions and Extensions
Forms and Endorsements:
WFL 99.415 1117 1117 FFL 99.310 0120 0120 WFL 99.116 0614 0614
This policy is issued by NAIC company 11523
Wright National Flood Insurance Company A stock company 9141%•‘•_
Copy Sent To: As indicated on back or additional pages, if any. Patricia Templeton-Jones,President
07344953611514712112131902 00001 05348 * 41:t
Insured
FFL99.001 0519
4640119
11/15/21
36 1151471211 05
Agent (503)274-6511
BROWN & BROWN NORTHWEST
PO BOX 29018
PORTLAND OR 97296-9018
)
Refer to www.fema.gov/cost-of-flood for more information about flood risk and policy rating.
Claims Information:
Please contact your agent or go to www.wrightflood,.com to enter your claim as well as
receive important information to mitigate the damage io your property. If you need to
reach the insurance company the number is 1-800-725-9472.
•L
07344953611514712112131902 00001
Insured
Wright National Flood Insurance Company FFL 99.310 0120
A Stock Company
P.O.Box 33003 4640119
IGIIIT St.Petersburg,FL 33733-8003 11/15/21
1 Customer Service:1-800-820-3242
Flood Claims:1-800-725-9472
Wright National Flood Insurance Company
Privacy Statement
36 1151471211 05 •
10/23/21
2000 11523 FLD PREF
Revised:January 1,2020
This Privacy Statement explains our privacy practices, including how we use your non-public personal information ("Personal
Information") and to whom it is disclosed. We may amend this Privacy Statement from time to time consistent with applicable
privacy laws.
Wright National Flood Insurance Company and its affiliates, Wright National Flood Insurance Services, LLC,DBA Wright Flood
Insurance Services, LLC in California, and Wright National Flood Insurance Services of New York, LLC, member companies of
The Wright Insurance Group, LLC, follow the privacy practices described in this Privacy Statement. Depending on the business.
they perform,these affiliates may also share information as described below.
We may collect Personal Information about you from the following sources:
• Information we receive from you on applications or other forms we receive from you or your authorized representative,such as
your name, address, social security number,tax identification number,asset information and income information;
• Information about your transactions with us or the services being performed by,us, our affiliates or others, such as information
concerning your policy, premiums, payment history, information about your home or other real property, information from
lenders and other third parties involved in such a transaction,account balances,credit card numbers and payment histories;
• Information we receive from you through our internet websites, such as your name, address, email address, Internet Protocol
address,the website links you used to get to our site(s)and the pages viewed while at our site(s);and
• Information we receive from consumer or other reporting agencies.
Protection of the Confidentiality and Security of Your Personal Information
We maintain physical, electronic and procedural safeguards designed to protect your Personal Information from unauthorized
access or intrusion. We limit access to the Personal Information to those employees who need such access in connection with
providing products or services to you or for other legitimate business purposes.
Sharing of Personal Information
We do not disclose Personal Information about our customers or former customers to anyone, except as permitted by law. We do
not share information we collect from consumer or credit reporting agencies with our affiliates or others without your consent
unless such disclosure is otherwise permitted by law.
Consistent with applicable law, we may nevertheless provide all or some of the Personal Information described above (excluding
information we receive from consumer or other credit reporting agencies)to the following individuals and companies:
• to our affiliates, including insurance companies and agents to provide you with services you have requested or as otherwise
permitted under applicable law;
• to insurance agents,brokers,representatives, support organizations or others:
• to the extent necessary to provide you with services you have requested, so long as the above entities and persons agree not
to further disclose your Personal Information except to the extent necessary to carry out the requested service on your
behalf;
• to enable us to detect or prevent criminal activity, fraud, material misrepresentation or nondisclosure in connection with
an insurance transaction;and
ti
07344953611514712112131901 00001 05348
Insured
FFL 99.310 0120
4640119
36 1151471211 05 11/15/21
• in connection with performing an insurance transaction for you;
• to third-party contractors or service providers for the purpose of determining your eligibility for an insurance benefit or
payment and/or provide you with services you have requested;and
• to an insurance regulatory authority,or a law enforcement or other governmental authority.
Sharing of Personal Information With Service Providers
We may share some or all of the Personal Information(excluding information we receive from consumer or other credit reporting
agencies) that we collect about you with nonaffiliated third parties to provide services or functions on our behalf pursuant to a
contractual agreement prohibiting the third party from disclosing or using your Personal Information other than to carry out the
purposes for which we disclosed the Personal Information. Such services may include the marketing of financial products or
services offered pursuant to agreements between one or more financial institutions.
Right to Opt Out of Information Sharing With Nonaffiliated Parties Other Than As Permitted By Law
Under certain circumstances not applicable here, financial institutions are required to offer consumers the right to "opt out" of the
sharing of Personal Information with nonaffiliated parties, when such sharing of Personal Information is not authorized by law.
Since we do not share your Personal Information with nonaffiliated third parties except as expressly permitted by law, this notice
and"opt out"opportunity does not apply to you.
For Residents of California, New Mexico and Vermont: Your Authorization Is Required Prior To The
Sharing of Your Information With Nonaffiliated Third Parties Other Than As Permitted By Law
Under certain circumstances not applicable here, financial institutions are required to obtain your authorization("opt in") prior to
sharing your Personal Information with nonaffiliated third parties,when such sharing of Personal Information is not authorized by
law. Since we do not share your Personal Information with nonaffiliated third parties except as expressly permitted by law, this
notice and"opt in"opportunity does not apply to you.
Right to Access Your Personal Information and Ability To Correct Errors Or Request Changes Or
Deletion
As required by applicable law,we will afford you the right to access your Personal Information,under certain circumstances to find
out to whom your Personal Information has been disclosed, and request correction or deletion of your Personal Information. Where
permitted by law, we may charge a reasonable fee to cover the costs incurred in responding to such requests. All requests must be
made in writing to the following address:
Privacy Compliance Officer
Wright National Flood Insurance Company
801 94th Avenue North Suite 110
St. Petersburg, FL 33702
Compliance@weareflood.com
1-800-820-3242, ext 7777
•
.ti
.fir.'{
07344953611514712112131901 00001
Insured
WRIGHT NATIONAL FLOOD INSURANCE COMPANY 2000 11523 FLD PREF
BROWN & BROWN NORTHWEST 36 1151471211 05
PO BOX 29018
PORTLAND OR 97296
Agent: (503)274-6511 05348
Report a Claim: www.wrightflood.com
CITY OF ASHLAND
RISK MANAGEMENT
20 E MAIN ST
ASHLAND OR 97520-1814
>-
z
a
0
U
W
U
ce
U
N W
O W
0 x 0
_I I— 0 I— CV
v- ceO Z Z LC)
0 0) Q W
J Z N _I a I-- O
Q x W V)
OZ Z CO O Cn C7 CC
Q Q Z O
I— CC 0 0 IL Q Q
Q CO 0 O a a Z
Z N C
�Y3 Z >- Y W
I— >G Q I— V) x
Z 0 —I 1-4 o (n
C7 3 m I— ao U fX CV Q
� 0 C M
� � 00
m a a
07344953611514712112132003 03809 05348
2000 11523 FLD PREF
36 1151471211 05
07344953611514712112132003 03806