HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Council of Governments
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ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY)
I.......---- 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 RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
p 0 Box 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
!
~~g~ne __~__ OR 97440 ! INSURERS AFFORDING COVERAGE NAIC #
---. ----- ------ --i'INSUR~;;- Special Dis-tri-ctsA;~;;'~--of ~--_.._._-_.- -
INSURED
Council of i-I~~~ER-;----_._--' --~ -----. -;.c--- ---------- -
Rogue Valley Governments
j------------..----- --~ - ------.---.-----.-- .-..--...-
PO Box 3275 :_I~sul3~~ _c..:.. _ __ __ _ .____ _.._:_._~..L__ __._~ __.__._ . ____.
.. ---
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Pain-eo, ---++- n. .--- ----------- ---- -.------- ----
Centra-l OR 97502-0011 INSURER E-
COVERAGES
THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NQTWITHSTAN DING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VII'ITH RESPECT TO \^/HICH 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 SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS~'~,~~~c-----_.--- -. -- -.. -..-. ~---- ---~ POCI;~~' EfFECiiv~l-b~i~C~: EXPIRA ~t?vf-----~' .------ ~- --. -.- -- -
LTR N D 7voo nFlNSURANeE POLlCY NUMBER DATE MMIODfYYYY AT MMIODfYY Y . LIMITS
A GENERAL LIABILITY 26P44372-397 i 1/1/2011 1/1/2012 I EACH OCCURRENCE $ ~()(),QQO
X_:..f.2...MMERCIAL GENERAl~IAHILlTY i-GAMAGE-TO RENTED -.----- -
LEREMJSES_.(E_a.oo;:~~r(ence) m.. _ $ -----.-. -. --- ._---
.K.1 OCCUR; ,
---- CLAIMS MADE I :_~E.Q EXP !~~Y_?!1!'. pers~_~ _.~. _.__ - n' _ -
I
.-- ------- .----- ___.._i !~~~SON~~'p.~~~ --.!-_-------- -----
, !_~NERAL AG~_REGA~___.!__ _ ___ 'i9NE
, --
'--'- --.- ------- -- ,
. 9~'l AGGRE~~~E LIMIT APP..!:I~S PER: I 1.!~qDu~I~g_~PfO~~q,9 ,
I -------.---- -
POLICY P'~2; . laC ,
A AUTOMOBILE LIABILITY 26p44372-397 , 1/1/2011 1/1/2012 I
i COMBINED SINGLE LIMIT
U) ..\' .~ r1 m .' 500,000
: ~ ANY AUTO , , ~~CCid~_.______.__ _
, ----.-..-
, ALL OVVNED AUTOS ~
- .. , I BODILY INJURY
.' I I S
- SCHEDULED AUTOS 'p\'. I ! (per~~2-_~_____.__
- - - .- ------ ,
',)...;. X ~ HIRED AUTOS ~.. ......i I DEe 2 9 2010 !
,j II: ! BOOlL YINJURY ,
X NON-OWNED AUTOS I (Per aCCident)
.. IL i.----~--~.-- .--- -~._---
" I
. , I I PROPERTY DAMAGE
- --.- - - -- -- - -~- "
, I (Peracadent) '.'
--- J ,
GARAGE LIABILITY I ! AUTO ONLY. EA ACCIDENT ,
-- j' .--- ------ -..
ANY AUTO ! I OTHER THAN EA ACC $
- I -"--"_. -- ._~._.__.
i I AUTO ONLY: AGG ,
A EXCESS I UMBRELLA LIABILITY 26P44372-397 ~ 1/1/2011 1/1/2012 L~~CH OCC_~B~~~_~___:.!._--.-.? ,~O...9., OQO
~- - I ! ~GGREGA~_._~~ ____."~.____ .____._~ONE
X OCCUR CLAIMS MADE
-
I l~UBLIC_O~~.~!..~~_~_..!.-._ __~,_9_Q9 ,..Q.o..9
---
DEDUCTIBLE I ~~_OCC~~~___~_~___~,jJ_99"..Qq.9.
~._-
. RETENTION , , EPL AGGREGATE , 5 000 000
WORKERS COMPENSATION ._i}d~{[fJNsU~J~~.~_"_~. .
' AND EMPLOYERS' LIABILITY Y I N I u__
I ANY PROPRIETOR/PARTNER/EXECUTiVE D I _5:.~ EACH ACCIDENT , -
OFFICERIMEMBER EXCLUDED? I '-'-'--,-. -
: (Mandatory in NHI i I L.E_L,Q!.~~_~~~~MPLOYE~~___~~_
If yes, describe under I i E.l. DISEASE. POLICY LIMIT! $
SPECIAL PROVISIONS below I
OTHER i I I
I I I
I i
I ;
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICL.ES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE, USING PROPERTY FOR MEAL SITE,
ALL OPERATIONS OF THE NAMED INSURED UNDER WRITTEN CONTRACT AGREEMENT.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil ~ DAYS WRITTEN
CITY OF ASHLAND NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 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/DANAI< >-
ACORD 25 (2009/01)
INS02S (200901),01
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