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09!0312008 08:32 5416079349 DELTA CONSTRUCTION PAGE 02106 <br />DELTASAND <br />ACORD,a, CERTIFICATE OF LIABILITY INSURANCE DATEIMMJDDIYYYY) <br />9/2/2008 <br />PRODUCER Eugene -Commercial Lines <br /> <br />A6D Insurance & Ffnandal Services THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGWTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED 9Y TWE POLICIES BELOW. <br />975 Oak Street, Sulte 900 <br />Eugene, Oregon 97440 <br />INSURERS AFFORDING COVERAGE <br />NAIC ~ <br />INSURED INBURER A: GOntlnelltai IT15UranCa Company 35289 <br />Delta COn5tn7GtiOn CO. INSURER B, Transportation Insurance Compan 20494 <br />999 Dlvlsion Avenue <br />INSURER c: Navigators Insurance Company 42307 <br /> INSURER D. <br />Eugene, Oregon 97404 INSURER E: <br />l:U V CFiAtitS <br />INSURANCE LISTED BELOW MAVE BEEN 13SUt=D TO THE INSURED NAMED ABOVE FdR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />THE POLICIES OF <br />CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 7MI$ CERTIFICATE MAY BE 13SUED OR <br />ANY REQUIREMENT, TERM OR <br />FFORDED BY THE POLICIES DESCRIDED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE A <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REbUCEb BY PAID CLAIMS, <br /> <br />LTR <br />NSR <br />TYPE OF fNSURANCE <br />POLICY NUMBER POLICY EFFE PIRATK)N <br />ATE M D LIMRS <br /> 11125/2007 11 /25/2008 EACH OCCURRENCE-- S 1,oao,ooo <br />A GEN ERAL LIABILRY 2091617617 RENTED <br />DAMAG <br /> X GENERAL LIABILITY <br />ERCIA i~FCO ,J 100,000 <br /> COMM <br />L <br />M6 MADE ~ OCCUR <br />A MED EXP (Any one Gerson) S 5,000 <br /> X I <br />CL <br />PD DAd Se00 PERSONAL d ADV IN.IVRY S 1,0,000 <br /> GENERAL AGGREGATE f 2,000,000 <br /> GREGATE LIMIT APPLIKS PER: <br />' PRODUCTS - COMP/OP A00 $ 2.000,000 <br /> GEN <br />L AG <br /> POLICY X P LOC <br />8 AUT OMOBIL@LIABILITY z0g1g17656 11!25/2007 11/2$/2008 COMBINEDSINOLELIMIT <br />S 1,000,000 <br /> X NY AUTO (Ea oaideM) <br /> A <br /> ALL OWNED AUTas BODILY 1NJCIRV S <br /> UT08 <br />O ~ IPsr person) <br /> SCHEDVLE <br />A <br /> X HIRED AUTOS BODILY fNJURY S <br /> <br />X <br />D AUT08 (PoraccWonq <br /> NON-OWNE <br /> PROPERTY DAMAGE 9 <br /> (Per accltlenQ <br /> IABILITY <br />E AUTO ONLY • EA ACCIDENT S <br /> GA RAG <br />L <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AQG R <br /> ExCESSlUMBRELLA LIAa1LITT SF07UMB113038NV 11/26/2007 1 V25/ZOOS EACH OCCURRENCE $ 1D,000,000 <br />C X <br />CCUR ~ GIAIMS MADE AOGREOATE S 10,000,000 <br /> O <br /> a <br /> DEDUCTIBLE <br /> <br /> X RF-TENTIpN 5 10,000 S <br /> WC BTATU• OTH- <br /> WORKER3COMPENSATION AND <br /> EMPLOYERS' LIABILn'T E.L. EAGW ACCIDENT S <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S <br /> If A. dwACilba under <br />DISEASE - PdLICY LIMIT <br />E <br />L <br />3 <br /> IAL PROVISIONS below , <br />, <br /> OTHER <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS / VflHICLE61 EXCLUBlON6 Apoeo ev ENDORHEMENT /SPECIAL PROVISIONa <br />Job #4376 -North Game FatTn Road <br />Additional Insureds Clty of Eugene, Lane County end its o4Acars, agents and employees, the Lane County Board of Commissloners, the State of Oregon, <br />Oregon Transportation Commisslon and its members, and Department of Transportation, Its officers and employees <br />Additional Insured Endorsement #G140331-A Attached <br /> BHOULO ANY OF THE ABOVE OEBCRIBEO POLICIE8 BE CANCELLED BEFVRE THE EXPIRAT1oN <br /> DATE THEREOF, THE 168UIN61NBURER YVILL ENDEAVOR TD MAIL 3U DAYS WRITTEN <br />City of Eugene NOTICE TO TKE CERTIFICATE MOLDER NAMED TO THE LeFT, BUT FAILUR! TO DO SO dNALL <br />Public Works Engineering IMPOSE No oBLlonnoN oR LIABam of ANY KIND uPDN THE INBURER, R8 AOENTB OR <br />244 East Broadway RePR>9seNTATrvea. <br />Eugene, Oft 87401 AUTHORIZED REPRESlNTArnE ,~ / n n'IJ ~ /~ <br />ACORD 25 (2001108) 4 of 7 207873 0 ACORD CORPORATION 198E <br />This certificate replBCes Certificate# 207871 issued on 9/2/2008 <br />0910312008 4~'ED 08:26 [T}tIRH NO 5014] X002 <br />