HomeMy WebLinkAboutInsurance Certificate: City of Ashland CERTIFICATE OF COVERAGE
Agent This certificate is issued as a matter of information
Brown&Brown Insurance Services,Inc.-Portland only and confers no rights upon the certificate holder
601 SW 2nd Ave,Ste.1200 other than those provided in the coverage document.
Portland,OR97204 This certificate does not amend,extend or alter the
coverage afforded by the coverage documents listed citycounty insurance services
herein. cisoregon.org
Named Member or Participant Companies Affording Coverage
City of Ashland COMPANY A-CIS
20 East Main Street COMPANY B-National Union Fire Insurance Company of Pitts,PA
Ashland,OR 97520 COMPANY C-Multiple
COMPANY D-Federal Insurance Company
COMPANY E-Obsidian
LINES OF COVERAGE
This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated.Not withstanding 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.
Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit
General Liability A 25LASH 7/1/2025 7/1/2026 General Aggregate: $15,000,000
X Commercial General Liability Each Occurrence: $5,000,000
X Public Officials Liability
X Employment Practices
X Occurrence
Auto Liability A 25LASH 7/1/2025 7/1/2026 General Aggregate: None
X Scheduled Autos
X Hired Autos Each Occurrence: $5,000,000
X Non-Owned Autos
Auto Physical Damage A/C 25APDASH 7/1/2025 7/1/2026
X Scheduled Autos
X Hired Autos
X Non-Owned Autos
X Property A/C 25PASH 7/1/2025 7/1/2026 Per Filed Values
X Boiler and Machinery D 25BASH 7/1/2025 7/1/2026 Per Filed Values
Excess Liability
Excess Crime
X rExcess Earthquake A/C 25EQASH 7/1/2025 7/1/2026 Each Occurrence: $10,000,000
X Excess Flood A/C 25FASH 7/1/2025 7/1/2026 Each Occurrence: $10,000,000
X CyberSecurity A 25CYBASH 7/1/2025 7/1/2026 Claims-Made/Aggregate: $100,000
Difference in Conditions
Description:
Re:Use of Band Room for City Band Rehearsals-Summer 2026,Refer to form CIS-GUAL 7/1/18
Certificate Holder: CANCELLATION:Should any of the coverage documents herein be cancelled before the expiration date
Ashland School District thereof,CIS will provide 30 days written notice to the certificate holder named herein,but failure to mail such
885 Siskiyou Blvd notice shall impose no obligation or liability of any kind upon CIS,its agents or representatives,or the issuer of
this certificate.
Ashland,OR 97520 '7�
By: ' '& Date:5/1526
CIS TRUST
GENERAL AND AUTO LIABILITY COVERAGE AGREEMENT
This is an agreement between the Trust, as defined herein, and the named member identified in the
General &Auto Liability Coverage Declarations as "Named Member" for"Public Entity Liability Coverage"
for the applicable coverage period. Various provisions of this agreement restrict coverage. Read the
entire coverage agreement carefully to determine rights, duties, and what is and what is not covered.
Words or phrases that appear in bold-faced type have special meaning and are defined in Sections 1,
1013, 1113, and 12C.
1. DEFINITIONS
A. "Administration" means:
(1) Giving counsel to employees with respect to the employee benefit programs;
(2) Interpreting the employee benefit programs;
(3) Handling records in connection with employee benefit programs;
(4) Effecting enrollment, termination or cancellation of employees under the employee
benefits programs;
provided all such acts are authorized by the named member.
B. "Airport" means any area of land or water that is intended for the landing and takeoff of
aircraft, and includes its buildings and related facilities, if any.
C. "Bodily Injury" means bodily injury, sickness or disease sustained by a person including
death resulting from any of these.
D. "Claim" means any notice or demand to the named member by or on behalf of a party
seeking damages that reasonably communicates to the named member the party's intent
to seek money damages from the member.
E. "Covered Auto" means any vehicle designed for land transportation, whether or not
licensed for highway use, and owned or operated by the member.
F. "Damages" means all sums recoverable by law from any liability covered under this
coverage agreement, including punitive damages if awarded, but not including any sums
awarded for plaintiffs attorney fees, or expert fees, under any statute including but not
limited to, 42 U.S. Code, 1988, in any case in which monetary damages are not sought or
not awarded. Damages do not include:
(1) Costs necessary to comply with injunctions or declaratory relief.
(2) Sums recoverable for breach of contract; express or implied.
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(3) Sums awarded as compensation due or accruing to the benefit of the employee
while still employed by the named member.
(4) Sums sought or awarded for claims of unjust enrichment, money had and received
or replevin.
(5) Sums due to taxing authorities, insurance programs, or retirement plans as a result
of an award of damages or claim settlement.
(6) Fines or penalties assessed to the Member for non-payment of taxes, insurance
contributions or retirement plan contributions.
