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Home My WebLink AboutInsurance Certificate: RVCOG ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYVVY) 'M 12/0412007 PRODUCER (541) 687 -1117 FAX (541)342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ward Insurance Agency. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR POBox 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eugene, OR 97440 INSURERS AFFORDING COVERAGE NAIC# INSURED Rogue Va I ley Counci I of Governments INSURER A Special Districts Assoc of OR PO Box 3275 INSURER B Central Point, OR 97502-0011 INSURER C INSURER D. INSURER E COVERAGES 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 SHOWIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: ~~~! TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 22P44372-580 01/0112008 01/01/2009 EACH OCCURRENCE 5 500 . OOC - X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 5 - :=J CLAIMS MADE 0 OCCUR enc.al- MED EXP (Anyone person) 5 t-- A PERSONAL & ADV INJURY 5 t-- GENERAL AGGREGATE 5 NOnE t-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COM PlOP AGG 5 II nPRO. n POLICY JECT LOC AUTOMOBILE LIABILITY 22P44372-580 01/0112008 01/0112009 COMBINED SINGLE LIMIT t-- (Ea acCIdent) 5 500.00C X ANY AUTO t-- ALL OWNED AUTOS BODILY INJURY f-- (Per person) 5 SCHEDULED AUTOS A f-- X HIRED AUTOS BODILY INJURY f-- (Per accident) 5 X NON-QWNED AUTOS f-- f-- PROPERTY DAMAGE 5 (Per aCCIdent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5 R ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY AGG 5 EXCESS/UMBRELLA LIABILITY 22P44372-580 01/0112008 01/01/2009 EACH OCCURRENCE 5 5. 000. OOC m OCCUR D CLAIMS MADE AGGREGATE 5 NOnE A Pub I i c Off i cia I 5 5. 000. OOC R DEDUCTIBLE EPL Occurrence 5 5,000,000 RETENTION 5 EPL Aggregate 5 5. 000. OOC WORKERS COMPENSATION AND I T~~1 ~~~-;, I IO.;r~- EMPLOYERS' LIABILITY E L EACH ACCIDENT 5 ANY PROPRIETORlPARTNERlEXECUTlVE OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE 5 If yes, describe under f----"------------- _._---~_._--_... SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT 5 OTllER 22P44372-580 01/0112008 01/01/2009 Property J~ESCRIPTlON OF OPERA TlONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS sing property for meal site. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Ashland ~ DA YS WRITTEN NOTICE TO THE CERTlFICA TE HOLDER NAMED TO TllE LEFT Kathy Griffin BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY City Hall OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Ashland, OR 97520 AUTllORIZED REPRESENTATIVE ~.o;; I .- " , Paul Jensen/MARCY -~'~. ....-"'....... ACORD 25 (2001/08) @ACORD CORPORATION 1988 '~~'='_~~r,____~_,____,___~__.._,_~_,~,,,,~~ '~~~1 CERTIFICATE OF COVERAGE Certificate #: 393 ! Spedal Districts Association orOregoD AGENT Eugene, OR 97440 THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENT THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS LISTED HEREIN, Ward Insurance COMPANIES AFFORDING COVERAGE NAMED PARTICIPANT I i I , COMPANY A - Special Districts Association of Oregon (SDAO) Rogue Valley Council of Governments P.O. Box 3275 155 North First Street Central Point, OR 97502 I COVERAGES COMPANY B i I .--, ~--------'- --- ---.-.". --------..-. - - -- -----.------- _._..~ This is to certify that coverage documents listed herein have been issued to the Named Participant herein for the Coverage period indicated Nothwithstanding any , I 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 ' i documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents. I coT --Type of Covera-g~" -Certificate it- 1"Effective Date i E~pir';tion [)~te ! I L T +-- i __.. ~___..L._ _____u i-~-I Genl eralliability 23P44372-580 I,m 1/1/2008 1/1/2009' Gener~1 ~?gr~gale I I Each Occurrence I X_ J Commercial General Liability I I --.. I I I , i I X ! Public Officials Liability i I r~ Employment Practices ! I r.~ j Occurrence i I A-[..omObue Liability T 23P44372-580 1-,I11200a I r~ Scheduled Autos I I ! I X i Hired Autos , i--" ! X I Non-Owned Autos r----- 1 --t------- - .---- -----~ A ; Auto Physical Damage ! r X i Scheduled Autos I--j ! I' Hired Autos L. l--l Non-Owned Autos A l Exce~~ liability lXi Commercial General Liability I~l Public Officials Liability ~J Employment Practices I X i Occurrence 1 , - -r -- .....L- -- .----- --- - .~----- ---- A : Property I I r---' : COMPANY C r--.-------------- : COMPANY D i limits None $500,000 1/1/2009 General Aggregate t , None Each Occurrence I $500,000 I r---- I , I t-.-- 23P44372-580 1/1/2008 1/1/2009 23P44372-580 1/1/2008 1/1/2009 General Aggregate None . -.---------- - Each Occurrence $5,000,000 , . 1 t--- ---- --- -I EPL Each Occurrence $5,000,000 EPL Aggregate $5,000,000 "--..- 1/1/2009 -1- 23P44372-580 I i -- 1/1/2008 I DESCRIPTION City of Ashland, its officers, employees & agents as add'l insds respects work performed by Rogue Valley COG subject to terms & I conditions CERTIFICATE HOLDER City of Ashland - Kathy Griffin City Hall Ashland, OR 97520 CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, SDAO will endeavor to mail written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon SDAO, Its agents or representatives, or the issuer of this certificate. By: p;;;:t ~ Date: 11/20/2007