~L~ i ~ ~~V~~~~ OE~I[~ ~'~
<br />~
<br />~~~~~~~ ~ L pA~'~~MMfU~fYYYI'~
<br />TM
<br />.
<br />PFtQDL1CER THIS CERTI~ICAT~ IS 15UEb A~ A MATTER ~~ I~CI;~RMATION
<br />Oregon Property & Ce~ualty CI~LY A~Ib bDN~ERS NC RIWT I~~CN TWE CER~`I~ICATE
<br />days Co~pax~~.es o~ OregO~ WDLaER. THIS CERTIFICATE D~E5 NDT AMEND, ~?(~'Er~b CR
<br />X28 W Me~dowa Rd, ~~1 A~.TER ~`F!E COVERAGE A~~ORpEb by 7RE ~C~.ICI~S ~~~OVII.
<br />~o
<br />~ ~
<br />~. a~
<br />d
<br />~~
<br />9'~ ~ 3
<br />5
<br />--
<br />+rr
<br />++{yy
<br />i~
<br />y+~•+ Ay Icy
<br />## ~~y
<br />+~
<br />~A~4V#~~ r r/~r/=SJ2~~~ t ~~ A~i G~~ i ~~rl~~~~~~ ! ~~ ^ r y.~ ~y
<br />i~~~~~ d"1~1 1 ~,~#,~I~~ ~~1~~~',f'5~~ .. ... ..... ...'. .~~~,~'~..°~ ~~ ~`~ Y
<br />N~1~
<br />INSt1REQ :
<br />,, ~
<br />.... , .. , .
<br />Ir~sul~~l~ A. ~e o~e~ ter ur~.u din
<br />st s es
<br />4 .,. .. , .
<br />_
<br /> "
<br />INSI~HEH~; ~AZ~' CDrpAr~ti~ir~ - ~ :, ~G19~
<br />... k~en~~r~~on.~ ~~r~~ Se~v~,oee ~~C It~SL11~E1~ C. ~ , ~. ..
<br />
<br />~~~ ~
<br />1eL
<br />Q ~~ ~~~~~
<br />~
<br />~
<br />. INSURER E;
<br />~~~~~~
<br />THE PdLiCIES OF iCdSURANCE LISTED BELQIN HAVE BEEN ISSUED TO THE II~ISUREI) ItIAMEO AB011E FO;R THE POLICY I'PI~IQl7 INaICATIwCJ, N~TV~ITHSTAf~~I~VG
<br />ANY RCWpL11REMENT, TC;RIu! ~R C~NC}ITIQN qF ANY CQC~TRACT QR aTHER OOCLJMENT 1NITH RPSpECT TO W~iICI~ TI'#IS QFl~`I~I~'ICA~'F MAY l3E iS51`JEb ~R
<br />MAY pERTAII~f, THE 31VSlaRANCI= AFFaRI~ED BY T'H~ I'OLICIPS l7FSCRIBIVD I-IEwR~lI~ I SLJB~~CT TQ AI,.L THE TERMS, E?iCLI~SIQNS ANQ CONI~CTIQNS OF SUCH
<br />PQLICIES. AGGRIrCATF LIMITS SHOWN MAY HAVE C~C:C:N REDUCED k~Y PAID CL,41MS.
<br />~ ~m__-..-~...........,......_....-._.,_.._..~._.~_~~_. F V P LI Y EXPIfiATC N ---------...._.__........-....---.............--.....----..._........---...w,..:,...:.
<br />LTR NSR TYPE OF 1HS~lRAI~CIw P~LIGY NIiMI~ER ?ATE C~MfC?DIYY C3ATE M~#f~E]fYY LIMiiT5
<br /> GENERAL I<CAC3ILITY I*ACI~ gCCURRf:f~CE $ ~ t ~J (J ~ ~ ~ ~ ~
<br />~i ~ QQMMERGIAL GE#~EC~AL LIaI31~,lTY ~ ~ $ ~ ~ O ~ ~"~ ~~ ~ ~ ~~ ~ ~ ~ ~ O ~ ~ ~ ~ ~ O ~ PRECN DES ~Ea oc~ure~ce} $ ~ O ~ O O O
<br /> CI.AiMS MAB~ ~ DGCUR MEa E7CP ~~,ny one person} $ -- _~ r ~ ~ ~
<br /> X Con trtu~~ ~
<br />- . -_ PERSQC~AL & AIJV INJURY $ ~ ~ a O ~ r ~ ~ ~ „
<br /> GrFNERA~. AGGREGATE $ ~ ~ (J D Q r ~ ~ C~
<br /> GEN'L AGGREGATE LIMIT RPPLIE PER; PRaC~UCTS - CQMPfOP AGG ~ ~ ~ (} ~ Q r Q ~ ~ _
<br /> ~ POLICY PPO- LOG
<br />,1ECT
<br /> AUT4MCBCLI* LIABILITY GOM~INCyO 51NOLE LIMIT
<br />$
<br /> AIRY Af~~'q ~Ea accldenl}
<br />
<br />-. ALL QUVNED ALITQS
<br />~ I~U+~ILY IIV,~UC~Y
<br />~
<br /> SQ~I~I~k~L1=1~ All3'OS (per person)
<br /> NIREC) AUTQS
<br />~... ..
