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ACpf.D CERTIFICATE pF LIABILiT~(INSURANCE °ATE(MMI°D/YYYYI <br /> 06/08/2009 <br /> PRODUCER (541)687-1117 FAX (541)342-8280 THIS CERTIFICATE IS ISSUED A5 A MATTER OF INFORMATION <br /> Ward Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> WOLDER. 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 /> INSURERS AFFORDING COVERAGE NAIL # <br /> INSURED WILDISH CONSTRUCTION CO INSURER A: The Travelers Indemnity Co <br /> PO Box 7428 INSURER 6: Travelers Prop Cas Co of America <br /> Eugene, OR 97401 INSURER C: <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 CONTRACTOR 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 D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR NSR DATE MM/DDIYYYY DATE MMlDD LIMITS <br /> GENERAL LIABILITY CO 526D7537 04/01/2009 O4/O1/2OlO EACH OCCURRENCE $ 1,000,QQQ <br /> X COMMERCIAL GENERAL LIABILITY PREMII&ES Ea ooau <br /> ~ nce $ 300 , ODO <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 , QQQ <br /> A PERSONAL & ADV INJURY $ , 000 ~ 000 <br /> GENERAL AGGREGATE $ 2 000 , pQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2 , OOO , OOO <br /> POLICY PRO <br /> JECT LOC <br /> AUTOMOBILE LIABILITY 810-526D7537 04/01/2009 04/01/2010 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea axident) $ 1 ~ 000 000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> B SCHEDULED AUTOS {Per person) <br /> X HIRED AUTOS 80DILYINJURY $ <br /> X NON-0WN(_DAUTOS (Peracddent) <br /> PROPERTY DAMAGE $ <br /> (Par acddent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- 0TH- , <br /> AND EMPLOYERS' LIABILITY Y! N TORY LIMITS ER - <br /> ANY PROPRIETOR/PARTNERlEXECUTIVE? E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES / EXCLUSIONS ADDEb BY ENDORSEMENT! SPECIAL PROVISIONS <br /> E: 2009 PPP: WEST 11TH AVENUE FROM GARFIELD STREET TO TYINN STREET -JOB #4340; 6TH AND 7TH AVENUES <br /> ROM HIGH ST TO WASHINGTON ST -JOB #4529 <br /> ITY OF EUGENE IS ADDED AS ADDITIONAL INSUREDS (PER CGD246); GENERAL AGGREGATE SHALL APPLY SEPARATELY <br /> ER PROJECT (PER CGD211); THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY IF REQUIRED BY WRITTEN <br /> ONTRACT AS RESPECTS TO THE WORK BEING PERFORMED BY THE INSURED ON THIS PROJECT <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 FPJLURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> CITY OF EUGENE REPRESENTATNES. <br /> 99 EAST BROADWAY SUITE 4OO AUTHORIZED REPRESENTATIVE <br /> EU ENE, OR 97401 Rob Harve /CARSON ~-'~~~x <br /> <br /> ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> <br />