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,mss <br />~ ~ OREGON WORKERS' COMPENSATION <br />~? <br />CERTIFICATE OF INSURANCE <br />CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />244 EAST BROADWAY <br />EUGENE, OR 97401 <br />~~ <br />lcorporation <br />The policy of insurance listed below has been issued to the insured named below for the policy <br />period indicated. The insurance afforded by the policy described herein is subject to all the terms, <br />exclusions and conditions of such policy. <br />POLICY NO. POLICY PERIOD ISSUE DATE <br />491144 10/01 /2007 TO 10/01 /2008 06/25/2008 <br />INSURED: <br />2G INC <br />2G CONSTRUCTION <br />PO BOX 11735 <br />EUGENE, OR 97440-3935 <br />Bodily Injury by Accident <br />Bodily Injury by Disease <br />Bodily Injury by Disease <br />DESCRIPTION OF OPERATIONS/LOCATIONSISPECIAL ITEMS: <br />RE: 2008 Community Wastewater Extensions Job #4506 <br />$500,000 each accident <br />$500,000 each employee <br />$500,000 policy limit <br />IMPORTANT: <br />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 holder. <br />This certificate does not amend, extend or alter the coverage afforded by the policies above. <br />CANCELLATION: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN <br />NOTICE TO THE ABOVE NAMED CERTIFICATE HOLDER. <br />AUTHORIZED REPRESENTATIVE <br />J <br />President and CEO <br />BROKER OF RECORD: <br />WARD INSURANCE AGENCY INC <br />PO BOX 10167 <br />EUGENE, OR 97440 <br />LIMITS OF LIABILITY: <br />©SAIF CORPORATION ~ 400 High St SE I Salem, OR 97312 I P: 800.285.8525 I www.saif.com <br />