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HomeMy WebLinkAboutInsurance Certificate: Fair Housing Council of Oregon DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 3/10/2026 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 OR 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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies 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 NAME: Alicia Hernandez JD Fulwiler&Co., Insurance PHONE FAX 5727 S Macadam Ave A/C No Ext: 503-977-5719 A/c,No):503-977-5719 E-MPortland OR 97239 ADDRESS: ahernandez@jdfulwiler.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Philadelphia Indemnity Ins Co 18058 INSURED FAIRHOU-01 INSURERB: Kinsale Insurance Company 38920 Fair Housing Council of Oregon INSURERC:Twin City Fire Insurance Co 29459 1221 SW Yamhill Street, Suite#305 Portland OR 97205 INSURERD: Saif Corporation 36196 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1091211108 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y PHPK2560649 7/22/2025 7/22/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 JECT XEl OTHER: WA STOP Gap $1,000,000 A AUTOMOBILE LIABILITY PHPK2560649 7/22/2025 7/22/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLALIAB X OCCUR PHUB866279 7/22/2025 7/22/2026 EACH OCCURRENCE $1,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$1 n nnn $ D WORKERS COMPENSATION 916382 4/1/2026 4/1/2027 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C CRIME COVERAGE 52KMO520705 3/9/2025 7/22/2026 Limit 1,000,000 B Directors&Officers 01002052802 7/22/2025 7/22/2026 Limit 1,000,000 A Professional Liability(E&O) PHPK2560649 7/22/2025 7/22/2026 Aggregate Limit 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Cyber Policy#FLYCBEXYRHS4M8003 Cowbell Cyber Inc 3/22/25 to 3/22/26 1,000,000 Aggregate City Of Ashland, Oregon,along with its elected officials,officers and employees is added as additional insureds but only as respects operations of the named insured in accordance with the policy terms,conditions&exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main St AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD