New Search
. ot~lr ~,vL ~vL azxQn Ei/ iFi/'LOOS 8:28:04 ' AM PAGE , 1/001 Fax Server <br /> OREGON WORKERS` COMPENSATIQIV- - - - - - - <br /> CERTIFICATE OF INSURANCE <br /> <br /> j CERTIFICATE HOLDER: <br /> CITY OF EUGENE • <br /> ATTN.: LI N N <br /> 244 EAST BROADWAY <br /> EUGENE, OR 97402 <br /> The poaicy of insurance Fisted 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 /> 926889 03/O1j20~9 TO 03/Q1/2010 06/16/20.09 <br /> INSURED: 6ROKER OF RECORD: - <br /> SCOTT BROWN CONSTRUCTION-INC <br /> PO BOX 7882 <br /> EUGENE, OR 97401 <br /> CIMITS OF LIABILITK: <br /> 6odiiy Injury by Accident $500,000 each accident <br /> Bodily Injury by Disease $500,000 each employee <br /> bodily Injury by Disease $500,000 policy limit <br /> OE$CRIPTIO.N OF QPERATION$/LOCATIONS/SPECIAL ITEM$i <br /> ALL OPERATIONS <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 th.e future. <br /> Thus certificate is issued as a matter of information only anal confers no rights to the certificate <br /> holder. This certificate does not amend, extend or_ alter the coverage afforded.by the policies " <br /> ".above. <br /> CANCELLATION: <br /> SHOULD ANY OF-THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE T:HE EXPIRATION DATE <br /> THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS` WRITTEN. NOTICE TO THE A60VE NAMED <br /> CERTLFICATE HOLDER. <br /> AUTHORIZER REPRESENTATIVE <br /> . <br /> President and CEO <br /> Cc) SnIF CORPOR/~TION I X00 High St SE ~ Salem, OR 9712 1 P: 800,285.85251 www.saif.,com <br /> 06/16/2009 .TUE Oo":27 [T(/R`; ~a0 5469] 0001 <br /> <br />