HomeMy WebLinkAboutInsurance Certificate: RVCOG
~
ACORd~ CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlOOIYVYY)
~ 12/16/2010
PRODUCER (541) 687 1117 FAX: (541)342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ward Insurance Agency ONLY AND CONFERS NO RIG HTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
,
E.,,:~e~e OR 97440 INSURERS AFFORDING COVERAGE NAIC#
,- - .. - .. - , .. n -- -- - - .-- -, __.h__n____ -."- - -----" -.-- --- u_ - - ._-~ -~- .- .- .~
INSURED INSURER A Special Districts Assn. of
Council _. ___.___ ____~n____________ "'---'---
Rogue Valley of Governments INSURER B ..
-- ----- -.__._______._._n__~____._.._ ____ .. ._-~--_. ----
PO Box 3275 . INSURE~ ~ _
----------______.__ ____u___ .----. - ..
" INSURER 0:
- -.- -----. -_.~--_._._._~-_.- .- n. _____u_
Central Point OR 97502-0011 INSURER E-
COVERAGES
THE POLICIES OF INSURJ\NCE 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 Vv1TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAlO CLAIMS.
IN~:~~~~~- --- TYPE O-~~N~U~NCE ~ ------ - -- ~~~IC~ ~M;~R-~ - ----. '~:~TLlt~~r6g~~~~, r~~W:7M~~:;b~~!S'y~ --- .-- ~ ~-- ~;Mt;;-- - -~ - - n. ~-
A GENERAL LIABILITY 26P44372-397 1/1/2011 1/1/2012 EACH OCCURRENCE _ 1$ 500,000
--- ~ DAMAGE TO RENTED _. -;~.- -- - - - ----
. ~_ COMMERCIAL GENE~~ LIABILITY ~PBEMISES.(Ea~~currenc~) _ :.!_ _.__ _. _ _ ___
__._ CLAIMS MADE X OCCUR : _,M...i9..E.!P(A~y~rl_(!J?~rson)_ '$ _._ .._
! ~~~~_L_~_~D~~1;l.:'..l!RY~_. $
A
GEN'L AGGREGATE LIMIT APPLIES PER
-- POLICY - j~-i LOC
AUTOMOBILE LIABILITY
X ANY AUTO
: 9E~ERA~~~~EG~T5-_ s
! PRODUCTS - COMP/OP AGG $
- -~- ------ . - - .-- -
NQNE
26P44372-397
1/1/2011
,
1/1/2012
I
, COMBINED SINGLE LIMIT $ 500,000
I (Eaaccident)
ALL DINNED AUTOS
SCHEDULED AUTOS
-
X HIRED AUTOS
X NON-DINNED AUTOS
BODILY INJURY
(Per person)
$
I BOOlL Y INJURY
(Per aCCident)
'$
: PROPERTY DAMAGE
: (Per-accident)
GARAGE LIABILITY
ANY AUTO
; ~UTO_ ON_L '!. ~~A_ ~.CC..!9~N} _ $
EA ACC S
, OTHER THAN
, AUTO ONLY:
A
_~~~ESS f UMBREL~ L~ABILlTY
X OCCUR CLAIMS MADE
26P44372-397
1/1/2011
,1/1/2012
AGG $
! EACH OCCURRENCE _$__~ ,-q,QO.,~OQO
~~GGR_~G~:~~-=--~~~--=-~.~-.: .~, __ .__ ___ .~.O~
i PUBLIC OFFICIAL ..~__ _.5.I.OJ)~O, 0_0.0
j-- --~--- -- '- -
:_EPL_~C~E __ .. $_ _ __5,1 QP.O, \)00
I EPL AGGREGATE: S 5 000 000
; 'I we STATU. OTH-
:~_~_TORY_L1MITS~._ER. ____________
!.5g~~~ A~:!Q.~___:j______ ____
[ E~~~~ASE . EA~_~OYEE..J_____.~~ _.__
, E.L, DISEASE - POLICY LIMIT I $
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N r
ANY PROPRIETORfPARTNERfEXECUTlVE 0
' OFFICERIMEM8ER EXCLUDED?
(Mandatory in NHJ'
'I!yes.descnbeunder I
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES AND AGENTS ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECTS TO WORK PERFORMED
BY THE ROGUE VALLEY COG, SUBJECT TO TERMS & CONDITIONS.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR;'O MAIL ~ DAYS WRITIEN
CITY OF ASHLAND NOTlCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
KATHY GRIFFIN IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
CITY HALL REPRESENTATlVES.
ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE
~~ ~~
Paul Jensen/OANAK -> ~ ~ -
-
ACORD 25 (2009/01)
INS02S (200901)01
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