GJN4656 Hyland Const 2010-00009 - Laserfiche WebLink

New Search

AID ° CERTIFICATE OF LIABILITY INSURANCE 10/19 DA19DDI/2W0 009 PRODUCER (541) 687-1117 x260, Pax(541) 342-8280 Ward Insurance Agency, Inc. P O Box 10167 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eugene, OR 97440 Mindi Crawford INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:ZL1r1Ch American of IL John Hyland Const., Inc. INSURER B: American Guarantee & PO Box 7867 INSURER C: INSURER D: Eugene OR 97401 INSURER E: loll V F'KHl~rti THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD'L NSRD TYPE OF INSURANCE ! POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YYYY POLICY EXPIRATION DATE MMIDDIYYYY LIMITS GENERAL LIABILITY GLA3697369-06 06/01/2009 06/01/2010 EACH OCCURRENCE $ _ 1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 A CLAIMS MADE [i] OCCUR I MED EXP (Any one person) $ 10 , 000 PERSONAL 3 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X FE LOC AUT OMOBILE LIABILITY GLA3697369-06 06/01/2009 06/01/2010 X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 A ALL OWNED AUTOS i BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS I BODILY INJURY $ X NON-OWNED AUTOS (Per accident) I PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY IAUC-9669808-01 06/01/2009 06/01/2010 EACH OCCURRENCE $ 5 000,000 x OCCUR u CLAIMS MADE AGGREGATE $ 5,000,000 B ~ DEDUCTIBLE $ 1 RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory In NH) If es describ d E.L. DISEASE - EA EMPLOYE $ y , e un er SPECIAL PROVISIONS below E.L. DISEASE - POLICY I IPAIT $ OTHER i DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: CONTRACT NO. 2010-0009 JOB NO: 4656 PROJECT: LIFEFLIGHT HELIPAD AT FIRE STATION 2THE CITY OF EUGENE, ITS OFFIERS, AGENTS AND EMPLOYEES. IS NAMED AS ADDITIONAL INSURED AS RESPECTS WORK PERFORMED BY NAMED INSURED UNDER WRITTEN CONTRACT AGREEMENT THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY AS RESPECTS TO THE WORK BEING PERFORMED BY THE INSURED ON THIS PROJECT IN ACCORDANCE WITH THE POLICY TERMS AND CONDITIONS I.AI4%,r_LLA I IUIH (541) 682-8410 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION City of Eugene DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Mark Schoening NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 99 E. Broadway, Suite 400 Eugene , OR 97401 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE :harley O'Dell/KAYLA /1"URU L7 ILUUzlIu 1 ©1988-2009 ACORD CORPORATION. All rights reserved. INS026 (200001) The ACORD name and logo are registered marks of ACORD