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Home My WebLink AboutInsurance Certificate: Housing Authority CERTIFICA TE OF COVERAGE I ISSUE DA IE (M/l.VDDfYY) 06/01/09 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. 711 I NE 179TH STREET VANCOUVER, WASHINGTON 98686 COMPANIES AFFORDING COVERAGE (360) 574-9035 (360) 574-940 I 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 TIIE POLICIES LISTED BELOW itA VE BEEN ISSUED TO THE COVERED ENTiTY NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NQ1WITHST ANDING ANY REQUlRE.\.1ENT, TERM OR CONDITION OF ANY CONTRACT OR QTIlliR DOCUMENTS WITH RESPECT TO V,'HICH TH[5 CERTIFICA IE 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 SflOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLiCY EFFECTIVE POLICY EXPIRA nON ALL LIMITS LTR DATE (MMlDDfYY) DATE (MMfDDfYY) A GENERAL LIABILITY GE~ERAL AGGREGATE 52000000 ~ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 52000000 CLAIMS MADE ..L OCCURRENCE 046-PLEAF 06/30109 07/01/10 FIRE DAMAGE (anyone fire) 52,000,000 - - OWNERS'S & CONRACTOR'S PROTo i\1EDlCAL EXPENSES EXCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S - ALL OWNED AUTOS BODILY INJURY --X- SCHEDULED AUTOS (PER PERSON) S PROPERTY - HIRED AUTOS DAMAGE S - NON-OWNED AUTOS ANNUAL AGGREGATE S A OTHER Declared Value Loss Limit I PROPERTY 046-PLEAF 06/30109 07/01110 Per Occurrence I Replacement SPECIAL CAUSES OF LOSS Cost I $1,000 Deductible DESCRIPTION OF OPERA TIONSILOCA TIONS/VEHICLESIRESTRICTIONS/SPECIAL ITEMS AS RESPECTS: COMMUNITY DEVELOPMENT BLOCK GRANT, Per the interest of the CERTIFICATE HOLDER As shown below: CERTIFICATE HOLDER CANCELLA nON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Tfill EXPIRATION DA IE T1IEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL lQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BlIT FAILURE TO J\.fAIL 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 ~ ~p< 7 w,,'~, ,,,,@,,, "oc=~ D"ocm, f/L, 1; Z:\Certificates & Endorsements\2009-1 OVackson CountyVack-008.doc COVERED ENTITY: HOUSING AUTHORITY OF JACKSON COUNTY MEMBER NO.: 046-PLEAF COVERAGE PERIOD: 06/30/09 - 07/01110 AS RESPECTS: COMMUNITY DEVELOPMENT BLOCK GRANT CERTIFICATE HOLDERS: CITY OF ASHLAND Its Officers, Employees & Agents ATTN: BOB NELSON 20 E. MAIN STREET ASHLAND, OR 97520 JOSEPHINE COUNTY HOME REPAIR PROGRAM A TTN: MARK SORENSEN, CDBG PROJECT MANGER 500 N.W. SIXTH STREET GRANTS PASS, OR 97526 GOLD HILL REHABILITATION ATTN: CITY RECORDERffREASURER P. O. BOX 308 GOLD HILL, OR 97525 MEDFORD EMERGENCY REPAIR A TTN: HUD GRANT ADMINISTRATOR 200 S. IVY STREET MEDFORD, OR 97501 HARRP Housing Authorities Risk Retention Pool Z:\Certiticates & Endorsements\2009-10\Jackson County\Jack-008.doc