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ACa &D CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE(MM /DD/YYYY) <br />MAUDE -1 01/08/04 <br />PRODUCER p C C E THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION <br />R G ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE <br />Cramer & Giles Ins., Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. 0. Box 70206 AN 13 2004 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Eugene OR 97401 <br />Phone:541- 4 -6 63 3 Fax: 485 -3946 <br />INSURED <br />Maude Kerns Art Center <br />1910 E. 15th Ave. <br />Eugene OR 97403 <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A: American States Insurance Co. <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE /DD/YY <br />P DATE MM /DDYY N <br />LIMITS <br />REPRESENTATIVES. <br />J&DREPRESENTAT E <br />AUT59M <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />X <br />X COMMERCIAL GENERA 1. LIABII ITY <br />CLAIMS MADE [X] OCCUR <br />01CG23883320 <br />10/15/03 <br />1 0 15 0 4 <br />PREM!SES (Ea cxurence; <br />s200,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 1,000,000 <br />POLICY PRO JECT I I LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR EI CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WQRKERS COMPL•NSATION AND <br />EMPLOYERS' LIABILITY <br />_• W. i LIMITS T ER <br />- - -- <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CITY OF EUGENE /PUBLIC WORKS DEPARTMENT IS NAMED AS ADDITIONAL INSURED AS <br />RESPECTS GENERAL LIABILITY PER ATTACHED ENDORSEMENT. RE: ART IN THE <br />"'VEYARD. ALTEN BAKER PARK EVENT JULY 2, 2004 - JULY 5, 2004. <br />__RTIFICATE HOLDER <br />CANCELLATION <br />PUBLICW <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />CITY OF EUGENE <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />PUBLIC WORKS DEPARTMENT <br />1820 ROOSEVELT BLVD <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />EUGENE OR 97402 <br />REPRESENTATIVES. <br />J&DREPRESENTAT E <br />AUT59M <br />ACORD 25 (2001108) <br />CoL• LK �1: � ! Z K � L' � l� 1.7_\ I [ � ] : i [' I � I � ? <br />