HomeMy WebLinkAboutJackson Co. Child Abuse
ACOBDm
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER (541) 772-1111 FAX: (541) 772-3785
Security Insurance Agency
707 Murphy Rd
DATE (MMIDDIYYYY)
11/14/2006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford
INSURED
OR 97504
Medford
OR 97501
INSURERS AFFORDING COVERAGE
INSURER A Philadel hia Indemni t
INSURER B
INSURER C
INSURER D
INSURER E
NAIC#
Jackson County Child Abuse
816 W 10th Street
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
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUC:ED BY PAID C:LAIMS.
INSR ADD'L Pg;+~~~~i6g~~ Pg~l~llij~~~N LIMITS
TYPE OF INSURANCE POLICY NUMBER
~NERAL LIABILITY EACH nr.CURRENCE $ 1,000,000
X COMMERCIAL GENERAL LiABiLITY ~~~~~~J9E~~~J~'~nce' $ 100,000
A I CLAIMS MADE D OCCUR PHPK192999 11/1/2006 11/1/2007 MED EXP (Anv one person I $ 5,000
- PERSONAL & ADV INJ RY $ 1,000,000
- GENERAL AGGREGATE $ 3,000,000
-;zl'L AGGREnE LIMIT AAES PER PRODUCTS - COMP/OP AGG $ 3,000,000
X POLICY ~r?T LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
-
~ PROPERTY DAMAGE $
(Per accident)
~rAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAAr.r. $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION ~ $
WORKERS COMPENSATION AND ! T"X~'P ~I,~" ! TO~b1-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $
A OTHER Professional Liab PHPK192999 11/1/2006 11/1/2007 Each Incident $1,000,000
Aggregate Limit $3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate holder is an additional insured per form CG2026.
CERTIFICA TE HOLDER
CANCELLA TION
City of Ashland, its officers
Attn: Jill Turner
City Hall
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER,ITS AGENTS OR REPRESENTATIVES.
I AUTHORIZED REPRESENTATIVE _ J\ '" ....;/. . ~. /\
ISandy Orr/SANDOR ~/~~ ~
ACORD 25 (2001/08)
INS025 (0108) 08 AMS
@ ACORD CORPORATION 1988
(~I ™ Wolters Kluwer Financial Services
Page 1 of 2