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OREGON WORKERS' COMPENSATION ¦ <br /> CERTIFICATE OF INSURANCE <br /> l corporation <br /> CERTIFICATE HOLDER: <br /> CITY OF EUGENE <br /> 99 E BROADWAY SUITE 400 <br /> EUGENE, OR 97401 <br /> The policy of insurance listed 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 /> 521750 10/01/2008 TO 10/01/2009 07/10/2009 <br /> INSURED: BROKER OF RECORD: <br /> BABB CONSTRUCTION CO WARD INSURANCE AGENCY INC <br /> DELTA CONSTRUCTION CO PO BOX 10167 <br /> 999 DIVISION AVE EUGENE, OR 97440 <br /> EUGENE, OR 97404-2414 <br /> LIMITS OF LIABILITY: <br /> Bodily 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 /> DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: <br /> Fox Hollow at Amazon Creek Enhancement Storm Water Project <br /> Job 4524 <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 the future. <br /> <br /> ' This certificate is issued as a matter of information only and confers no rights to the certificate holder. <br /> This certificate does not amend, extend or alter the coverage afforded by the policies above. <br /> CANCELLATION: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN <br /> NOTICE TO THE ABOVE NAMED CERTIFICATE HOLDER. <br /> AUTHORIZED REPRESENTATIVE <br /> 3r P 1z~1.~~----- <br /> President and CEO <br /> ©SAIF CORPORATION 1400 High St SE I Salem, OR 97312 I P: 800.285.8525 I www.saif.com <br /> _ _ <br /> <br />