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Aco o CERTIFICATE OF LIABILITY INSURANCE <br />DA <br />DD/ <br />0 <br />2/20 <br />4/2/2 <br />10 <br />PRODUCER (541) 687-1117, Fax(541)342-8280 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Ward Insurance Agency, Inc. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 10167 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Eugene, OR 97440 <br />Attn: Mindi <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A Travelers Indemnity Company <br />Brown Contracting Inc. <br />INSURER B: Travelers Property & Casualty <br />PO Box 26439 <br />INSURER C: <br />INSURER D: <br />Eugene OR 974020466 <br />INSURERE <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LT <br />DD'L <br />NSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE M IDDIYYYY <br />POLICY EXPIRATION <br />DATE MMIDD AY Y1 <br />GENERAL LIABILITY <br />T CO 4604N311 IND 09 <br />05/03/2009 <br />05/03/2010 <br />EACH OCCURRENCE <br />$ 11000,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />_ <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) <br />$ 300,000 <br />A <br />F <br />1 <br />CLAIMS MADE <br />OCCUR <br />x <br />MED EXP (Any one person) <br />$ 5,000 <br />X <br />WASHINGTON STOP GAP <br />PERSONAL & ADV INJURY <br />$ 1 000 000 <br />IS INCLUDED <br />GENERAL AGGREGATE <br />$ 2 000 000 <br />GEN'LAGGREGATELIMIT APPLIES PER: <br />- <br />- <br />PRODUCTS -COMP/OP AGG <br />$ 2,000,000 <br />POLICY X PRO LOC <br />] <br />1 IECT F <br />AUT <br />OMOBILE LIABILITY <br />T 810 4604N311 TIL 09 <br />05/03/2009 <br />05/03/2010 <br />COMBINED SINGLE LIMIT <br />000 <br />$ 1 <br />000 <br />X <br />ANY AUTO <br />(Ea accident) <br />, <br />, <br />B <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />SCHEDULED AUTOS <br />(Per person) <br />X <br />HIRED AUTOS <br />BO <br />DILY INJURY <br />$ <br />X <br />NON-OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />EA ACC <br />OTHER THAN <br />$ <br />AUTO ONLY* AGG <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />_ <br />TSMCUP4604N311TIL09 <br />05/03/2009 <br />05/03/2010 <br />EACH OCCURRENCE <br />$ 2 000 000 <br />F <br />] <br />X <br />OCCUR <br />CLAIMS MADE <br />AGGREGATE <br />$ 2 000 000 <br />B <br />R <br />DEDUCTIBLE <br />$ <br />X <br />RETENTION $ 10,000 <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY <br />TORY LIM S ER <br />YIN <br />ANY PROPRIETORRARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />$ <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />RE: JOB #4513, CONTRACT #2010-00018 - 29th AVENUE AND WILLAMETTE STREET INTERSECTION IMPROVEMENTS. <br />PUBLIC WORKS ENGINEERING, CITY OF EUGENE IS NAMED AS ADDITIONAL INSURED WITH RESPECTS TO WORK PERFORMED BY THE NAMED <br />INSURED AND WHERE REQUIRED BY WRITTEN CONTRACT PER THE ATTACHED CGD246. <br />V CRIII ltrlllC AV LUCR <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />PUBLIC WORKS ENGINEERING DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />CITY OF EUGENE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />99 E. BROADWAY, STE 400 <br />EUGENE, OR 97401 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />:barley O'Dell/KAYLA <br />At;UKU L5 (LUUViUT ©1988-2009 ACORD CORPORATION. All rights reserved. <br />INS025 (2oogoi) The ACORD name and logo are registered marks of ACORD <br />