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~I ~ORDrM CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 09/25/2004 <br /> PRODUdER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 9iillie North America, Inc. -Regional cart center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. O. Sox 305191 <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE <br /> INSUREq gtaton Companies INSURER A:Libert Su lus Insurance Co oration 10725-000 <br /> PO Box 7515 INSURER B: American States Insurance Co aA 19704-001 <br /> Bugene, OR 97401 <br /> INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVE GES <br /> THE IpOLIGES 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 ERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> P4LI~IES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI D GJ11MS. <br /> <br /> INSR, TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br /> A G ERALLIABILITY DGLNY07931304 8/31/2004 8/31/2005 EACH OCCURRENCE s 1 <br /> COMMERCIALGENERALLIABIUTY FIREDAMAGE An onefire S <br /> CLAIMS MADE ®OCCUR MED EXP An one rson S <br /> PERSONALBADVINJURY S 1 <br /> GENERAL AGGREGATE S 2 <br /> G N'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG S 2 <br /> POLICY PRO- LOC <br /> $ A TOMOBILELIABILITY O1CG382224-02 8/31/2004 8/31/2005 COMBINED SINGLE LIMIT S 1, 000, 000 <br /> ANY AUTO (Ea acadenq <br /> 7C <br /> ALL OWMED AUTOS BODILY INJURY S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY S <br /> NON-OWNED AUTOS (Per axident) <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> G RAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHERTHAN EA ACC S <br /> AUTO ONLY: AGG S <br /> CESS LWBILITY EACH OCCURRENCE E <br /> ~i OCCUR ~ CLAIMSMADE AGGREGATE S <br /> S <br /> DEDUCTIBLE E <br /> RETENTION S S <br /> W~JRKERSCOMPENSATIONAND TOR <br /> LIMITS OTH- <br /> PLOYERS' LUIBILITY <br /> E.L. EACH ACCDENT S <br /> E.L. DISEASE - EA EMPLOYEE S <br /> I~ E.L. DISEASE -POLICY LIMIT S <br /> O HER <br /> DES~RI KNIOFOPERATIONSILOCATKINSNEHICLES/EXCLUSIONSADOEDBYENDORSEMENTISPECWLPROVISIONS <br /> Re>i >t,incoln Yards warehouse Demolition, #2005-00017 <br /> Cii~y',of Eugene is included as Additional Insured as respects to General Liability and Automobile <br /> Lia}b~lity as required by written contract. Insurance is Primary as respects operations of Named <br /> Insured on behalf of Additional Insured. <br /> ~=EIt FICATE HOLDER x ADDITIONAL WSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATpN <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 ~ DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBI.K3ATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> City Of B11gAn6 REPRESENTATIVES. <br /> Attn: Mazy Hamilton, Contract Administrator <br /> 210 Cheshire AvenuB AU RERR ENTATI <br /> Sugeae, OR 97401 <br /> ACORD25~(7/97) Co11:1098678 Zb1:295712 Cert:4797584 CclOl:ARnt^.ARPARATION198! <br /> <br />