HomeMy WebLinkAboutInsurance Certificate: Cooperative Personnel Services CPS
-
AcokO,. CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDDIYYYY)
7/21/2009
PRODUCER Phone: 800-234-6363 Fax; 916-925-3595 THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION
James C. Jenkins Ins Services Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License # 0545478 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 13847
Sacramento CA 95853 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A:. Westchester Fire Ins. Co.
Cooperative Personnel Services INSURER B:
dba CPS, Human Resource Services
241 Lathrop Way INSURER c:
Sacramento CA 95815 INSURER 0:
INSURER E:
CITY RECORDER
COVERAGES
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
INSR ~~~; ~.<, POLlCY EFFECTIVE Pg;.!g.~EXPIRATION
LTR POLlCY NUMBER LlMITS
~NERAL LIABILITY EACH OCCURRENCE ,
COMMERCIAL GENERAL LIABILITY I ~~~C~~~?E~~~~nce ,
I CLAIMS MADE D OCCUR MED EXP (Anyone person) ,
"- PERSONAl & ADV INJURY ,
"- GENERAL AGGREGATE ,
n'LAGG~EnE LIMIT APnS IPER: PRODUCTS -COMPIOP AGG ,
POLICY ~~,Q;: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT I,
ANY AUTO (Eaaccident)
"-
"- AlL OWNED AUTOS BODILY INJURY
,
SCHEDULED AUTOS (Per person)
"-
e- HIRED AUTOS BODILY INJURY
,
e- NON-QWNED AUTOS (Peraccidenl)
e- - PROPERTY DAMAGE ,
(Peraccidenl)
RRAGE LIABILITY AUTO ONLY - EAACCIDENT ,
ANY AUTO OTHER THAN EAACC ,
AUTO ONLY: AGG ,
OESSlUMBRELLA LIABILITY . EACH OCCURRENCE ,
OCCUR 0 CLAIMS MADE AGGREGATE ,
,
R DEDUCTIBLE ,
RETENTION , ,
WORKERS COMPENSATION AND I T"Xg~TfJI~~ I IOJtt
EMPLOYERS' LIABILITY
E.L EACH ACCIDENT ,
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L DISEASE. EA EMPLOYEE ,
~~~~I~~W~~'~I~NS below EL DISEASE - POLICY LIMIT ,
A OTHER G24080249001 7/1/2009 7/1/2010 Per ClaimjAgg $10,000,000
Claims Made - Prof Liab Ined - Per Claim $75,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
~E: Services performed by or on behalf of the named insured. 10 days notice of cancellation will apply if cancelled for
~on-payment of premium.
CERTIFICATE HOLDER
City of Ashland
90 N. Mountain Avenue
Attn: Kari Olson
Ashland OR 97520
CANCELLATiON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY
WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ACORD 25 (2001/08)