GJN4664 4657 Wildish 2010-00015 - Laserfiche WebLink

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ACORDCERTIFICATE OF LIABILITY INSURANCE 3/1 Zo 0 PRODUCER (541) 687-1117 FAX: (541) 342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ward Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eugene OR 97440 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Indemnity 25658 Wildish Construction Co INSURER B. Travelers Prop Cas Co of 25674 PO Box 7428 INSURER C: America Eugene OR 97401 INSURER D: INSURER E 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 All~ Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. A GGREGATE LIMITS SHOWN MAY HAVE BEE J REDUCED BY PAID CLAIMS. . INSR ADVL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDIYVI DATE IMMIDD1M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300 000 A _ 1 CLAIMS MADE NIOCCUR CO 526D7537 4/1/2010 4/1/2011 MEDEXP An one person) $ 5,000 _ PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 G ENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 GE X I POLICY LIJECOT I ILOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 000 000 X ANY AUTO (Ea accident) , , B ALL OWNED AUTOS 810-526D7537 4/1/2010 4/1/2011 BODILYINJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY- AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 X] OCCUR FICLAIMS MADE AGGREGATE $ 4,000,000 B DEDUCTIBLE CUP 526137537 4/1/2010 4/1/2011 $ X RETENTION $ 10, 000 $ WORKERS COMPENSATION AND EM Y TORY LIMITS OT PLO ERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? If d i E.L. DISEASE- EA EMPLOYEE $ yes, escr be under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ Urnerc DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 11TH & 13TH AVE PAVING, 11TH AVE FROM GARFIELD ST TO TYINN ST (JOB#4664) ; 13TH AVE FROM ALDER ST TO WASHINGTON ST (JOB#4657) CONTRACT 2010-00015 - THE STATE OF OREGON, OREGON TRANSPORTATION COMMISSION AND ITS MEMBERS, AND DEPARTMENT OF TRANSPORTATION, ITS OFFICERS AND EMPLOYEES, CITY OF EUGENE, ITS OFFICERS AND EMPLOYEES ARE ADDED AS ADDITIONAL INSUREDS (PER CGD246 & CAT301) ; THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY IF REQUIRED BY WRITTEN CONTRACT; GENERAL AGGREGATE SHALL APPLY SEPARATELY PER PROJECT (PER CGD211 & UM0302) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF EUGENE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 99 EAST BROADWAY SUITE 400 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT EUGENE, OR 97401 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Rob Harvey/CARSON ACORD 26 (2001/08) © ACORD CORPORATION 1988 INS025 (0108).08a Page 1 of 2