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Certificate of Insurance <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE IS <br />`NO'S AIVlINSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED <br />'' <br /> <br />This is to Certify that ~ " ' ~• <br />WILDISH CONSTRUCTION CO. <br />P.Q. BOX 7428 - ATTN: GWEN <br />EUGENE, OR 97401 <br />Liberty <br />Northwest® <br />Membrr or!}tkriy Mutua! Group <br />A Liberty Mutual Company <br />P. O. Box 4555 <br />Portland, Oregon 97208-4555 <br />(503) 239-5800 <br />is at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy (ies) is subject to all their <br />teens, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may <br />M iccnrrl <br /> EXPIRATION <br /> <br />TYPE OF POLICY <br />DATE <br />POLICY NUMBER LIMIT OF LIABILITY <br /> COVERAGE AFFORDED UNDER WC LIMIT OF LIABILITY - <br />WORK~RS' COMPENSATION <br />10/01/04 <br />WC4-1NC-000364 LAW OF FOLLOWING STATES COVERAGE B <br /> OREGON <br /> B.I. by sl,ooo,ooo <br /> Accident Each Accident <br /> B. I. By SI,000,000 <br /> Disease Policy Limit <br /> B.I. By SI,000,000 <br /> Disease Each Person <br /> MARITn.ffi COVERAGfi-F04AX7NG STATES LMIT OF LIAB.•MAR1TndH COVERAGE <br />NERAl LLSBILTIT - <br />General Aggregate Products/Comp/OPS <br />$ <br />c.m,M;,i aw~wd Aggregate $ <br />^ Liabiity (Occurrence) Personal and/Advertising Injury $ <br />^ Owners and Contractor's Protective Each Occurrence $ <br />^ Fire Damage (Any one fire) $ <br /> Medical Expense (Any one person) $ <br />AUTOMOBILE LIABILITY <br />^ Ariy Auto CSL $ <br />^ All Owned Autos Bodily Injury (Per Person) $ <br />^ Scheduled Autos Bodily Injury (Per Accident) $ <br />^ Hired Autos <br />Property Damage <br />$ <br />^ Npn-owned Autos <br />^ Garage Liability <br /> <br />OTHER <br />Oregon Workers <br />LOCATION(S) OF OPERATIONS & IOB # (IF APPLICABLE): DESCRIPTION OF OPERATIONS: ALL OPERATIONS <br />Contract #2004-20 Garden Way from Sisters View Ave. to Martin Luther King <br />Jr. Blvd. <br /> BEFORE THE STATED EXPIRATION DATE, THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED <br />CANCELLATION: UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION OR REDUCTION HAS BEEN <br /> MAILED TO; <br />4AILED TO CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />244 EAST BROADWAY <br />EUGENE, OR 97401 <br />AUTHORIZED REPRESENTATIVE <br />04/14/04 Eugene <br />DATE ISSUED OFFICE <br />LEMKE/SCOTT <br />