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ACORD CERTIFICATE OF LIABILITY INSURANCE 214i2oio"""' <br />PRODUCER (541) 485-6633 FAX: (541) 485-3946 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Beecher Carlson Insurance LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />59 E 11th Ave ALTER THE COVERAGE AFFORDED BY THE 30LICIES BELOW. <br />PO Box 70206 <br />Eugene OR 97401 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Trinity Universal Ins Co <br />Andersons Erosion Control Inc INSURER B: <br />PO BOX 205 INSURER C. <br />INSURER D: <br />Junction City OR 97448 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 ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />AGGREGATE LIMITS SHOWN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS. <br />INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MM/DDIYY) <br />GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY DAMPREMISES S ( (AGE RENTED 100 000 <br />_ Ea occurrence) $ ,A _-1 CLAIMS MADE aOCCUR KPP1007996 7/l/2009 7/1/2010 MED EXP (Any one person) $ 5,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GE <br />X I POLICY Y JECOT F7 LOC <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />A ALL OWNED AUTOS <br />_ SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />KPP1007996 7/1/2009 7/1/2010 BODILY INJURY <br />(Per person) $ <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGELIABILITY AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO OTHER THAN EA ACC $ <br />AUTO ONLY AGG $ <br />EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 <br />7 OCCUR FICLAIMS MADE AGGREGATE $ 4,000,000 <br />A DEDUCTIBLE KMB1007997 7/l/2009 7/1/2010 $ <br />_ X RETENTION $ 10,000 $ <br />- <br />H <br />WORKERS COMPENSATION AND TWOY AMTTS OETR <br />EMPLOYERSLIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE $ <br />If yes, describe under <br />_ SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Re: #4669 - Delta Ponds Riparian Planting Contract #2010-00013 <br />City of Eugene its officers, agents and employees are included as additional insured as respects general liability on <br />a primary & noncontributory basis where required by written contract. This form is subject to policy terms conditions <br />& exclusions. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Eugene Public Works EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />99 E Broadway 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />Suite 400 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />Eugene, OR 97401 <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />M Godfrey, CIC/NADYAL <br />ACORD 26 (2001108) © ACORD CORPORATION 1988 <br />INS026 (01o8).o8a Page 1 of 2 <br />