G. "Employee benefit programs" shall mean group life insurance, group health insurance,
profit sharing plans, pension plan, employee stock subscription plans, workers'
compensation, unemployment insurance, social security, disability benefits insurance and
travel, savings or vacation plans.
H. "Fungus or fungi" includes but is not limited to any form or type of mold, mushroom or
mildew.
I. "Hazardous properties" means radioactive, toxic or explosive properties.
J. "Hospital" or "nursing home" means any facility with an organized medical staff, with
permanent facilities that include inpatient beds and with medical services, including
physician services and continuous nursing services under the supervision of registered
nurses, to provide diagnosis and medical or surgical treatment including but not limited to
providing treatment for 1) acutely ill patients and accident victims, 2) mentally ill patients or
3) patients in special inpatient care facilities. However, in-patient care facilities incidental
to correctional facilities shall not be considered a hospital or nursing home.
K. "Member" means the entity named on the declarations page and its officers, employees
and agents including volunteers, authorized to act on behalf of the named member, all
acting within the scope of their employment or duties whether arising out of a governmental
or proprietary function. The term member shall also include additional members to the
extent coverage is afforded under the definition of additional member.
(1) "Named member" means the entity named as such on the Declarations page of
the coverage agreement,
(2) "Additional member" means any party whom a public body covered under this
coverage agreement has agreed to hold harmless, indemnify or defend pursuant to
a contract or other agreement lawfully entered into by such public body. However,
in no event shall coverage under this coverage agreement extend to such party for
any claim arising out of an occurrence after the expiration of this coverage
agreement or the expiration of the contract or agreement entered into by the public
body, whichever shall occur first. Further, in no event shall coverage under this
coverage agreement extend to such party for any claim, however or whenever
asserted, arising out of such party's sole negligence. Except as specified in this
paragraph, such party shall have no rights under the Trust Agreement, Bylaws or
Rules of the Trust. The term "additional insured" if used on a certificate of
coverage, shall be understood to mean the same as additional member.
L. "Nuclear Facility" means:
(1) Any nuclear reactor;
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(2) Any equipment or device designed or used for:
a. separating the isotopes of uranium or plutonium,
b. processing or utilizing spent fuel, or
C. handling, processing, or packaging nuclear waste;
(3) any equipment or device used for the processing, fabricating or alloying of special
nuclear material if at any time the total amount of such material in the custody of
the member at the premises where such equipment or device is located consists
of or contains more than 25 grams of plutonium or uranium 233 or any combination
thereof, or more than 250 grams of uranium 235;
(4) any structure, basin, excavation, premises or place prepared or used for the storage
or disposal of nuclear waste;
and includes the site on which any of the foregoing is located, all operations conducted on
such site and all premises used for such operations.
M. "Nuclear material" means source material, special nuclear material or by-product
material.
N. "Nuclear reactor" means any apparatus designed or used to sustain nuclear fission in a
self-supporting chain reaction or to contain a critical mass of fissionable material.
O. "Nuclear waste" means any waste material:
(1) containing by-product material other than the tailings or wastes produced by the
extraction or concentration of uranium or thorium from any ore process primarily for
its source material content, and
(2) resulting from the operation by any person or organization of any nuclear facility
included under the first two paragraphs of the definition of nuclear facility.
P. "Nursing home" see Hospital.
Q. "Occurrence" means:
(1) an incident, event, act, error or omission which occurs during the coverage period:
or
(2) a series of related incidents, events, acts, errors or omissions; or a continuous or
repeated exposure to substantially the same general conditions, which occur during
the coverage period. If the occurrence begins in one coverage period and ends in
another, the occurrence shall be deemed to have taken place during the last such
coverage period. Such incidents, events, acts, errors or omissions, or continuous
or repeated exposures to substantially the same conditions shall be deemed to be
a single occurrence for purposes of determining the "per occurrence" limit of
liability and deductible, if any. Only the coverage and limits in effect for the last
coverage period shall apply and only one "per occurrence" limit shall be available
for each such multi-period occurrence regardless of the number of coverages
under this coverage agreement which may apply to such occurrence.
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R. "Personal Injury" means false arrest, detention, imprisonment, malicious prosecution,
libel, slander, or publication or utterance in violation of the individual's right of privacy,
wrongful entry or eviction, or invasion of the right of private occupancy.
S. "Pollutants," as used in exclusion Section 4.1., means any solid, liquid, gaseous, or thermal
irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkali, and chemicals,
bacteria, organisms, and pathogens. However, pollutants does not include sewage which
through the negligence of the member escapes the confines of a municipal sewage
treatment system owned or operated by the member.
T. "Property Damage" means injury to or destruction of tangible property.
U. "Source material," "special nuclear material," or "by-product material" have the
meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof.
