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ACORD,T,, CERTIFICATE tJ~ LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 05/21/2009 <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 /> P 0 Box 10167 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Eugene, OR 97440 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED WILDISH CONSTRUCTION CO INSURER A: The Travelers Indemnity Co <br /> PO Box 7428 msuRERB: The Travelers Prop Cas Co of Ame ica <br /> Eugene, OR 97401 wsuRERC: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <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 WITH RESPECT TO WHICH 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' POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DD LIMITS <br /> GENERAL LIABILITY CO 526D7537 04/01/2009 04/01/2010 EACH OCCURRENCE $ ~ QQQ ~ QQQ <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea o~unence~ $ 300, OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 r QQQ <br /> A PERSONAL & ADV INJURY $ 1, QQQ ~ QQQ <br /> GENERAL AGGREGATE $ 2 ~ QQQ ~ QQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 ~ QQQ ~ QQQ <br /> POLICY X PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY 810-526D7537 O4/Ol/2009 O4/O1/2OlO COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1, OOO , QOO <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> B SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-0WNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY CUP 526D7537 04/01/2009 O4/O1/ZOlO EACH OCCURRENCE $ 9,000,000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 9 ~ OOO ~ QQQ <br /> B $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION A _ <br /> AND EMPLOYERS' LIABILITY N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE? <br /> OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, descdbe under <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> E: EUGENE AIRPORT REHAB NORTH RAMP AT SOUTH KILO; 70B #4598 <br /> ITY OF EUGENE IS ADDED AS AN ADDITIONAL INSURED ON BOTH GEN'L LIAB AND AUTO LIAB (PER CGD246 & CAT301) <br /> HIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY WITH OR IN EXCESS OF ANY COVERAGE WHICH CITY MAY CARRY; <br /> ENERAL.AGGEGATE SHALL APPLY SEPARATELY PER PROJECT (PER CGD211) AS RESPECTS TO THE WORK BEING <br /> ERFORMED BY THE INSURED ON THIS PROJECT IN ACCORDANCE WITH THE POLICY TERMS AND CONDITIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> CITY OF EUGENE REPRESENTATIVES. <br /> 99 EAST BROADWAY SUITE 400 AUTHORIZED REPRESENTATIVE <br /> EU ENE, OR 97401 Rob Harve /CARSON (1Fr-~~ <br /> <br /> ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks. of ACORD <br /> <br />