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HomeMy WebLinkAboutInsurance Certificate: Ashland Schools Foundation , 1 AC D CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) k� 10/05/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORI ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policylies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy; certainpolicies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT I REINHOLDT&O HARRA INSURANCE INC (A/CNE I .No,Ext):(888)661-3938 IA/c,No): (877)872-7604 1756 ASHLAND ST E-MAIL ASHLAND, OR 975202329 ADDRESS:service.center@travelers.com - (888) 661-3938 I INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT INSURED INSURER B: ASHLAND SCHOOLS FOUNDATION 100 WALKER AVENUE INSURER C: ASHLAND, OR 97520 . INSURER D: INSURER E: INSURER F: ., COVERAGES CERTIFICATE NUMBER: 276101808281472 REVISION.NUMBER: • I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO. ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS 680-469L1275-20 04/25/2020 04/25/2021 EACH OCCURRENCE $2,000,000 A X COMMERCIAL GENERAL LIABILITY X DAMAGE TO RENTED CLAIMS-MADE X OCCUR - PREMISES(Ea occurrence) $300,000 X NON OWNED AUTO MED EXP(Any one person) $5,000 I PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) • BODILY INJURY(Per person) $s - ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED .. AUTOS ONLY AUTOS ONLY l PROPERTY DAMAGE (Per accident) $ I l $ UMBRELLA LIAB _OCCUR I EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DECI I RETENTION$ WORKERS COMPENSATION N/A AND EMPLOYERS'LIABILITY Y/N ,STATUTE EF?H ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) AS RESPECTS TO GENERAL LIABILITY, CERTIFICATE HOLDER IS ADDITIONAL INSURED1- DESIGNATED PERSON OR ORGANIZATION, CG T4 91 . CERTIFICATE HOLDER CANCELLATION I CITY OF ASHLAND, IT'S ELECTED OFFICIALS, SHOULD ANIY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OFFICERS AND EMPLOYEES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 EAST MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. ASHLAND, OR 97520 AUTHORIZED R PRESENTATIVE J ©1988-2015I 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD TRAVELERSJ� Travelers - PO Box 64095 01721 St. Paul, MN 55102-0095 CITY OF ASHLAND, IT'S ELECTED OFFICIALS 20 EAST MAIN ST ASHLAND, OR 97520 • • • •O c N O N I- H U tL m M C+7 CC) O co CV _ __ _ —. __ — __ _ _ —_— —_ I, O • • • O U i4. ENV-T