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A4•411'11 '"""""'""''CEFMEKATEAP I A <br /> NStiRANCEKtmosmvfiamngNo:oo ISSUE DATE (MWDOM) <br /> a wwz:*:v w- .A* , ii umn4 <br /> .,, THIS CERTIFICATE IS ISSUED AS A MATT w :;1:;1 3 :FOI:ImucnoN ONLY AND <br /> CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, 1DC1END OR ALTER THE COVERAGE AFFORDED BY THE <br /> WARD INSURANCE AGENCY, INC. POLICIES BELOW. <br /> 79 CENTENNIAL LOOP <br /> P 0 BOX 10167 COMPANIES AFFORDING COVERAGE <br /> EUGENE, OR 97440 <br /> (503)/687-1117 COMPANY A RELIANCE INSURANCE CO - EUGENE, OR <br /> ROBERT A. HARVEY LETTER <br /> COMPANY B <br /> INSURED LETER <br /> COMPANY n <br /> ETTER <br /> CASCADES RAPTOR CARE CENTER L <br /> P 0 BOX 5386 COMPANY n <br /> EUGENE, OR 07405 LETTER <br /> COMPANY c <br /> LETTER <br /> 4 <br /> °*"44* 01.. <br /> 111:114:*;26".2441?"t14611° .t*..*WW1**.M* • . :K44":.. - NAM• ABOVE FOR THE POUCY PERIOD <br /> ' <br /> agRTIFY THAT THE P•LICIES ■F INSURANCE USTED BELOW HAVE KEN IS 13it 113 ED <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PO D IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDMONS OF SUCH POUCIES. UNITS SHOWN MAY HAVE BEEN RE <br /> CO POUCY EFFECTIVE POUCY EXPIRATION <br /> LTR TYPE OF INSURANCE POUCY NUMBER DATE (MWOOPIN) DATE (MM/CONY) UMITS <br /> A <br /> GENERAL U OB 1671812 01 12/03/94 12/03/95 <br /> ABIUTY GENERAL AGGREGATE 1.000,0 <br /> X COMMERCIAL GENERAL UABILITY PRODUCTS-COMP/OP AGG. 1,000,000 <br /> CLAIMS MADE X OCCUR PERSONAL & ADV. INJURY 500 <br /> EACH OCCURRENCE 500,000 <br /> OWNERS5CONTRACIDRSPRO7. <br /> FIREDAMAGE(Anyonefire) $ 50,000 <br /> MED. EXPENSE Any OM person) 6 5,000 <br /> AUTOMOBILE UABIUTY COMBINED SINGLE <br /> UMIT <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per Person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> (per AccIden0 <br /> NON-OWNED AUTOS <br /> -GARAGE LIABILITY PROPERTY DAMAGE <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY UMTTS <br /> WORKER'S COMPENSATION <br /> EACH ACCIDENT <br /> AND DISEASE-POLICY UMIT <br /> EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> RE: 32275 FOX HOLLOW RD, EUGENE, OR CERTIFICATE HOLDER IS HEREBY NAMED AS ADDITIONAL INSURED - <br /> LESSOR OF PREMISES IN ACCORDANCE WITH THE POUCY TERMS AND <br /> CONDMONS <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> II MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> . CITY OF EUGENE <br /> 1820 ROOSEVELT BLVD LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> EUGENE, OR 97402 <br /> UABIUTV OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTAT1VE <br /> AUTHORIZED REPRESENTATIVE L, <br /> if: )61M/04-z- <br />