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www.saf.com <br /> Oregon Workers' Compensation sai F <br /> Certificate of Insurance l corporation <br /> Certificate holder: <br /> CITY OF EUGENE PUBLIC WORKS <br /> 1820 ROOSEVELT BLVD <br /> EUGENE, OR 97402 <br /> The policy of insurance listed below has been issued to the insured named below for the policy period <br /> indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of <br /> such policy; this policy is subject to change or cancellation at any time. <br /> Insured Producer /contact <br /> Oregon Woods Inc KPD Insurance Inc <br /> PO Box 11680 Joe Couey <br /> Eugene, Or 97440 -3880 541.741.0550 joec @kpdinsurance.com <br /> Issued 05/21/2015 Limits of liability <br /> Policy 498530 Bodily Injury by Accident $1,000,000 each accident <br /> Period 01/01/2015 to 01/01/2016 Bodily Injury by Disease $1,000,000 each employee <br /> Body Injury by Disease $1,000,000 policy limit <br /> Description of operations /locations /special items <br /> Important <br /> This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate <br /> does not amend, extend or alter the coverage afforded by the policies above. This <br /> certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the <br /> certificate holder. <br /> CANCELLATION: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW. SAIF WILL ENDEAVOR TO PROVIDE <br /> WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. <br /> Authorized representative <br /> John D. Gilkey <br /> Interim President and CEO <br /> 400 High Street SE <br /> Salem, OR 97312 <br /> P: 800.285.8525 <br /> F: 503.584.9812 <br /> Policy_OLCA_Certif cateOflnsurance <br />