V. "Spent fuel" means any fuel element or fuel component, solid or liquid, which has been
used or exposed to radiation in a nuclear reactor.
W. "Spore(s)" include any reproductive body produced or arising out of any fungus or fungi.
X. "Trust Agreement" means the CITY COUNTY INSURANCE SERVICES DECLARATION
AND AGREEMENT OF TRUST.
Y. "Trust" means the CIS or CIS Trust, as described in the Trust Agreement.
Z. "Waste" as used in exclusion Section 4.1., includes, but is not limited to, materials to be
recycled, reconditioned, or reclaimed.
2. COVERAGES
In accordance with and subject to the General & Auto Liability Coverage Declarations applicable
to the named member to which this Coverage Agreement applies; the City County Insurance
Services Declaration and Agreement of Trust (herein "Trust Agreement"); the Bylaws and Rules
of the Trust; and the terms, conditions, and limitations of this Coverage Agreement and in
consideration of the contribution for which this coverage agreement is written, the Trust will pay
on behalf of the member all damages arising out of an occurrence, not to exceed the Limits of
Liability as set further described in Section 4. of this Coverage Agreement because of:
Coverage A: Liability arising under Oregon Revised Statutes 30.260 to 30.300; asserted
pursuant to ORS 30.260 to 30.300.
Coverage B: Liability arising under 42 U.S. Code 1983; 42 U.S. Code 2000e, et seq. (Title
VII of the Civil Rights Act of 1964); 29 U.S. Code 621, et seq. (Age
Discrimination in Employment Act of 1967); The Americans with Disabilities
Act; The Civil Rights Act of 1991; 42 U.S. Code 1981; 42 U.S. Code 3601,
et seq. (The Fair Housing Act); ORS Chapter 659; ORS Chapter 659A; ORS
652.355; ORS 654.062; 29 U.S. Code Sec. 261, et seq. (Family and Medical
Leave Act); or any law amendatory thereof.
Coverage C: Tort liability for bodily injury, personal injury and property damage for
which the member is legally liable under the laws of any jurisdiction other
than the State of Oregon and other than any United States Federal
jurisdiction to which this coverage agreement applies.
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Coverage D: Tort liability for the negligence of others assumed by the named member
under contract, except as limited in the definition of the term "member" in
Section 1. of this Coverage Agreement.
Coverage E: Liability to a named member's employee, prospective employee, former
employee or the beneficiaries or legal representatives thereof, arising out
of, and asserted pursuant to, ORS 30.260 to 30.300, and caused by an
occurrence consisting of or based upon the member's negligent errors or
omissions in the administration of the named member's employee
benefits program.
Coverage F: Uninsured/Underinsured Motorists Coverage as set forth in Section 10. of
this coverage agreement, pursuant to ORS 278.215. The Limits of Liability
of such coverage with respect to a member shall the Per Occurrence Limit
for General and Auto Liability Coverage as set forth in the General and Auto
Liability Declarations. The limits of liability of such coverage with respect to
a permissive user of a covered auto, other than a member, shall be the
amounts set forth in ORS 806.070 that is the minimum liability limits of the
Financial Responsibility Law as provided in the Oregon Vehicle Code and
as set forth in Section 8. of this coverage agreement.
In accordance with and subject to the Declarations, the Trust Agreement, Bylaws and Rules of
the Trust, and in consideration of the contribution for which this Coverage Agreement is written,
and independent of Coverages A - F above, the Trust will pay:
Coverage G: Legal expenses reasonably incurred by a public official of the named
member arising out of defense of a complaint alleging violation of ORS
244.040 or 244.120 to 244.135, subject to the terms and conditions set forth
in Section 7. ETHICS LEGAL EXPENSE COVERAGE of this coverage
agreement.
Coverage H: The actual or alleged accidental discharge, dispersal, release or escape of
pollutants, subject to the terms, conditions, and limitations set forth in this
Coverage Agreement, specifically including, without limitation, Section 11.
LIMITED POLLUTION LIABILITY COVERAGE.
Coverage I: Unless such expenses or damages are otherwise covered by this Coverage
Agreement, CYBER SECURITY EXPENSE COVERAGE as set forth in
Section 12.
The Trust shall have the right and duty to defend, with legal counsel selected by the Trust, any
claim or suit against the member seeking damages, even if any of the allegations of the suit are
groundless, false or fraudulent, and may make such investigation and settlement of any claim or
suit as it deems expedient. The duty to defend any claim or suit shall terminate, except as provided
hereafter, when such claim or suit ceases to seek damages against the member. Provided,
however, that the duty to defend any claim or suit shall not terminate so long as the claim or suit
includes an allegation of breach of an implied contract arising out of an employment relationship
with the named member.
3. DEDUCTIBLES
A. CONDITIONAL DEDUCTIBLE: Employment Practices
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