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r <br />ACORD CERTIFICATE OF LIABILITY INSURANCE CSR KR DATE tMM/DD/VYYY) <br />PRODUCER <br />Cramer & Giles Ins., Inc. <br />P. 0. Box 70206 <br />Eugene OR 97401 <br />MAUDE-1 IZ 3O 05 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone: 541 - 485 -6633 Fax: 541 - 485 -3946 <br />INSURED <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER American States Insurance Co. <br />GE AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 1,000,.000 <br />INSURER B <br />PRODUCTS - COMP /OP AGG $ 1,000,000 <br />Maude Kerns Art Center <br />1910 E. 15th Ave. <br />INSURER C <br />AUTOMOBILE <br />INSURER D <br />Eugene OR 97403 <br />COVERAGES <br />NSURER E <br />THE POLICIES OF INSURANCE L ISTEn R PI nw wevc eccnl Ices — r., – <br />- - --- tea, �c� nuvvlw A"vVe rUK I FIE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I NERD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />DATE MM/DD/YY DATE MM/DD/YY <br />GENERAL LIABILITY <br />LIMITS <br />A X X COMMERCIAL GENERAL LABILITY 01CG23883340 10/15/05 10/15/06 <br />CLAIMS MADE 7 OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />P ' RE MISES(Eaoccurence) $ 200,000 <br />MED EXP (Any one person) $ 1 <br />i <br />PERSONAL B ADV INJURY $ 1,000,000 <br />GE AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 1,000,.000 <br />PCY PRO- <br />POLICY JECT LOC <br />PRODUCTS - COMP /OP AGG $ 1,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accment) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />NON-OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />NLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />THAN EA ACC <br />$ <br />NLY A ,, G <br />;AGGREGATE <br />$ <br />EXCESSNMBRELLA LIABILITY <br />OCCUR F-1 CLAMS MADE <br />CCURRENCE <br />g <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTH- <br />TORY LIMITS ER <br />E L EACH ACCIDENT <br />g <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E L DISEASE - EA EMPLOYEE <br />$ <br />If yes, tlesmbe under <br />SPECIAL PROVSIONS below <br />E L DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />CITY OF EUGENE IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY <br />PER ATTACHED ENDORSEMENT. RE: ART AND THE VINEYARD, EVENT DATES JUNE 29, <br />2006 THROUGH JULY 5, 2006. <br />I"CDTici/`ATG LJr%1 nvo <br />°^ CANCELLATION <br />CITYEPW I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF EUGENE PUBLIC WORKS <br />858 PEARL STREET <br />EUGENE OR 97401 <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />UTHgpt4d REP SENTATIVE <br />25 (2001108) © ACORD CORP <br />