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GJN4117 2009-00009
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GJN4117 2009-00009
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Entry Properties
Last modified
10/18/2011 11:04:11 AM
Creation date
9/17/2008 4:53:12 PM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
No
External_View
No
GJN
004117
GL_Project_Number
935055
COE_Contract_Number
2009-00009
Retention_Destruction_Date
4/16/2019
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:~ :: <br /> <br />,.: <br />I~Q~ <br />~ <br />~ <br />CERTIFICATE OF LIABILITY INSURANCE o9iii <br />oo <br />~, <br />r <br />J 2 <br />PRODUCER (541)687-1117 FAX (541) 342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Ward Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P 0 Box 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Eugene, OR 97440 <br />Rob Harvey INSURERS AFFORDING COVERAGE NAIC # <br />INSURED 2G Inc DBA: 2G Construction INSURER A: Trave~er5 Indemnity Co of IL <br />PO Box 11735 INSURER e: Travelers Indemnity Co of Conn 25682 <br />Eugene, OR 97440 INSURER C: RSUI Indemnity Company <br /> INSURER D: <br /> INSURER E: <br />f\A\IC~ A/!GC <br />THE POLICIES 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 W ITH RESPECT TO W HICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMBS <br /> GENERAL LIABILITY C0505D0011 02/10/2008 02/10/2009 EACH OCCURRENCE $ 1 ~ 000 ~ 00 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE 70 RENTED $ 300 ~ 000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 , 000 <br />A PERSONAL 8 ADV INJURY $ 1 ~ DQQ ~ QQ <br /> GENERAL AGGREGATE $ 2 ~ DQQ ~ QQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 ~ QQQ ~ QQ <br /> POLICY PRO LOC <br />JECT <br /> AUTOMOBILE LIABILITY 810505D0011 02/10/2008 02/10/2009 COMBINED SINGLE LIMIT <br />$ <br /> x ANY AUTO (Ea acddant) 1 000 ~ 00 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per parson) <br />B <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NON-0WNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LUIBILITY ~ AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY CUP505D0011 02/10/2008 02/10/2009 EACH OCCURRENCE $ 2 , 000 , 00 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 2 , OOO , OO <br />A $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WCSTATU- OTH- <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERIMEMBER EXCLUDED9 E.L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br /> NHA218534 02/10/2008 02/10/2009 LIMIT: $8,000,000 <br /> EXCESS LIABILITY <br />C <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHIClE9 /EXCLUSIONS ADDED BY ENDORSEMENT 19PECIAI PROVISIONS <br />E: 2008 WASTEWATER MANHOLE REHABILITATION - ]OB N0. 4117 <br />ITY OF EUGENE IS NAMED AS ADDITIONAL INSURED AS RESPECTS WORK PERFORMED BY NAMED INSURED IN ACCORDANCE <br />ITH POLICY TERMS AND CONDITIONS AND PER ATTACHED CGD246. <br />u <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 70 MAIL <br /> 3O DAYS WRITTEN NOTICE TO 7HE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />CITY OF EUGENE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />244 EAST BROADWAY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. <br />EUGENE, OR 97401 AUTHORIZEDREPRESENTATNE ~/'~ <br /> Rob Harve /KAYLA '" ] <br />ACORD 25 (2001108) <br />VAI:VKUt3VKF'VIWIIVry 1700 <br />
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