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10/15/2008 R'ED 10.31 F~X 541 998 6245 Koford Chapman Insurance <br />~oovooi <br />ACORD,~ CERTIFICATE OF LIABIL ITY INSURANCE onretn.Mmunvrq <br /> <br />Paaoucen <br />Pnone:541-998-2363 ~ar~5/zooa <br />THIS CERTIFICATE IS ISSUED AS A MATlER OF INFORMqTION <br />P <br />KOf01'd Cha man 111SUfanGe ONLY AND CONFER3 NO RIGHTS UPON THE CERTIFICATE <br /> <br />PO BoX 457 HOLOQR. 7}~~S CERTIFICA7E DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDEU BY 7NE POLICIES BELOW. <br />Junction City, OR 97448 <br />----..... .. .. . <br />- . .... .. . .. INSURERS AFFOROING COVERA(iE NAIC # <br />iHSUnm . _ ._ <br />wsunersn: Am9rlCan States InsuranGe Co an <br />Elm's Landscape ServiCes, Ina u.,suaERe: - <br />28780 Jaga Ln IN9URE0.G: <br /> <br />JunctiOn City~ OR J7~8 ~ .. ....' <br />INSURFFiD: <br />..._ .. . . _ . -- <br /> <br />__.. <br /> <br />(`!1V F V l~!_CQ INSURER E: <br />inau~vvvice uy ~ ku tltLV W HAVE BEEN IggUED TO THE INSUR[D ryAMED ABOVE FOR T'1E POLICY PERIOD INDIGTED. NOTWITHSTPNDING <br />/WY REQUIf2EMEN~, TERM pR CqNOIT70N OF ANY (~`pNTRACT OR OTHER DOCUMENT WITH RESP6CT TO WHICH TNI9 <br />E <br />C <br />RTIFlCATE MAY BE ISSUE~ OR <br />MAY PERTAIN, THE INSl1RqNCE AFFOROED BY TH@ POLICIES ~ESCftIB~~ HEREIN IS SUBJECT TO A~L 711E TERMS <br />EXCLUSiONS AN~ GON~ITIONS OF $UCt~ <br />, <br />POLIdES. AGCREGATE ~IMITS SHOW N MAY K4VE BEEN RE~ UCED BY aqi0 ClAIMS. <br />ItiSHwOO'4~ .. ..... .I~PO C FELirvE POUCYEXVIRATIOH --... .."._. . <br />iv PoLICHUMBER ~~ p LINITS <br />A Y 6EN EMLLNBILITY 01CH357961-2 Q~~O~~ZQ~B 01/01/2009 ~ EACMOCCURRENCE S ~.00~.0~~ <br /> COM~qCIAL GENERAL LU61LpY pREMI~~ 9~ p~com.ncnl I 5'I .OOO O,OO <br /> CLAIMSM4DE nOCGUR <br /> NEDFY-Anvenc i ~p~Q00 <br /> -"' PEA~~ > <br /> -- OV,INJURY S ~ Q0~ Q <br /> ~~ OENFPALAGGREC <br />TG O <br /> <br />GC• <br />Nt6GGAEGATELIMITAPPLIE3PER: <br />... P~ u~ <br />PRODLICTS-CQUP!OPh6G <br />' _ S <br />OO~OO <br />S OOOOOO <br /> POLICY <br />~pC <br />A "~T OA1°s~~u~~~+*~' 01CH689709-1 O~/Oi12008 07/01l2009 <br /> <br />^"`°~`° COMBWE~SINGLfiuMii <br />' <br /> «~~a~^~> ~ o00,009 <br /> ALL DW NEU A1f~03 <br /> <br />~( <br />SCHEDULED4UT05 ~ODILYINJURY <br />(Ge~pBYOn) <br />~ s <br /> MIREOAUT03 <br /> <br />X <br />NON-0WNEOAVT03 <br />. BOOILV INJURY <br />(Pe~eCdOBlitl S <br /> <br />-" _- <br /> -.. . PfiOPEft1Y0AMAGE 5 <br /> (Pwaccpmp <br /> GnrsnGeuwe~~~'y AUTOONLY-FAACCIOCNT 3 <br /> .un~uro <br />arHean~au eancc <br />s <br />.. <br /> AUfOONLY: A~ . <br />5 <br />(~ E%CESSNMpRELL4LWBiLiTx 01CT702556-2 09l07/2008 01/61/2009 ~.cnoccuR~NCe <br />~ s ~.000.000 <br /> X acua ~ cu~nu r.woe ~ ' <br /> , wooaeanre s <br />1 000,000, <br /> .__ s <br /> ~ oeoucrio~E . ~ ,.,._. I <br />S . __ <br /> RETENTION j I S <br /> WOIUtEWCDMPEHSAriOxwwn WCSTAY4- O~H- I <br /> EMPlDY6H5•LIa914TY . T~YU - . <br /> NNYP~PRIEfOfLPMTNEWF.Y.ECIl~NE E.LEACM~CCIOEM 3 <br /> OFyaFICEMAEMBEREY.CLIIDEDi EL019FASE-ErIEMPIOYE S <br /> bPECI~Pq~~ qrySD& <br /> av <br />ELOISGSE•GOl1GYUAEfi <br />S <br /> OTMFA <br />oESGAtviION OF OPEFATIONS / LOCATIONS / VEW CLES I E%CLU910N9 AU~EO BY ENOOPSEUENT I SPECINL PROVISIONS <br />Certlflcaea No~tler nametl as adaitianal Insured primary antl non contrlbutory . <br />..._._ ...___... <br />CERTIFICATE H~LOFR ' <br /> SHOIIID u~v pF TryE A80VE pE3Cf40CD POl1dE5 0E GrvC6~~eo aFSpqE THE E%VIRATION <br />City of Eugene a11E TNEqEOF, THC ISSIIING in5uaew wi~~ ENDEAVOR TO MAIL~ OwvS WniiiEN <br />Attn: Lynn NOTICE YO THE CERTIFICATE XOLOER NAMED YO iHe ~vl~ gUT FRILVHE TO ~O SO SHwL~ <br />244 E Broadway a~~ NO OBUGATbN On uwa~uTY OF ANY IRID UPON THE INSIIREw, iib nplNT9 00. <br />eugene, OR 97401 FEtaESENTATiVEg, <br /> ~THORIZEDREPRESEHTATIVE <br />nr~onn~i~nn~inn• I <br />LIZ <br />~ ....vrc~ ~,vrtrvrtni~un iyoa <br />%In[ctl 6y LIZ On OC~obOr 15, 2008 at 10t17AM <br />10/15/2008 WE~ 10:23 [Tx/RX NO 5164] f~007 <br />