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521750 -DELTA CONSTRUCTION CO -Certificate of Inswance <br />OREGON WORKERS' COMPENSATION <br />CERTIFICATE OF INSURANCE <br />MAIL TO: <br />CITY OF EUGENE <br />PUBLIC WORKS, ENGINEERING DEPT <br />244 EAST BROADWAY <br />EUGENE, OR 97401 <br />https://saifonline.saif.com/Certificates/certFonn.aspx <br />0 <br />~~F <br />corporation <br />CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />PUBLIC WORKS, ENGINEERING DEPT <br />244 EAST BROADWAY <br />EUGENE, OR 97401 <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 the policy described herein is subject to all the terms, exclusions and <br />conditions of such policy. <br />POLICY NO. POLICY PERIOD ISSUE DATE <br />521750 10/01/2007 TO 10/01/2008 09/03/2008 <br />INSURED: <br />BABB CONSTRUCTION CO <br />DELTA CONSTRUCTION CO <br />999 DIVISION AVE <br />EUGENE, OR 97404-2414 <br />LIMIT <br />Bodily Injury by Accident <br />Bodily Injury by Disease <br />Bodily Injury by Disease <br />BROKER OF RECORD: <br />WARD INSURANCE AGENCY INC <br />PO BOX 10167 <br />EUGENE, OR 97440 <br />OF LIABILITY: <br />$500,000each accident <br />$500,000each employee <br />$500,000policy limit <br />DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: <br />Job #4535 Contract 2009-07 Pine Canyon Drive Stormwater Improvement <br />IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to <br />change at any time in the future. <br />This certificate is issued as a matter of information only and confers no rights to the certificate <br />holder. This certificate does not amend, extend or alter the coverage afforded by the policies <br />above. <br />CANCELLATION: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN NOTICE TO THE ABOVE NAMED <br />CERTIFICATE HOLDER. <br />AUTHORIZED REPRESENTATIVE <br />President and CEO <br />© SAIF CORPORATION 1400 High St SE I Salem, OR 97312 ~ P: 800.285.8525 I www.saif.com <br />l of 1 9/3/08 9:59 AM <br />