HomeMy WebLinkAboutInsurance Certificate: Ashland School District 5
liL-AL Certltlcate :Summary CertlTICate
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GENERAL UABIUTY and AUTO UABIUTY SUMMARY CERTIFICATE
AGENCY I AGENT - ISSUING CERTIFICATE Date: 6/1712011 fdnl..8
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER
Beecher Carlson Insurance Agency-Medford OTHER THAN THOSE PROVIDED IN THE COVERAGE DOCUMENTS.
707 Murphy Road THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Medford. OR 97504 COVERAGE AFFORDED BY THE COVERAGE DOCUMENTS USTED
Sandy Qrr HEREIN. THIS CERTIFICATE DOES NOT CONSTITUE A CONTRACT
(541) 772-1111 BETWEEN ANY OF THE FOLLOWING PARTIES: THE AGENCY,
NAMED PARTICIPANT, CERTIFICATE HOLDER AND/OR COMPANIES
AFFORDING COVERAGE.
NAMED PARTICIPANT/MEMBER - REQUESTING CERTIFICATE ORGANIZATIONS AFFORDING COVERAGE
Ashland School District #5 Company A . Property Casualty Coverage for Education (PACE)
88S Siskiyou Boule~ard
Ashland, OR 97520-2197 Company B . Genesis Insurance Company
Anita Charters
(541) 482-2811
COVERAGES
This Is to certify that Coverage Documents listed herein have been Issued to the Named Participant herein for the Coverage Period indicated. Notwithstanding any
requirement, term or condition of any contract or' other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the
Coverage Documents listed herein Is subject to all the terms, conditions and exclusions of such Coverage Documents. Aggregate limits which are shown may have
been reduced by paid Claims, Suits or Actions. The titles referenced under Type of Coverage are Inserted solely for convenience of reference and shall not be deemed
In any way to limit or affect the provisions to which they relate.
OR/CO Type of Coverage Coverage Effective Date Expiration Date Limits
LTR Document
Gene~al Liability General Aggregate $20,000,000
X Commen;lal General Uabllity
X PubUcOfflclalsLlabillty 26P600S6-106 7/1/2011
X Employment Practices Uablllty
A 7/1/2012
B X OccurenceForm Each Occurrence $10,000,000
Employment Practices Deductible/SIR: $50,000
Wrongful Acts Deductible/SIR: $10,000
General liability Deductible/SIR: $50,000
"'$5,000 Minimum deductible for terminations If PACE or approved legal counsel is not
consulted prior to an employment termination. .
Automobile Liability General Aggregate $20,000,000
X SCheduled Auto$
A X Hired Autos &. Non-Owned Autos 26P60056-106 7/1/2011 7/1/2012
B Each Occurrence $10,000,000
X Occurrence Forrn
X Deductible/SIR: $50,000
Remarks: When required by an Insured Contract certificate holder is an additional partldpant In
respects to Use of their facUitles, but only with respects to negligence claims for Bodily Injury,
Property Damage or Personal Injury where the Named Partidpant Is deemed to have liability. In no
Certificate Type: event shall coverage extend to any party for any Claim, Suit or Action, however or whenever
"Additional Participant" Certificate asserted, arising out of the certificate holder's sole negligence or for any Claim, Suit or Action which
occu~ prior to the execution of the contract or agreement.
"'Information is provided as of the date this certificate was generated and Issued and Is subject to
change.
CANCELLATION; Should any of the Coverage Documents herein be cancelled before the
expiration date thereof, PACE will endeavor to provide notice in accordance with the PACE
Certificate Holder - Requesting Certificate General Uability Coverage Document provisIons. Failure to mail such notice shall Impose
City of Ashland, its officers & employees no obligation or liability of any kind upon PACE, its agents or representatives, or the issuer
20 East Main Street of this certificate.
Ashland, OR 97520 Authorized Representative of Named nrticlpant:
Date: . ~~(jJ)dtJ I. ^ J {jJ-11-dOll
V
o [E@IEDV~ n
JUN 2 1 2011 U
6/17/2011