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Home My WebLink AboutCIS Coverage - Brown & BrownCERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Policy includes $150,000 coverage for rented tools and equipment Bullet Rental & Sales Inc 3366 Crater Lake Avenue Medford OR 97504 75097539 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 1 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Use of district property. Central Point School District #6 300 Ash Street Central Point OR 97502 75097540 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 6 &,6±*/$/3DJHRI CIS TRUST GENERAL AND AUTO LIABILITY COVERAGE AGREEMENT 7KLVLVDQDJUHHPHQWEHWZHHQWKH7UXVWDVGHILQHGKHUHLQDQGWKHQDPHGPHPEHULGHQWLILHGLQWKH *HQHUDO $XWR/LDELOLW\&RYHUDJH'HFODUDWLRQVDV³1DPHG0HPEHU´IRU³3XEOLF(QWLW\/LDELOLW\&RYHUDJH´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³$LUSRUW´PHDQVDQ\DUHDRIODQGRUZDWHUWKDWLVLQWHQGHGIRUWKHODQGLQJDQGWDNHRIIRI DLUFUDIWDQGLQFOXGHVLWVEXLOGLQJVDQGUHODWHGIDFLOLWLHVLIDQ\ & %RGLO\,QMXU\PHDQVERGLO\LQMXU\VLFNQHVVRUGLVHDVHVXVWDLQHGE\DSHUVRQLQFOXGLQJ GHDWKUHVXOWLQJIURPDQ\RIWKHVH '³&ODLP´PHDQVDQ\QRWLFHRUGHPDQGWRWKHQDPHGPHPEHUE\RURQEHKDOIRIDSDUW\ VHHNLQJGDPDJHVWKDWUHDVRQDEO\FRPPXQLFDWHVWRWKHQDPHGPHPEHUWKHSDUW\¶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| 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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Orr | 6/29/2023 11:20:21 AM (PST) | Page 6 of 6 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Re: KidVenture Preschool, Central Point Parks and Recreation, 405 South 4th Street, Central Point OR 97502. Douglas Education Service District 1871 NE Stephens Roseburg OR 97470 75097541 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 1 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 For Informational Purposes Only 75097542 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 1 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Re: 2023 Peterbilt 567 Truck #INPCX4EX1PD841715, value $199,398 Government Capital Corporation 345 Miron Drive Southlake TX 76092 75097543 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 6 &,6±*/$/3DJHRI CIS TRUST GENERAL AND AUTO LIABILITY COVERAGE AGREEMENT 7KLVLVDQDJUHHPHQWEHWZHHQWKH7UXVWDVGHILQHGKHUHLQDQGWKHQDPHGPHPEHULGHQWLILHGLQWKH *HQHUDO $XWR/LDELOLW\&RYHUDJH'HFODUDWLRQVDV³1DPHG0HPEHU´IRU³3XEOLF(QWLW\/LDELOLW\&RYHUDJH´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³$LUSRUW´PHDQVDQ\DUHDRIODQGRUZDWHUWKDWLVLQWHQGHGIRUWKHODQGLQJDQGWDNHRIIRI DLUFUDIWDQGLQFOXGHVLWVEXLOGLQJVDQGUHODWHGIDFLOLWLHVLIDQ\ & %RGLO\,QMXU\PHDQVERGLO\LQMXU\VLFNQHVVRUGLVHDVHVXVWDLQHGE\DSHUVRQLQFOXGLQJ GHDWKUHVXOWLQJIURPDQ\RIWKHVH '³&ODLP´PHDQVDQ\QRWLFHRUGHPDQGWRWKHQDPHGPHPEHUE\RURQEHKDOIRIDSDUW\ VHHNLQJGDPDJHVWKDWUHDVRQDEO\FRPPXQLFDWHVWRWKHQDPHGPHPEHUWKHSDUW\¶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| 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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Orr | 6/29/2023 11:20:21 AM (PST) | Page 6 of 6 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 The Fair Board, Jackson County and its Elected Officials, Officers, Employees, Agents and Volunteers are additional insureds as respects use of the county and expo premises. Jackson County Jackson County Expo PO Box 3635 Central Point OR 97502 75097544 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 6 &,6±*/$/3DJHRI CIS TRUST GENERAL AND AUTO