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MMC 10/13/2009 9:02:39 PM PAGE 2/006 Eastern Time Zone <br />DATE <br />M/DDlYY) <br />ACORDTM CERTIFICATE <br />OF LIABILITY INSURANCE <br />- <br />10/ <br />13/09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />333 South 7th Street, Suite 1600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Minneapolis, MN 55402-2400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />J43750-MORSE-GAWX-09-10 2010 2037 2044 ai n A Liberty-Mutual Fire Ins Co <br />INSURED COMPANY <br />MORSE BROS., INC. DBA KNIFE RIVER B N/A <br />32260 OLD HIGHWAY..34 <br />TANGENT, OR 97389 COMPANY <br />C Liberty Mutual Insurance Company <br />COMPANY <br />D <br />COVERAGES Thic certificate supersedes acid replaces any p(~eVIOLISIy issued cerhficate'. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />'POLICY EXPIRATION <br />LIMITS <br />DATE (MMIDD/YY) <br />DATE (MMIDDIYY) <br />A <br />GEN <br />ERALUABILITY <br />TB2641005097-049 <br />01/01/09 <br />01/01/10 <br />$ 4 <br />000 <br />000 <br />GENERAL AGGREGATE <br />, <br />, <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS- COMP/OP AGG <br />$ 4,000,000 <br />CLAIMSMADE FX I OCCUR <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />OWNER'S & CONTRACTOR'S PROT <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X <br />PER PROJECT <br />FIRE DAMAGE (Any one fire) <br />$ 500,000 <br />AGGREGATE <br />MED EXP (Any one person) <br />$ 10,000 <br />A <br />AUT <br />OMOBILE LIABILITY <br />AS2641 005097-059 <br />01101/09 <br />01/01/10 <br />COMBINED SINGLE LIMIT <br />$ - 2 <br />000 <br />000 <br />X <br />ANY AUTO <br />, <br />, <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Per person) <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />X <br />NON-OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />- <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />- <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE. $ <br />UMBRELLA FORM <br />AGGREGATE $ <br />OTHER THAN UMBRELLA FORM <br />$ <br />C <br />WORKERS COMPENSATION AND <br />WC7-641-0 0 50 97-0 2 9(Guar.Cost) <br />01/01/09 <br />01/01/10 <br />EMPLOYERS' LIABILITY <br />X TORY LIMITS ER <br />C <br />WA7-64D-005097-019(AIDS) <br />01/01/09 <br />01/01/10 <br />EACH ACCIDENT Is 1,000,000 <br />C <br />THE PROPRIETOR/ - <br />PARTNERS/EXECUTIVE <br />X <br />INCL <br />WC7-641-005097-039(OR,WI) <br />01/01/09 <br />01/01/10 <br />DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />OFFICERS ARE: <br />EXCL <br />Includes"Stop}Gap" <br />DISEASE-EACH EMPLOYEE <br />$ 1-,000,000 <br />WORKERS COMPENSATION IS <br />EXCLUDED FROM ADDITIONAL <br />INSURED WORDING <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESSPECIAL ITEMS <br />Re: Traffic Calming on Praslin Street, Fillmore Street and East 32nd Avenue (Job #4658) <br />City of Eugene and its governing body, board, orCommission and its members, and the City's officers and employees is (are) included as an additional insured <br />as agreed in writing prior to a loss as respects to the general liability. CG 2010 and CG 2037 - Additional insured General Liability Endorsements attached. <br />Coverage is primary and non-contributory to any insurance maintained by the additional insured. <br />CERTIFICATE HOLDER <br />GHI 002387534 01 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL <br />City of Eugene Engineering Division <br />30 <br />Attn: Public Works Department (Lynn) <br />DAYS WRITTEN'NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />- <br />99 East Broadway, Suite 400. <br />BUT FAILURE TO MAILSUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF <br />Eugene, OR 97401 <br />ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. Inc. <br />BY: Mary Radaszewski <br />ACORD 25-S (1195) <br />ACORD CORPORATION 1988[1 <br />10/13/2009 TUE 18:02 [TX/RX NO 56671 U002 <br />