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Home My WebLink AboutInsurance Certificate: Cooperative Personnel Services (;/IY RECORDER ~. ~RD. CERTIFICA TE OF LIABILITY INSURANCE 6;:~)~:~ THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMA TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA TIVEL Y OR NEGA TIVEL Y AMEND, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an AODITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s}. PRODUCER James C. Jenkins Insurance Service, Inc. License # 0545478 PO Box 13847 Sacramento CA 95853 NAME: Pamela Trask PHONE Ale No Ext: ~~DA~~SS: trask@'enkinsins PRODUCER CUSTOMERID#: CPSHU 2 FAX Ale No: rOll . com INSURED Cooperative Personnel Services dba CPS, Human Resource Services 241 Lathrop Way Sacramento CA 95815 INSURER(S) AFFORDING COVERAGE INSURERA:Travelers Casualt & Buret CO INSURER B: Travelers Pro ert Casual t INSURER C : INSURER 0 : INSURER E : INSURER F : NAIC# 25674 COVERAGES CERTIFICATE NUMBER: 192492032 REVISION NUMBER: 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 \NITH 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 CLAIMS. INSR = UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 'WV;'; POLICY NUMBER MMfDDNYYY MM/DDNYYY LIMITS B GENERAL LIABILITY Y 6307704A197 7/1/2010 7/1/2011 EACH OCCURRENCE $1,000,000 - I ~=~~~9E~~;:mce\ x COMMERCIAL GENERAL LIABILITY 5500,000 I CLAIMS-MADE ~ OCCUR MED EXP (Anyone person) S10,000 - PERSONAL & ADV INJURY Sl,OOO,OOO - GENERAL AGGREGATE 52,000,000 --=rL AGG~EnE L1MrT APnS PER PRODUCTS - COMP/OP AGG S2,000,000 POLICY ~f'RT LOC . B AUTOMOBILE LIABILITY 8107704A197 7/1/2010 7/1/2011 COMBINED SINGLE LIMIT $1,000,000 - (Eaaccident) - ANY AUTO BODILY INJURY (per person) . - AlL OW'NED AUTOS BODILY INJURY (Per accident) . X SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) . - X NON-OW'NED AUTOS . - . B UMBRELLA LIAB ~ ~CCUR EX7704A197 7/1/2010 7/1/2011 EACH OCCURRENCE $5,000,000 X EXCESS L1AB CLAIMS-MADE AGGREGATE $5,000,000 - DEDUCTIBLE . X RETENTION $NIL . A WORKERS COMPENSATION UB1l76A220 7/1/2010 7/1/2011 X I T~3H~I,\t-..1 I OJ.';'. AND EMPLOYERS' LIABILITY VI" ANY PROPRIETORlPARTNERlEXECUTlVE EJ "'A E.L. EACH ACCIDENT Sl,OOO,OOO OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS { VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space ill required) RE: Services performed by or on behalf of the named insured. The City of Ashland, Oregon and its elected officials, officers and employees are Additional Insureds per the attached form. 10 days notice of cancellation will apply if cancelled for non-payment of premium. 30 Dav Notice Other Than Non Pa" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED . BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 90 N. Mountain Avenue Attn: Kari Olson AUTHORIZED REPRESENTATIVE Ashland OR 97520 ~~ I CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009/09) @1988-2009ACORDCORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number 6307704A197 '. . COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART . 1. WHO IS AN INSURED - (Section II) is amended to include any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be .limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III - Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or. ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. . CG 02 46 08 05 c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products-completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: @2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 . . . COMME',RCIAL GENERAL LIABILITY ,- i. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offen se. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. - DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 @ 2005 The St Paul Travelers Companies, Inc. CG 02 46 08 05 ~. ACORi! CERTIFICA TE OF LIABILITY INSURANCE 6;:~)~:~ THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMA TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMA TIVEL Y OR NEGA TIVEL Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tenns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER James C. Jenkins Ins Services Inc. License # 0545478 PO Box 13847 Sacramento CA 95853 NAME: Pamela Trask PHONE Ale No En: j~t~~ss: trask@'enkinsins PRODUCER CUSTOMER 10 #: CPSHU - 2 FAX Ale No : rOll . com COVERAGES INSURER 5) AFFORDING COVERAGE INSURERA:Westchester Fire Ins. CO. INSURER B : INSURER C : INSURER 0 : INSURER E : INSURER F : CERTIFICATE NUMBER: 1406035839 NAIC# INSUREO Cooperative Personnel Services dba CPS, Human Resource Services 241 Lathrop Way Sacramento CA 95815 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 CLAIMS. INSR L II':SMW'~l ~~M~~ LIMITS LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE S - ~~~~~YE~~~ncel COMMERCIAL GENERAL LIABILITY S I CLAIMS-MADE D OCCUR MED EXP (Anyone person) S PERSONAL & ADV INJURY S GENERAL AGGREGATE S ~AGGREnE,LlMIT APFlS, PER' PRODUCTS - COMPIOP AGG S POLICY ~~WT LOC s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S - (Ea accident) - ANY AUTO BODILY INJURY (Per person) S - ALL OIJllNED AUTOS BODILY INJURY (Per accident) S - SCHEDULED AUTOS PROPERTY DAMAGE S - HIRED AUTOS (Per accident) NON-OINNED AUTOS S - S UMBRELLA L1AB H OCCUR EACH OCCURRENCE S - EXCESS L1AB CLAIMS-MADE AGGREGATE S - DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION I T~!!T~T.~;, I IOJ~. AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORlPARTNERlEXECUTIVE D N/A E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE - EA EMPLOYE s g~st~r~ir~ O~~PERATlONS below E.L DISEASE - POLICY LIMIT S A Claims Made - Prof Liab G24080249002 7/1/2010 7/1/2011 Per Claim/Agg $10,000,000 Oed - Per Claim $75,000 DESCRIPTION OF OPERATIONS I LOCATIONS' VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is raquired) RE: Services performed by or on behalf of the named insured. 10 days notice of cancellation will apply if cancelled for non-payment of premium. REVISION NUMBER: CERTIFICATE H LDER CAN ELLATION30 Dav Notice Other Than Non-Pav SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED . IN ACCORDANCE WITH THE POLICY PROVISIONS, City of Ashland 90 N. Mountain Avenue Attn: Kari Olson AUTHORIZED REPRESENTATlVE Ashland OR 97520 ~~ I o C ACORD 25 (2009/09) @1988-2009ACORDCORPORATION. All rights reserved. The ACORD name and logo are registered mar1<s of ACORD