LIABILITY COVERAGE AGREEMENT 7KLVLVDQDJUHHPHQWEHWZHHQWKH7UXVWDVGHILQHGKHUHLQDQGWKHQDPHGPHPEHULGHQWLILHGLQWKH *HQHUDO $XWR/LDELOLW\&RYHUDJH'HFODUDWLRQVDV³1DPHG0HPEHU´IRU³3XEOLF(QWLW\/LDELOLW\&RYHUDJH´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³$LUSRUW´PHDQVDQ\DUHDRIODQGRUZDWHUWKDWLVLQWHQGHGIRUWKHODQGLQJDQGWDNHRIIRI DLUFUDIWDQGLQFOXGHVLWVEXLOGLQJVDQGUHODWHGIDFLOLWLHVLIDQ\ & %RGLO\,QMXU\PHDQVERGLO\LQMXU\VLFNQHVVRUGLVHDVHVXVWDLQHGE\DSHUVRQLQFOXGLQJ GHDWKUHVXOWLQJIURPDQ\RIWKHVH '³&ODLP´PHDQVDQ\QRWLFHRUGHPDQGWRWKHQDPHGPHPEHUE\RURQEHKDOIRIDSDUW\ VHHNLQJGDPDJHVWKDWUHDVRQDEO\FRPPXQLFDWHVWRWKHQDPHGPHPEHUWKHSDUW\¶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| 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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Orr | 6/29/2023 11:20:21 AM (PST) | Page 6 of 6 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 2016 Tymco Sweeper Model #600, Serial #201712SNS65391; Truck Serial #3BPPHM7X3GF590983; value $233,535 and 2019 Vactor 2100i PD Vacuum Truck, SN: 19-02V-18127 with 2019 Kenworth Chassis, VIN: 1NKZLJOX7KJ346284; value $431,249.15. Certificate holder is included as an additional insured/loss payee per attached endorsements KS StateBank PO Box 69 1010 Westloop Manhattan KS 665050069 75097545 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 6 &,6±*/$/3DJHRI CIS TRUST GENERAL AND AUTO LIABILITY COVERAGE AGREEMENT 7KLVLVDQDJUHHPHQWEHWZHHQWKH7UXVWDVGHILQHGKHUHLQDQGWKHQDPHGPHPEHULGHQWLILHGLQWKH *HQHUDO $XWR/LDELOLW\&RYHUDJH'HFODUDWLRQVDV³1DPHG0HPEHU´IRU³3XEOLF(QWLW\/LDELOLW\&RYHUDJH´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³$LUSRUW´PHDQVDQ\DUHDRIODQGRUZDWHUWKDWLVLQWHQGHGIRUWKHODQGLQJDQGWDNHRIIRI DLUFUDIWDQGLQFOXGHVLWVEXLOGLQJVDQGUHODWHGIDFLOLWLHVLIDQ\ & %RGLO\,QMXU\PHDQVERGLO\LQMXU\VLFNQHVVRUGLVHDVHVXVWDLQHGE\DSHUVRQLQFOXGLQJ GHDWKUHVXOWLQJIURPDQ\RIWKHVH '³&ODLP´PHDQVDQ\QRWLFHRUGHPDQGWRWKHQDPHGPHPEHUE\RURQEHKDOIRIDSDUW\ VHHNLQJGDPDJHVWKDWUHDVRQDEO\FRPPXQLFDWHVWRWKHQDPHGPHPEHUWKHSDUW\¶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| 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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Orr | 6/29/2023 11:20:21 AM (PST) | Page 6 of 6 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Rogue Waste Systems, LLC and its subsidiaries PO Box 3187 Central Point OR 97502 75097546 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 1 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Value of equipment/vehicles: $486,925.07 Groundsmaster 4000-D Mower plus attachments per attached description. Equipment physical damage deductible: $1,000 (includes theft) 2021 Ford Transit Van #1FTRS4X88MKA89993 w/camera equipment. Comprehensive $100 Ded./Collision $1,000 Ded. Certificate holder is a loss payee and additional insured as respects equipment/vehicles. Santander Bank, N.A. 3 Huntington Quadrangle, #101 N Melville NY 11747 75097547 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 12 &,6±*/$/3DJHRI CIS TRUST GENERAL AND AUTO LIABILITY COVERAGE AGREEMENT 7KLVLVDQDJUHHPHQWEHWZHHQWKH7UXVWDVGHILQHGKHUHLQDQGWKHQDPHGPHPEHULGHQWLILHGLQWKH *HQHUDO $XWR/LDELOLW\&RYHUDJH'HFODUDWLRQVDV³1DPHG0HPEHU´IRU³3XEOLF(QWLW\/LDELOLW\&RYHUDJH´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³$LUSRUW´PHDQVDQ\DUHDRIODQGRUZDWHUWKDWLVLQWHQGHGIRUWKHODQGLQJDQGWDNHRIIRI DLUFUDIWDQGLQFOXGHVLWVEXLOGLQJVDQGUHODWHGIDFLOLWLHVLIDQ\ & %RGLO\,QMXU\PHDQVERGLO\LQMXU\VLFNQHVVRUGLVHDVHVXVWDLQHGE\DSHUVRQLQFOXGLQJ GHDWKUHVXOWLQJIURPDQ\RIWKHVH '³&ODLP´PHDQVDQ\QRWLFHRUGHPDQGWRWKHQDPHGPHPEHUE\RURQEHKDOIRIDSDUW\ VHHNLQJGDPDJHVWKDWUHDVRQDEO\FRPPXQLFDWHVWRWKHQDPHGPHPEHUWKHSDUW\¶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| 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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Orr | 6/29/2023 11:20:21 AM (PST) | Page 6 of 12 (800) s85-8001 www.turtsbr.com @ PLEASE REMIT TO: Western Equipment P.O. Box 748728 Los Angeles, CA 90074-8728 INVOICE PAGE 1 INVOICE DATE 6124t21 INVOICE NO. 8066367 - 00 City of Central Point 140 S 3Rr Street Central Point. 0R 97502 il City of Central Point Publ i c t'Jorks 399 South 5thCentral Point, 0R 97502 PLEASE REFER TO NEW REMIT TO ADDRESS ABOVE SorLOD TYPE QU vwtsE kt SLSREP 265 SHIP VIA SALESMN SHIP DATETERMS Net 30 Days CUSTOMER P.O. NO. Doug Norman SHIP TO 1 CUSTOMER NO. 2345 EXT. AMOUNT 1 Groundsmaster 4000-D T4 Comp'l'iant Djesel 54HP2 BLADE SERVICE PACK, 21.7 5 IN (107.0214)3 Universal Sunshade Red4 4l.lD Man. 0verride Kit GM4000 F17 and Up5 KN 45002 Kubota I.JG972-GL6 Kit Suspension Seat 45007 Annrest Kit, Suspensjon Seat8 Kit Slope Indicator9 Kit, Duals Field Trax10 Kit Canopy 0ption 11 KN Opt. 3 Po'int Hitch 12 Kit Foot Control 450013 MJ MJB40 Contour Mower 14 MY, 14Y720 72" Flail Movrer-Fast Cut 15 Kit, Hydraulic Flip Up MW/MY 16 Ventrac Setup & Delivery 16 Lines Total 30609 108- 1450 30671 3t522 39 .51208 70.4754-99 47.0452 70.4140 70.4067 70.0098 70.4100 70.4107 39 .55160 39.55145 70.8224 VSU each pk7 each each EA EA EA EA each EA EA EA EA each each each 66853.18 153.98 657.66 388.6s 21076.00 484.00 118. B0 372.40 1113 .20 528. 00 1584. 00 74.80 7000 .40 6102 .80 437.24 1200.00 66853.18 153.98 657.66 388.65 21076.00 4&1.00 118.80 3r2.40 7173.20 528.00 1584.00 74.80 7000.40 6102.80 431.20 1200.00 66853.18 153.98 657.66 388.6s 2L076.00 r+&1.00 118.80 3r2.40 1113 .20 528. 00 1584.00 74.80 7000 .40 6102.80 43r.20 1200.00 Sub-Total 108079. 07 Last Paoe 108079.07 UNIT PRICEB/OSHIPPEDUA'ISTOCK NUMBERSTOCK DESCRIPTIONLINE requirements to reduce emissions of air pollutants. http:/ rw.arb.€ gov/msprog/ordiesel/ordiesel.htrn 75 0 9 7 5 4 7 | 2 3 - 2 4 G L / A U / A U P D / U M B / W C | S a n d y L . O r r | 6 / 2 9 / 2 0 2 3 1 1 : 2 0 : 2 1 A M ( P S T ) | P a g e 7 o f 1 2 OREGON MUNICIPAL LEASE-PURCHASE AGREEMENT – Firm Term – Page 7 EXHIBIT A DESCRIPTION OF PROPERTY MUNICIPAL LEASE-PURCHASE AGREEMENT No.9592 (THE "AGREEMENT") BY AND BETWEEN Lessor, Government Capital Corporation and Lessee, City of Central Point Dated as of July 8, 2021 QTY DESCRIPTION Public Works Vehicles and Equipment as follows: Turf Star One (1) Groundsmaster 4000-D T4 Compliant Diesel 54HP - S/N: 12302 - Blade Service Pack, 21.7 5 IN (107-0214) - Universal Sunshade Red - 4WD Man. Override Kit GM4000 F17 and Up One (1) 4500Z Kubota WG972-GL - S/N: 12301 - Kit Suspension Seat 4500 - Armrest Kit, Suspension Seat - Kit Slope Indicator - Kit, Duals Field Trax - Kit Canopy Option - KN Opt. 3 Point Hitch - Kit Foot Control 4500 One (1) MY. MY720 72" Flail Mower-Fast Cut - Kit. Hydraulic Flip Up MW/MY One (1) MJ840 Contour Mower One (1) Ventrac All-Wheel Drive Tractor with 32.5 hp Gas engine. - S/N: 4500Z-AJ13804 - Engine ID # 4LN7037 Peterbilt One (1) Construction Dump-On/Off Highway Model 567 Peterbilt Truck - X15 Engine 525@1900 GOV@1900 1850@1000 - Eaton