New Search
r <br />r1 <br />ACORD CERTIFICAT OF LIABILITY INSURANC oP ID s.D DATE (MMIOD/YYYY) <br />STAPOIC 05 11 10 <br />paooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />KPD Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 784 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Springfield OR 97477 <br />Phone: 541-741-0550 Fax: 541-741-1674 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Amaricen scenes ineurence co <br /> INSURER B' <br />Stapleton Timber & Excavation, <br /> <br />Inc INSURER C' <br />PO BOX 40505 <br />OR 97404 <br />0080 INSURER D: <br />Eugene <br />- <br /> 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 <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR _ <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />' POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. i <br />R1S POLICY NUMBER OATEYMM/QOM! E I PDATEY MNIODm N LIMITS <br />LTR NSR TYPE OF INSURANCE <br /> _ GENERAL LIABILITY EACH OCCURRENCE $1, OOO, QQQ <br />_A_~ ;.. _ .X - ,COMMERCIAL GENERAL LIABILITY O.1CG587069-7 OS/OB/10 OS/OS/11 PREMISES (Ea ocwrenca)_ $200, QQQ <br /> <br />~CIAIMS MADEOCCUR <br />MED E%P(My one person) _ <br />$iQ,000 <br /> <br />IC ][ Contractual PERSONALBADV INJURY ~ S1, QQQ, QQQ <br />I GENERAL AGGREGATE ~ $ 2, QQQ, QQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $2, QQQ, QQQ <br /> POLICY ECT LOC ' <br /> AUTOMOBILE LIABILITY <br /> <br />ANV AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accldenU <br />$ <br /> ALL OW NED AUTOS <br />SCHEDULED AUTOS BODILY INJURY <br />(Per person) <br />$ <br /> <br />~ ~jHIREDAUTO$ <br />NON-OWNED AUTOS BODILY IWURV <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Ppl aCCidCnt) $ <br />i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESSIUMBRELLA LIABILRY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> i RETENTION $ $ <br /> WORKERS COMPENSATION ANO TORY LIMITS ER ~ <br /> EMPLOYERS' LU.BILITY <br />ANY PROPRIETOPoPARTNERIFJ(ECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />._ _ _OFFICERIMEMSER EXCLUDED?_., ___ <br />~ .. EL. DISEASE-EA EMPIDYEE .$ _ <br /> It yes, tlescdbe under <br />SPECIAL PROVISIDNS below <br />E.L. DISEASE-POLICY LIMIT <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLEB I E%CLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: Contract #200705353 <br />CERTIFICATE HOLDER CANCELLATION <br />CIT$U04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIEB BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE IBSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />City Of Eugene NOTICE TO THE CERTIFICATE XOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Pub11C WOrICB Dept. IMPOSE NOOBLIGATION OR LIABILfTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />1820 Roosevelt Blvd <br />Eugene OR 97402 REPRESENTATIVES. <br /> AU DREPRESENTATIVE <br />w_ <br />ACORD 25 (2001108) / ~, ®ACORD CORPORATION 1988 <br />