GJN4625 Wildish 2010-00016 - Laserfiche WebLink

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ACORD. CERTIFICATE OF LIABILITY INSURANCE 3DATE /15/2010 Y) 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 INSURED Wildish Construction Co PO Box 7428 Eugene OR 97401 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity 25658 INSURER B: Travelers Prop Cas Co of 25674 INSURER C: America INSURER E THE POLICIES OF INSURANCE LISTED BELO`V HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF A( Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C ERTIFICATE 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 AGGREG NTE LIMITS SHOWN MAY HAVE BEE 'J REDUCED BY PAID CLAIMS. INSR ADDT POLICY EFFECTIVE POLICY EXPIRATION LTR Mll= TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGETORENTED PREMISES Ea occurrence $ 300,000 A _ 1 CLAIMS MADE FKOCCUR 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 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS - COMP/OP AGG $ 2,000,000 ~ X1 - l JECPROT LOC s► POLICYF 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 BODILY INJURY 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 $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 OCCUR CLAIMS MADE AGGREGATE $ 4,000,000 B DEDUCTIBLE CUP 526D7537 4/1/2010 4/1/2011 $ X RETENTION $ 10,000 $ WORKERS COMPENSATION AND ' ORSTMIT ER Y LIMITS ER EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: EUGENE AIRPORT REHAB OF RUNWAY 16R/34L AIP NO.3-41-0018-45; CONTRACT NO. 2010-16; JOB NO. 4625 - CERTIFICATE HOLDER IS ADDED AS ADDITIONAL INSURED (PER CGD246 & CAT301); THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY IF REQUIRED BY WRITTEN CONTRACT; GENERAL AGGREGATE SHALL APPLY SEPARATELY PER PROJECT (PER CGD211 & UM302) AS RESPECTS TC- THE WORK BEING PERFORMED BY THE INSURED ON THIS PROJECT IN ACCORDANCE WITH THE POLICY TERMS AND CONDITIONS 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 `f ACORD 25 (2001/08) © ACORD CORPORATION 1988 INS025 (0108).08a Page 1 of 2