<br />,., ..
<br />.. .
<br />
<br />
<br />.. .
<br /> I~QN-DCdEC) AUTQS . - ~ ~ .. ' {Per accident}
<br /> ;..
<br />.
<br />..... ..
<br />
<br />I?RDp~FtTY ~A~IAGE . .
<br /> ~:
<br />
<br />GARAGE LCAI3ILITY ~~ ~,
<br />~
<br />~ .
<br />. Al~~`O ONLY - IAA ACOiaErl'#T . ..... .
<br />$ ~ ~ -,
<br /> ANY AUTO I*A ACG $
<br /> aura alv~~; A~~. _~
<br /> EXCESS1UMRi~ELLA LIAI31LCtY
<br />_.~.~ EACH OCCLfI~I~EI~1CE $
<br />_
<br />--------
<br /> dCCIJI~ ~ Q#..AIMS MAGI" AGGI~EOA~'I; .
<br />,m..~
<br />~
<br /> .~....
<br /> CJEDIJCTIB~.E $
<br /> F~ETEI~TION ~ $
<br /> URkfFRS COMPENSA1"IOIJ AND
<br />' ~ TQC~Y LIMITS ECG
<br />
<br />'
<br />_._
<br />~ EMAl.01'ERS
<br />I,IABIk.ITY ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
<br />~ ~ ~ ~ ~ f~ ~ ~ ~ ~ O EACH AOCIDEf~fT
<br />EAL ~ ~
<br />O O ~
<br />O ~ 0
<br /> ANY PR01'C~IE~'0€~11~ARTNERfE%ECUTIVE , ----
<br />-
<br />~ , ~
<br />~
<br />- - --,
<br /> aFFICERIMEMC3ER FXCLI,JC?F,D? C:,~., DiSEA~E - EA EMI~LgYEE $ 1 i D O O r ~ ~ O
<br />-~-~-------~--- ..
<br /> If yes, descr€~e under
<br />SPECIAL ~R~VIS10N5 below
<br />E.~. DISEASE ~ Pt}LICY LIIUIIT ~ ~..
<br />$ ~, ~ ~~ ~ ~ ~ (} Q
<br /> OTHER ,
<br />A Cont. Pa11ut~.an C2~B0~~86-042 08/2'7~OB 4$7/09 L~.rnits 1,04A,444
<br />~ ~rnfessi~na~. Lia~b. O~3B44'~~G~~D~ ~~~~7~~8 ~8~2~~09 A re~te ~,~~q,~~~
<br />DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES f EICCLU5IONS ADDED 8Y IwN~ORSEMECJT f SPECIAL PROVISIO~CS
<br />Re: Contr~et #200~~0~3~3
<br />~~~ p~ ~1~gL'l~@ 1$ nl~~ ~ ~G~.G~~.~~.Q~~~ ~~S1~~eC~ ~S x~espeot5 Operat~.0~s D '~~~
<br />a~a.~c-ed ir~ured~
<br />4ERTI~~A"~E HOLbER ~ANC~LLA~'IDi~
<br /> SHOULD ANY OI= "I`HI: ABOVC~ C~ESCRI13~p POLIGl1=S 13E CANCELLED BEFORE THE EXPiRA~'IQN
<br />City ~~ ~t~C~ene C3ATE tHEC~EOI=, fiHE ISSUING IN$LIRER I~;7I_L ECVDt:AVgR ~'Q MACL ~O
<br />C)AYS 4VRI~'~'C:I~I
<br />P~~11C ~~~~~ ~~~~~~~~~~ ~~~ ~
<br />NOTICE TO THE CERTfFICATE HOLDER NAMEQ TOTHE C,EC=T, SLIT FAIC.~iRE TO C)~] SO SHALL
<br />~~~~~ ~~'~~'~~'~~'
<br />
<br />1$24 Raos~v~~t Blvd IMPOSE ISO Of31.IGAtI01~ OR LIAI311.I7Y OF A~IY Itll~b L1C'i~N tI'IE INSURER, ~T~ AGENT5 OR
<br />~"~lem ~~ ~~ 4 ~~ REI'I~ESI:IdTA~`IVES.
<br /> AUT RI~EC REPC~ES H
<br />Y
<br />ACL~RD 2a ~~4~~1~8) ~ ACORQ COR~ORA~'IDN 198
<br />
|