ACORD CERTIFICATE OF LIABILITY <br />INSURANCE OP ID A DATE (MMIDONYYY) <br />rR c ER <br />MAUDE -1 12/29/04 <br />LTR <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />POLICY NUMEER <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Cramer 6 Giles ins., Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. 0,. BOX 70206 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Eugene OR 97401 <br />EACH OCCI IPRENrc <br />Phone_541- 485 -6633 Fax:541 -485 -3946 <br />ENSURED `--- --- -'-- -- --- --'- ---- --- -'- <br />INSURERS AFFORDING COVERAGE <br />--- -- '--- -- ------- -- - --- <br />NAIC# <br />X <br />4 GDMMERCIALCEFERALLIABILITY <br />I '6Sl PER A AleelLcan States <br />—_- <br />Maude Kerns Art Center <br />;NSLREP 9 <br />msuPE - ' - - - -- - - - - - — - -- -- <br />- -- - - - - -�— <br />1910 E. 15th Ave. <br />Eugene OR 97403 <br />INSLIRER0 -- <br />I <br />INSURER E <br />rn�rcenr_ee <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE PEEN ISSUED TO THE INSURED NAMED A6''VE F IR T}E POLICi PERIOD INDICATED PIOTVATKSTANDIrr; <br />4NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT' WITH RESPECT TO WHICH THIS CHRTIFICA.TE Mo.'! BE ISSUED OR <br />MAY PERT,NN, THE INSURAN;,E AFFOP.DED Bl THE POLICIES DESCRIBED HEREIN IS SIIEJECTTO ALL THE TERMS EXCLIrS :`JNS AND CON@ITIONS OF S,r'H <br />POLICIES Af4P.E:;ATE LIMITS SHOWN MAY HAVE BEEN RECIJCED BY PAID CLAIMS <br />INW - - - ' - -- ----- - - - - -- <br />LTR <br />NSR ME OF INSURANCE <br />POLICY NUMEER <br />UCYEFFECTNE <br />I DATE (MMIDD/YY) <br />FJUCFEXPIRATfO -- — <br />DATE (MMlDD1rY) i LIMITS <br />REPRESENTATIVES. <br />e.-- x .nnn.mm <br />GENERAL LIABILITY <br />EACH OCCI IPRENrc <br />} 1,000,000 <br />A <br />I X <br />X <br />4 GDMMERCIALCEFERALLIABILITY <br />O1CG238$3330 <br />10/15/04 <br />10/15/05 PREMISES(Eaoocu�csl <br />- <br />$20 <br />CLAIMS WIDE 1 ' OCCUR <br />I <br />-- <br />I <br />NEC. EnP (Any one o9rson) <br />_ <br />$ 10,0 <br />31,0{70,000 <br />PE RSONAL & IN J <br />L —I <br />, 0 0 0 , 000 <br />$ 1,000,00 <br />GENERAL Aea <br />I GEI AG R.GATE LIMIT AP"LIE PER <br />I <br />i PRI ?:XI FlOF 0.;G <br />$ <br />POLICY ^ LGC <br />— ~— <br />-- <br />AUTOMOBILE <br />:IABLITY <br />I i <br />I ^N(ALTO <br />C1 IMBINED Si'XLE LIMIT <br />Er acl.�dent) <br />� <br />Ir � <br />I I <br />I <br />�UDI! <br />! <br />-H LLE0 A1JTOo I I <br />r INJLk7Y I <br />;Per Eerscn) <br />$ <br />.HIREDAU7- <br />_ - -- <br />Pqr;- ChaNEUAU*JS i I <br />160."�ILT <br />(PerapaUerlq I $ <br />r i <br />I <br />i <br />— t -- <br />I <br />I <br />°rOPERTY DA)oA„E <br />I <br />I (Per <br />&mart) T' <br />GGE LIABILITY I <br />PONY <br />TO I <br />i <br />I dUTU OPLY - EA ACC DE *!T I $ <br />AU <br />I r :f�ER INw�I GArc �I �$— <br />— <br />$ <br />I <br />EXCESSAIMBRELLA LIABILITY I I <br />I <br />CX,pJP � CLA70.:�MAGE I <br />E A C H OCGJPRENCE <br />�- -- - -- --- - <br />�J �_� I <br />L AC - $ R <br />C.EDUtII?J E <br />-4- --- <br />I <br />�$ <br />WORKERS COMPENSATION AND <br />- <br />EMPLOYERS' LIABILITY <br />TURN LIMITS — EP. _ <br />- — -- - -- <br />I <br />w <br />,41Y PR'_Y'R'ETOR/PAPTh'PlEXECL ?IVE I <br />OFFICERJMEUBER EXCLUDE['• <br />I I <br />c. ! EACH A/Y IDErlT $ <br />�---- - --{-- <br />yea. Ce <br />i - ,1O <br />_ L DISEASE - Ca EMPLOYEE $ <br />S - <br />SF£r1Al PROVISIONS Oelow I <br />I <br />E L DISEASE - PCL n'v :JMT <br />OTHER <br />I <br />i <br />I <br />I <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT i 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 JULY 1 -5, <br />2005. <br />Vo Nl - Fl l GTIn" <br />CITYEUG <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUITG RISURER'WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />CITY OF EUGENE <br />NOTICE TO TtiE CER'RFiCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />858 PEARL STREET <br />IMPOSE NO OBLIGATION OR LIAR LITY OF 44Y KIND UPON THE INSURER. ITS AGENTS OR <br />EUGENE OR 97401 <br />REPRESENTATIVES. <br />e.-- x .nnn.mm <br />A D R;PRESENTAT <br />'V AL.UHLI GURPORATION 198E <br />