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CERTIFICATE OF COVERAGE I ISSUE DATE (MMIDDNY)
06/26/07
PRODUCER 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
HOUSING AUTHORITIES RISK RETENTION POOL POLICIES BELOW.
2500 MAIN STREET, SUITE 120
VANCOUVER, WASHINGTON 98660 COMPANIES AFFORDING COVERAGE
(360) 694-3500
(360) 694-3600 FAX
COMPANY HARRP
COVERED ENTITY Housing Authorities Risk Retention Pool
HOUSING AUTHORITY OF JACKSON COUNTY LETTER A
2251 TABLE ROCK ROAD
MEDFORD, OR 97501 COMPANY
LETTER B
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED ENTITY NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTS WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED
BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LilTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS
LTR DATE (MM/DDNY) DATE (MM/DDNY)
A GENERAL LIABILITY
GENERAL AGGREGATE
--X- COMMERCIAL GENERAL LIABILITY $2,000,000
046-PLEAF 07/01/07 06/30/08 EACH OCCURRENCE
- CLAIMS MADE --X- OCCURRENCE $2,000 000
- OWNERS'S & CONRACTOR'S PROTo FIRE DAMAGE (anyone fire)
$2,000,000
MEDICAL EXPENSES
EXCLUDED
AUTOMOBILE LIABILITY COMBINED
SINGLE LIMIT $
- ALL OWNED AUTOS
BODIL Y INJURY
~ SCHEDULED AUTOS (PER PERSON) $
PROPERTY
- HIRED AUTOS DAMAGE $
- NON-OWNED AUTOS
ANNUAL
AGGREGATE $
A OTHER
Declared Value Loss Limit I
PROPERTY 046-PLEAF 07/01/07 06/30/08 Per Occurrence I Replacement
SPECIAL CAUSES OF LOSS Cost I $1,000 Deductible
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS
AS RESPECTS: COMMUNITY DEVELOPMENT BLOCK GRANT, Per the interest of the CERTIFICATE HOLDER As
shown below:
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE ISSUING COMPANY WILL ENDEAVOR TO MAIL lQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OF LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
See attached list of Certificate Holders AUTHORIZED REPRESENTATIVE
~
~. ,J
~7 WILLIAM E. GREGORY, EXECUTIVE DIRECTOR
I:\Certificates & Endorsements\2007-08\Jackson County\Jack-008.doc