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ACORD~ CERTIFICATE OF LIABILI`T~( INSURANCE DATE (MM/°D/YYYY) <br /> 06/09/2009 <br /> PRODUCER (541) 687-1117 FAX (541) 342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Ward Insurance Agency, Inca 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 <br /> s <br /> IN uRER6: Travelers Pro <br /> Cas Co of Ame ' <br /> rica <br /> p <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 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/OD/YYY LIMITS <br /> GENERAL LIABILITY CO 526D7537 04/01/2009' .04/01/2010 EACH OCCURRENCE $ ~ QQQ ~ OQQ <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300 OOt) <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 QQQ <br /> A PERSONAL & ADV INJURY $ ~ QQQ ~ QQQ <br /> GENERAL AGGREGATE $ 2 ~ QQQ ~ QQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 000 ~ QQQ <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 ~ QQQ <br /> ALL OW NED AUTOS <br /> BODILY INJURY $ <br /> B SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br /> X 'NON-oWNEDAUTOS (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 EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION C O - <br /> AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVED <br /> OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <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 /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> E: 2009 PPP: BERTELSEN ROAD FROM W 11TH AVE TOW 18TH AVE -JOB #4501; SENECA RD FROM ROOSEVELT BLVD <br /> 0 W 7TH AVE - ]OB #4528; MCKINLEY ST FROM W 5TH AVE TOW 11TH AVE - ]OB #4561 <br /> ITY OF EUGENE IS ADDED AS ADDITIONAL INSUREDS(PER CGD246) THIS INSURANCE IS PRIMARY &NON-CONTRIBUTORY <br /> ENERAL AGGREGATE 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 CANCELLA ION <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 50 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 4OO AUTHORI2E0 REPRESENTATIVE <br /> EU ENE, OR 9.7401 Rob Harve /CARSON ~ <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 />