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A~ORDr~ CERTIFICATE OF LIABILITY hNSURANCE DATE (MM/DD/YyYY) <br /> 6/10/2009 <br /> PRODUCER Commercial Lines - (541) 685-5300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Wells Fargo Insurance Services of Oregon Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 975 Oak Street, Suite 900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Eugene, OR 97401 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Babb Construction dba: Delta Const Co. dba: Delta Concrete INSURER A: Continental Insurance Company 35289 <br /> 999 Division Avenue ENSURER e: Transportation Insurance Company 20494 <br /> INSURER C: <br /> INSURER D: <br /> Eugene, Oregon 97404 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 MAYBE 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 /> LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> DATE MM/DD DATE MMIDD LIMITS <br /> <br /> ' A GENERALLIABILrrY 2091617611 11/25/2008 11/25/2009 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5,000 <br /> X PD Ded $500 PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> POLICY X JE <br /> ~ LOC <br /> B AUTOMOBILE LIABILITY 2091617656 11/25/2008 11/25/2009 COMBINED SINGLE LIMIT <br /> $ 1,000,000 <br /> X ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON-OWNED 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: qGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> 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 / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> RE:3923 G-140331-A (01/01) Re: Chad Drive Extension from the East End of Chad Drive to North Game Farm Road. <br /> The City of Eugene, Agency's governing body, board, or Commission and its members, and the Agency's office and employees are additional insured per <br /> form G1403331A. <br /> CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment <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 /> The Clty Of Eugene NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 99 E Broadway, Suite 400 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Eugene, OR 97401 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE a Q <br /> ACORD 25 (2001/08) 1 of 2 583470 O ACORD CORPORATION 1988 <br /> (This rartifiratP ranlar`ac r•.artifirata#.r,R64FR isci~ari nn R/1(1/9f1(1Q1 <br /> <br />