HomeMy WebLinkAboutInsurance Certificate: RVCOG
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYVY)
TM 12/29/2008
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
Marcy Baker INSURERS AFFORDING COVERAGE NAIC#
INSURED Rogue Valley Council 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 REOUIREMENT, 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.
IINi'~ ~~lf:~ TYPE OF INSURANCE POLICY NUMBER P~l-+~Y EFFECTIVE ~~!Fl EXPIRATION LIMITS
GENERAL LIABILITY 22P44372-580 01/01/2009 01/01/2010 EACH OCCURRENCE $ 500,000
-
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
- =:J CLAIMS MADE 00 OCCUR
MED EXP (Anyone person) $
-
A PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $ None
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY 22P44372-580 01/01/2009 01/01/2010 COMBINED SINGLE LIMIT
~ (Ea accident) $
X ANY AUTO 500,000
~
ALL OWNED AUTOS BODILY INJURY
~ (Per person) $
SCHEDULED AUTOS
A I--
X HIRED AUTOS BODILY INJURY
f---- (Per accident) $
X NON-DWNED AUTOS
f--.
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
-I EXCESS/UMBRELLA LIABILITY 22P44372-580 01/01/2009 01/01/2010 EACH OCCURRENCE $ 5,000,000
o OCCUR D CLAIMS MADE AGGREGATE $ None
A Public Official $ 5,000,000
R DEDUCTIBLE EPL Occurrence $ 5,000,000
RETENTION $ EPL Aggregate $ 5,000,000
WORKERS COMPENSATION AND IlX~~T~JI~!:: I IOJ~-
EMPLOYERS' LIABILITY $
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
-
DE31.,"{IPTI0N OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
~itj of Ashland, its officers, employees & agents as add'l insds respects work performed by Rogue
Jal iey COG subject to terms & conditions.
CERTIFICATE HOLDER
City of Ashland
Kathy Griffin
City Hall
Ashland, OR 97520
TI N
SHOULD AHY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF N4Y KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE ~
Paul Jensen/KAYLA
ACORD 25 (2001/08)
@ACORD CORPORATION 1988