New Search
saiFcorporation • <br />400 High Street SE <br />Salem, OR 97312-1000 <br />OREGON W~ERS COMPENSATION <br />CERTIFICATE OF INSURANCE <br />Toll Free 1-800-285-8525 <br />MAIL TO: <br />CITY OF EUGENE <br />ATTN: CONTRACT ADMISTRAOR <br />1820 ROOSEVELT BLVD <br />EUGENE. OR 97402 <br />CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />ATTN: CONTRACT ADMISTRAOR <br />1820 ROOSEVELT BLVD <br />EUGENE, OR 97402 <br />The policy of insurance listed below has been issued to the insured named below for the policy <br />period indicated. The insurance afforded by the policy described herein is subject to all the <br />terms exclusions and conditions of such policy. <br />POLICY NO. POLICY PERIOD ISSUE DATE <br />964461 05/01 /2010 to 05/01 /2011 04/20/2010 <br />IKSUKtU: ORV RCR Vr' RCVVRY: <br />BEAVER STATE MOTORCYCLES LLC <br />2891 WEST 11TH AVE <br />EUGENE, OR 97402-3218 <br />LIMITS OF LIABILITY <br />Bodily Injury by Accident $500,000 each accident <br />Bodily Injury by Disease $500,000 each employee <br />Bodily Injury by Disease $500,000 policy limit <br />DESCRIPTION OF OPERATIONSILOCATIONSISPECIAL ITEMS: <br />IMPORTANT: <br />The coverage described above is in effect as of the issue date of this certificate. It is subject <br />to change at any time in the future. <br />This certificate is issued as a matter of information only and confers no rights to the certificate <br />holder. This certificate does not amend, extend or alter the coverage afforded by the policies <br />above. <br />AUTHORIZED REPRESENTATIVE <br />3r~1~.1P 1Z~d.>>--~ <br />President andJCEO <br />STAOLS ~~16~~~ <br />