RTLO18918B 18-Speed Transmission - 11-5/8" Steel Rails to 444" - Meritor MFS14 14,600 lb, 3.5 in. Drop Axles - Front Axles, Pushers, and Two Rear Axles Cues One (1) Ford Transit chassis – gas 2x4 One (1) Chassis back up camera One (1) Evo 3 interior package One (1) Closet and bench storage seat in control room 75097547 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 8 of 12 OREGON MUNICIPAL LEASE-PURCHASE AGREEMENT – Firm Term – Page 8 EXHIBIT A - Continued DESCRIPTION OF PROPERTY MUNICIPAL LEASE-PURCHASE AGREEMENT No.9592 (THE "AGREEMENT") BY AND BETWEEN Lessor, Government Capital Corporation and Lessee, City of Central Point Dated as of July 8, 2021 QTY DESCRIPTION Public Works Vehicles and Equipment as follows: One (1) Workbench in equipment room with multi-outlet power and USB strip One (1) Upper storage cabinet in equipment room One (1) 7kw gas commercial Onan generator One (1) OZ3 camera with built in sonde One (1) Compact steerable Pipe Ranger for 6”-24” lines One (1) Rear view camera One (1) Summit wireless electronics package One (1) 1000’ gold cable on auto payout reel One (1) Wireless controller One (1) Spare wired controller One (1) Gnet hardware package PROPERTY LOCATION: Public Works Lot 339 South Fifth Street Central Point, OR 97502 75097547 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 9 of 12 INVOICE Remit To: CUES, Inc. P.O. Box 639633 Cincinnati, OH 45263-9633 CUES 3600 Rio Vista Avenue Orlando, Florida 32805 (407) 849-0190 E-Fax (407) 641-9222 Bill To: CENTRAL POINT, CITY OF 140 S THIRD STREET CENTRAL POINT, OR 97502 Ship To: CENTRAL POINT, CITY OF 140 SOUTH THIRD ST CENTRAL POINT, OR 97502 TODAYS DATE: January 31, 2022 INVOICE DATE: January 31, 2022 INVOICE#: 604287 SALES ORDER #: 000766268 CUSTOMER PO: 10009108 SALES PERSON: GW TERMS: NET 30 DAYS F.O.B.: DESTINATION WAYBILL NUMBER: CONTACT: STEVE WEBER PHONE NUMBER: 541-423-1023 Order Date Bill To# Terr Tax Tax% Ship To# Stores Ship Via 6/7/2021 97502010 182 N 0.00 97502019 WIP CUES DRIVER ln# so lnn Part# Description Prod Code Order Qty Ship Qtv Baf Due Tax Rate Disct % Price Amount 001 001 SFTOOlOS ID293 CITY OF CENTRAL POINT OR VIN #1FTRS4X88MKA89993 EQ182 1 1 0 0,00 0.00 200,375.00 200,375.00 002 002 HANDLING HANDLING CHARGES IN182 1 1 0 O.OCI 0.00 0.00 0.00 999 999 FREIGHT CHARGES O.QCI 0.00 Payment Options: Fifth Third Bank, Wire ABA #042000314, ACH ABA #042000314 Account Name: Cues, Inc. Account #7028939929, SWIFT: FTBCUS3C Bank Address: Fifth Third Bank 38 Fountain Square Plaza Cincinnati, OH 45263 Please email remittance advice to AccountsReceivable@cuesinc.com Remarks: Page 1 of 1 Invoice: 604287 As agreed to by Buyer, this Invoice and the goods and/or services purchased hereunder are subject to Cues, Inc Terms and Conditions of Sale found at: SubTotal : 200,375-00 Tax Total: 0.00 TOTAL DUE > $200,375.00 https://cuesinc com/pages/cues-terms-and-conditions-of-sale 75097547 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 10 of 12 75 0 9 7 5 4 7 | 2 3 - 2 4 G L / A U / A U P D / U M B / W C | S a n d y L . O r r | 6 / 2 9 / 2 0 2 3 1 1 : 2 0 : 2 1 A M ( P S T ) | P a g e 1 1 o f 1 2 City of Central Point 140 South Third Street, Central Point, OR 97502 Cues Inc. VI-1014296-1 T. Sansavera, Agent 19 19 T. Sansavera, AgentT. Sansavera, Agent VI1014296-1 Santander Bank, N.A. 3 Huntington Quadrangle, #101 N, Melville, NY 11747 75 0 9 7 5 4 7 | 2 3 - 2 4 G L / A U / A U P D / U M B / W C | S a n d y L . O r r | 6 / 2 9 / 2 0 2 3 1 1 : 2 0 : 2 1 A M ( P S T ) | P a g e 1 2 o f 1 2 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 2023 Peterbilt 567 Truck #1NPCX4EX1PD841715 - value $199,398. Certificate holder is a loss payee and additional insured as respects vehicle. Comprehensive $100 Ded./Collision $1,000 Ded. Santander Bank, N.A. 3 Huntington Quadrangle, #101 N Melville NY 11747 75097548 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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Orr | 6/29/2023 11:20:21 AM (PST) | Page 6 of 6 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Re: Leased vehicles. Certificate holder is an additional insured and loss payee Santander Leasing, LLC 3 Huntington Quadrangle, #101 N Melville NY 11747 75097549 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. Orr | 6/29/2023 11:20:21 AM (PST) | Page 1 of 1 CERTIFICATE OF COVERAGE Agent This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the coverage document. This certificate does not amend, extend or alter the coverage afforded by the coverage documents listed herein. Named Member or Participant Companies Affording Coverage COMPANY A - COMPANY B - COMPANY C - COMPANY D - LINES OF COVERAGE This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding 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. Type of Coverage Company Letter Certificate Number Effective Date Termination Date Coverage Limit General Liability Commercial General Liability Public Officials Liability Employment Practices Occurrence General Aggregate: Each Occurrence: Auto Liability Scheduled Autos Hired Autos Non-Owned Autos General Aggregate: Each Occurrence: Auto Physical Damage Scheduled Autos Hired Autos Non-Owned Autos Property Boiler and Machinery Excess Liability Excess Crime Excess Earthquake Excess Flood Certificate Holder: CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, CIS will provide 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its agents or representatives, or the issuer of this certificate. By: Date: Cyber Security Claims-Made/Aggregate: Description: Brown & Brown 3256 Hillcrest Park Drive Medford, OR 97504 www.bbrown.com CIS National Union Fire Ins Co of Pitts RSUI Indemnity Federal Insurance Company 20281 $30,000,000 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A None 3 A 23LCPT 7/1/2023 7/1/2024 $10,000,000 3 A 3 A 3 A 23APDCPT 7/1/2023 7/1/2024 Comprehensive $100 deductible 3 C Collision $500 deductible 3 A 3 C 23PCPT 7/1/2023 7/1/2024 Per filed values A 3 D 23BCPT 7/1/2023 7/1/2024 Per filed values 3 B 23ECCPT 7/1/2023 7/1/2024 Per Loss:$500,000 3 23CYBCPT 7/1/2024 Sandy L. Orr 6/29/2023 A 7/1/2023 50,000 City of Central Point 130 S 3rd Street Central Point OR 97502 Re: Coronavirus State Fiscal Recovery Fund Grant. The State of Oregon, its officers, employees and agents are additional participants, including liability arising out of ongoing operations and completed operations, but only with respect to activities to be performed under this contract. Primary and non-contributory, and waiver of subrogation applies. Limited Pollution Clean Up coverage included at $25,000 limit. State of Oregon Department of Administrative Services Chief Financial Office 155 Cottage Street NE Salem OR 97301 75097550 | 23-24 GL/AU/AUPD/UMB/WC | Sandy L. 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