HomeMy WebLinkAboutInsurance Certificate: Jackson Co School Dist 5
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A CORaM CERTIFICA TE OF LIABILITY INSURANCE I D'/E IMjIDD/YYYY)
7 22 2008
PRODUCER (541)772-1111 FAX: (541)772-3785 THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION
Beecher Carlson Insurance Agency LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
707 Murphy Rd AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Special Districts Assoc
Jackson County School District No 5 INSURER B:
885 Siskiyou Blvd INSURER C:
INSURER D
Ashland OR 97520 INSURER E:
COV
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 REDUCED BY PAID CLAIMS.
Ir~: ~~'?;~ POLICY EFFECTIVE Pg~!f.!I~~~~N LIMITS
TYPE OF INSURANCE POLICY NUMBER DATE IMMfDDNY)
GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000
- DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY PREMISES lEa occurrence) $
A I CLAIMS MADE ~ OCCUR 23P6005692 7/1/2008 7/1/2009 MED EXP (Anv one person) $
PERSONAL & ADV INJURY $
-
- GENERAL AGGREGATE $ 20,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/O? AGe; $
-xl n PRO- n
X POLICY .II':CT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I-- lEa accident) $
ANY AUTO
I--
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY iNJURY $
(Per accident)
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG 1$
EXCESS/UMBRELLA LIABILITY FACH OCCLJRRENCF $
o OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~4'I{}JNs I I Om-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~X~~.I~~scrlbe under : below E.L DISEASE - POLICY LIMIT 1$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
The City of Aah1and, Oregon, its officer8 and emp1oyee8 i8 an add:i.tiona1 in8ured a8 re8pect8 Genera1 Liebi1ity when
required by written agreement. Thi8 form is subject to po1icy terms, conditions and exc1usions.
CERTIFICATE HOLDER
CANCELLA TION
(541)488-5311 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
20 East Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Ashland, OR 97520 -
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~rX.~
Sandy Orr/SANDOR I
ACORD 25 (2001/08)
INS025 (0108).08a
@ACORD CORPORATION 1988
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