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ACORD,~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br /> 7/10/2009 <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 INSURER 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 /> ~i 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 /> LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> DATE MM/DD/YY DATE MM/DD/YY LIMITS <br /> A GENERAL LIABILITY 2091617611 11/25/2008 11/25/2009 FJaCHOCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED~B $ 100,000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) $ _ 5,000 <br /> <br /> . X PD Ded $500 PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> III POLICY X PE <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 <br /> 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 LU\BILITY 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? 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 /> RE:4524 Re: Contract No. 2010-00002, Fox Hollow at Amazon Creek Enhancement -Storm Water Project. <br /> Certificate holder is Designated Insured for Automobile Liability per form attached. <br /> Certificate Holder is, additional insured per form G1403331A. <br /> Waiver of'Subrogation per form CG2404: <br /> The Agency, the Agency's governing body, board, or Commission and its members, and the Agency's officers and employees as Additional Insured per forms <br /> attached. <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 /> City of Eugene NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 99 E Broadway, Suite 4OO IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Eugene, OR 97401 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE. Q p <br /> ACORD 25 (2001/08) 1 of 2 666743 ``emu ©ACORD CORPORATION 1988 <br /> (This rartifirata ranlarac rartifirata.# RFR734 icGirari nn 7/1n/~nn91 <br /> <br />