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HomeMy WebLinkAboutInsurance Certificate: Ashland School District #5 and Jackson County School District #5 CERTIFICATE OF COVERAGE 9/9DATE /2025 AGENT THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown&Brown Insurance Services,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3256 Hillcrest Park Drive HOLDER OTHER THAN THOSE PROVIDED IN THE COVERAGE Medford,OR 97504 DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS LISTED HEREIN. www.bbrown.com COMPANIES AFFORDING COVERAGE NAMED PARTICIPANT COMPANY A:PE2R@rty Casualty Coverage for Education Jackson County School District#5 Ashland School District#5 COMPANY 8:Genesis Insurance Company 885 Slsklyou Blvd COMPANY C: Ashland OR 97520 COMPANY D: COMPANY E: COVERAGES THIS IS TO CERTIFY THAT DOCUMENTS I RE N HAVE 9l!M=ED TO THE NAMED PARTICIPANTFOR 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 EFFECT THE PROVISIONS TO WHICH THEY RELATE. CO EFFECTIVE DATE EXPIRATION DATE LTR TYPE OF INSURANCE COVERAGE DOCUMENT NUMBER MM/D0.7YYY MMlDDIYYYY LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 20,000,00 A ./ COMMERCIAL GENERAL LIABILITY 40P60056-106 7/1/2025 7/1/2026 EACH OCCURRENCE $ 20,000,00 B PUBLIC OFFICIALS LIABILITY ./ EMPLOYMENT PRACTICES ✓ OCCURRENCE AUTOMOBILE LIABILITY GENERAL AGGREGATE $ 15,000.000 A ✓ SCHEDULEDAUTOS 40P60056-106 7/1/2025 7/1/2026 EACH OCCURRENCE $ 15,000,00 HIRED AUTOS ✓ NON-OWNED AUTOS AUTO PHYSICAL DAMAGE SCHEDULED AUTOS PER SCHEDULE A / SCHEDULED AUTOS 40P60056-106 7/1/2025 7/1/2026 HIRED AND NOW - OWNED AUTOS $ 100 Comp/500 Coll B ✓ HIRED AUTOS ✓ NON-OWNED AUTOS EXCESS LIABILITY GENERAL AGGREGATE $ Included in above A ✓ COMMERCIAL GENERAL LIABILITY 40P60056-106 7/1/2025 7/1/2026 EACH OCCURRENCE $ Included in above B ✓ PUBLIC OFFICIALS LIABILITY ✓ EMPLOYMENT PRACTICES ✓ AUTO LIABILITY PROPERTY A Per Property Schedule on file 40P60056-106 7/1/2025 7/1/2026 B Sexual Misconduct Liability 40P60056-106 7/1/2025 7/1/2026 10,000,000 per UM/UIM 40P60056-106 7/1/2025 7/1/2026 500,000 PERSONAL INJURY PROTECTION 40P60056-106 7/1/2025 7/1/2026 Per Schedule in Coverage Document DESCRIPTION Use of premises CERTIFICATE TYPE © EVIDENCE OF INSURANCE CERTIFICATE © ADDITIONAL PARTICIPANT CERTIFICATE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE COVERAGE DOCUMENTS HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE CARRIER WILL ENDEAVOR TO City of Ashland, MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,BUT its elected officials, officers &employees FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF 20 E Main Street Ashland OR 97520 OF KIND UPON REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Sandy L.Orr J-c:S... 're?_,ir_m n 5't_ w r. i Ll Eli � � J LJ yy - J Ln c` o Lit Wy, 1�A1':iSNI Avtf. t Y V. 4