New Search
F40M •FINANCIALandINSURANCE SERVICES FAX N0. 775 261 9778 Apr. 30 2007 03:14PM P2 <br />Cornrnercial Certificate of Insurance <br />Atirncy MichaelSyman-r)cclcrAgency <br />Ns~ritc 1~;remers ltnurancc <br />kr 12;34 Rich Street <br />Address Eugene, (~R 97401 <br />St. 7.3 Dist. I $ ABcnt 343 <br />1r1SUrP.d <br /> . Ron & Fllen Teninry <br />Name .999 Brookside T)r <br />& • Eugene. OR 974115 <br />Address <br />`~~ «~ FARMERSI <br />Issue 1-)ate (MM/UD/YY- I May 1st, 2007 <br />')'his certificate u issued as a matter of i reformation only and confers no rights <br />upon tllc ct rtificate holder. This ccrrifirate dues not amend. extend or alfi.i cite <br />coverage aR'orded by the poicies shown below. <br />Companies Prr)viding Coverage: <br />Compsuy A Truck lnsurenc~ N.+:dL,ngc <br />Leaa <br />c~l>.,~y B Farmet3 Insurance Exr:fran~f <br />~ o~mpany C Mid-Century insurance Company <br />ca~~rry D <br />L~+~+ <br />Coverages <br />Phis is to certify that Uu~ pnik:ies of insu <br />rance IiSrcrl bebw have beet1 iSSrrMI m the insutECt rtamcd above for the Policy period iraJicated. Notwithstarxling <br />any requirement, term nr condition o[ any Contrar:c nr other document with respect to which this certificate trray ~ issued or may pertain, the instrratrce <br />Limits strewn may hart. been reduced ny <br />olicies <br />f such <br />d <br />diti <br />l <br />. <br />p <br />ons o <br />con <br />uaort~ an <br />afforded by the policies described herein is subjocr rn all the terms, exc <br />paid daitns. _-- - -• _ _ .._ <br />^ <br />~' T e of Insurance <br />YP 1'oli Number <br />cY Policy ElTettive <br />Date (MM/DDM~ C'oliry Expiration <br />Date (N-M/DD/YY) policy I.im;ts <br />~ <br />General A~rrnate . <br />s <br /> General liabiGt <br />y Produt:ts-comp/C~I'S <br /> Co[nrr-ercial General Aggregarr. i <br /> Liability Personal & <br /> - Accurrence Version Advertising Injury S <br /> Contractual - Incidental Each Occurrer-te <br />Eire Damage 3 <br /> C)nly (Any one fire) S <br /> Owners & Coruractots Prot. Medic,! tixpense <br />g >< Automobile Liability iR038-IS-03 I 04/13/2007 <br />All Owned C:ornrnerrial 1$038•!5-04 <br />Autos <br />Sc1uYluhxt Autos <br />Hired Autac <br />Non-(~nrned Autos <br />Garage [.[ability <br />UrllbreUa t,iabiiity <br />Workers' Compensation <br />ettd <br />Employers' Lial>;lity <br />llescription pf operations/Vehicles/Rrstrictions/Special items: <br />Certificate Holder <br />• Ciry 4f Fu~cnc <br />Name .210 Cheshire 12d <br />R, Eugene. ()12 97401 <br />Address t~ax:541.682.6222 <br />5s l~r,~ ~ ~~~ <br />10/13/2007 <br />~ai~llxy - <br />Each Ar:rdent E <br />Disease - Eadr EmPli'Y~ S <br />Disease -Policy I.imil S <br />~~ ~~~ s ~sasoo,ooo <br />IiOdi~y Injury S <br />(Per acsadenQ <br />Property Damap S 1 W,t~O <br />C:arage Aggregate .. S .. _ ._ <br />Limit S <br />(Any one pennon). S <br />[::omhirud Single <br />[.imit S <br />fi<,dily Injury <br />Service <br />Cancellation <br />Should any of the afxrve described policies be carxrlled before the expi+drinn date <br />thereof. the issuing company will endeavor to mail 30 days written rrOlicr: to the <br />rertificate holder namr`d to the left, but failures to mail. such nutrce shall impose nu <br />of>ligateon or GabHiry of arty kind upon the corni>dny, iu aaerus or represc:ntalivr~. <br />Michael Svman-i)e°Itr- CLU,C('P Agent, Fartncrs Insurance 73-15-4.1 <br />Aurhoriied Representative <br />;enter Copy and Agei <br />'s Copy <br />H 01 <br />mint i~nnv TTTF td• ~n f tore Nn aa~~ l f71nn? <br />