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_ GEL35737-100 <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDmYY) <br /> 7/16/2009 <br /> PRODUCER Wells Fargo Insurance Services of Oregon, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3501 Fairview Industrial Drive SE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Salem, OR 97302 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> (503) 585-7555 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED GeICO COnStrUCtlOn CO. INSURER A: ZUfICh AmerlCan InSUranCe Co 16535 <br /> P.O. Box 7716 INSURER B: Insurance Company of the State of Pennsylvania 19429 <br /> INSURER c: SAIF Corporation 36196 <br /> INSURER D: <br /> Salem, OR 97303 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 /> LTR NSR TYPEOFINSURANCE POLICY NUMBER PDpLTEYMMFDDTIVE PDATE MMIDDTION LIMITS <br /> A GENERAL LIABILITY CP03991072 01/01/09 01/01/10 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10,000 <br /> X WA Stop Gap PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 <br /> POLICY X JECT LOC <br /> <br /> ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> B EXCESS/UMBRELLA LIABILITY 7561227 01/01/09 01/01/10 EACH OCCURRENCE $ 8,000,000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 8,000,000 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> C WORKERS COMPENSATION AND 423024 10/01/08 10/01/09 X WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $ 500,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> U-GL-1175-B CW (3/2007) Re: 2009 Waste water pipe replacement basins DC31, DC31, DC32, DW14, and DWIS at various locations <br /> City of Eugene is named as additional insured as respects work performed on its behalf by the named insured per attached form. Coverage is primary and <br /> non-contributory. <br /> CERTIFICATE HOLDER CANCELLATION <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 400 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Eugene, OR 97401 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25 (2001/08) 1 of 2 676192 G O ACORD CORPORATION 1988 <br /> (This certificate replaces certificate# 676190 issued on 7/16/2009) <br /> _ _ _ <br /> <br />