HomeMy WebLinkAbout1997-037 Insurance Certificate - Ashland
CERTIFICATE OF COVERAGE
Covered Entity: City of Ashland
1212 Court Sl. NE
Suite 301
Salem, Oregon 97301
(503) 585-1121
Agent:
Direct
.
This is to certify that coverage is provided to the designated entity as noted below. 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 terms, exclusions and conditions of such coverage are not amended by this
certificate.
EFFECTIVE EXPIRA nON LIMIT OF
TYPE OF COVERAGE DATE DATE LIABILITY
tJ Comprehensive Liability $ 1,000,000
07/01/96 06/30/97 Combined
(Including Owned and Nonowned Auto) Single Limit
EJ Auto Physical Damage ACV
Deductible:
Collision $ 500.00 07/01/96 06/30/97
Comprehensive $ 5,000
B Property $
Per Filed
(Replacement Cost Unless Specified Otherwise) Values
Deductible: 10,000 07/01/96 06/30/97
Property $
Inland Marine $ 10,000
Crime $ 50,000
Earthquake & Flood $10,000,000
Deductible
Earthquake $50,000 min. or 5 % total values
Flood $50,000
D Workers' Compensation Statutory
D Employer's Liability $2,000,000
Certificate Holder Should any of the above described coverage be canceled before the
expiration date thereof, City/County Insurance Services will endeavor to
provide 30 days written notice to the certificate holder named herein, but
failure to provide such notice shall impose no obligation or liability of
any kind upon CIS, its agents, or representatives.
Sigture ii I~A"__ Issue Date
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Subject: