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~A1r corporation 11/17/2008 2:31;48 PM PAGE 11401 Fax 5eY'ver <br />~RE~~N 'WC~RKERS~ Ct~MPENSATI(~N <br />CERTIFICATE ~F .INSURANCE <br />CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />.. <br />PUBLIC VIlORKS DEPARTMENT <br />X44 EAST BROADWAY <br />EUGENE, OR 97401. <br />i <br /> <br />The policy of insurance listed below ha$ 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 />PbLICY N0. POLICY PERIaD ISSUE DATE <br />49245 ~ij~i/2Q0S TO ~1/~~./~OQ9 ~ 1i/17/2q~~ <br />INSURED; BRGKER ~JF RECORD: <br />SECOND GROWTH INC 1NARD INSURANCE AGENCY INC <br />PO BOA 1108a PO B~~C 10167 <br />EUGENE, C7R 97440-3280 EUGENE, OR 97440 <br />LIMITS bF LIABILITY: <br />Bodily Injury by Accident $SDO,aOD each accident <br />Bodily Injury ay Disease $50,000 each employee <br />Bodily Injury by Disease $500,OQa policy limit <br />4 <br />DESCRIPTION OF QPERATIQNS/LQCATIQNSJSPECIAL ITEMSt <br />RE; Delta Ponds Riparian Bench Planting Project <br />IMPORTANT: <br />The coverage described above is in effect as of the issue date of this certificate, If is subject to <br />Change at arty time in tl~e future. <br />This certificate is issued as a matter of information only and confers na rights to the certificate <br />holder. T#~is Cerfiificate does not anlec~d, extend or alter the coverage afforded by the policies <br />a)70Ve. <br />CANCFLLATIbN. <br />SHOULD ANY ~?F THE ABQ~IE DESCRIBED POLICIES BE CANCELED BEFORE THE E~PIRATIQN DATE <br />THEREOF, THE ISSUING COMPANY UVILL MAIL 3Q DAYSr WRITTEN NOTICE TO THE ABOVE NAMED <br />CERTIFICATE HOLDER. <br />AUTHORISED REPRESENTATIVE <br />,. .~ <br />~ ~ ~ ~ ~~ <br />President and CEQ <br />Cet Sl1IF CCRP~JR1lTIQN ~ X104 ~lic~f~ St SE ~ 5~lem, aR ~7~1~ I P, ~QQ,285,~5~5 ~ www.~aif.~vm <br />~~~1~~200~ ~a~ ~~:~~ CT~~~ ~o ~~~~a ~oo~ <br />