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a .. ~~. <br />~Rb® CERTIFICATE OF LIABILITY INSURANCE PATa(MNUDbfYWYI <br />R <br />F <br />E Ol 04 23 10 <br />O <br />PROWCEft THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />9Pestern States mc2dinnville HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENb OR <br />1411 NW Adams ALTER THE COVERAGE AFFORDED BY THE.POLICIES BELOW. <br />McMinnville OR 97128 <br />Phone: 503-472-2121 k'ax:503-x134-5872 INSURERS AFFORDING COVERAGE ~ NAIC ~E <br />INSURED INSURER A: $afeCO 2474D <br />k'Ore9t Res tOratiOn znC. , DBA IN 6VREft B; SALE <br />Intergrated Resource Maaagemen <br />mar]g Harney INSURER C! <br />141 Colleg a St <br /> <br />th OR 97370 <br />Ph <br />l INSURER D: <br />oma <br />i IN3UREft E: <br />COVERAGES <br />.1HE POLICIES OF INSURANCE LI9YEO BELOWHAVEBEEN.ISSLIED TOT.HE INSURED.NAMEP_AB.OVEFORTHE.PpLICY PFRIpD1NPIGAT)=P~NOTW)TUST9NDIN~ _._.-__. <br />ANY REgUIREMENT, TERM OR CONDrf10N OF ANY CONTRACTOR OTHER POCUMENi WTR1 RESPECT TO WHICH THIS CERTIFICATE NWV BE ISSUED OR <br />MAY PERTAIN, THE INSUPANCE AFFORDED BV THk POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLU610N8 AND CONDITION6 OF SUCH <br />POLICIkG. AGGREGATE LIMITS SHOYVH MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER pATE MM/DpIYYYY DATE MM/W TION LIMITS <br /> GENERAL LIABILITY - EACH OCCURRENCE Sl ~~~ DOO <br />A X COMMERCIAL GENERALLIABILRY O1C13370551 04/27/10 04/27/11 PREMISEB(Eevccurence) 52DO,DDD <br /> CLAB.I$MADE X~OCCUR MEPEXP(Anyv~panwn) SID DDD <br /> X LHFPD D1CI337055Y 04/27/10 04/27/11 PERSONALSADV INJURY a2 000,000 <br /> GENERAL AGGREGATE f 1,.000,OOD <br /> GEN'L AGGREGATE LIMITAPPLIE$PER: ~ PRODUCTS-COMPlOP AGG 32 DDD OOO <br /> POLICY jRa LOC <br /> AUT OMOBILE LIABILITY <br />- COMB WED SINGLE LIMB <br />000 <br />s1 <br />000 <br />A X ANY AUrD D4CC1B33578 04/27/10 04/27/11 fee e`maen) , <br />, <br /> ALL OWNEDAUTOS - BODILY INJURY <br /> SCHEDULED AUTOS ~ ~ (PEr Pereon) S <br /> HIRED AUTOB BODILY INJURY <br />S <br /> NON-OWNED AUTOS (Per PCCideM) <br /> PROPERTY DAMAGE S <br /> (P~r acvidsM) <br /> GARAOB LIABILITY AUTO ONLY-EA ACCIbENT S <br /> ANY ALRO OTH'RTHAN EA ACC S <br /> ' AUTO ONLY: AGG B <br /> EXCESS/ UMBRELLA LIP&LIYY EACH OCCURRENCE S <br /> OCCUR ~ CLAIMS MADE AGGREGATE S <br /> S <br /> OEOUCTIBLE S <br /> RETENTION 5 S <br /> OR ERB COMP ATION <br />AND FNPLOYERB' UABRM X TORY LIMITS ER <br /> <br />g XECUTNr~ <br />%OL <br />N <br />w <br />ieM <br />E0. <br />~ <br />~ 633103 05/01/10 04/30/12 S.L EACH ACCIDENT SSOD ODD <br /> I <br />IDE <br />Dg <br />E <br />r <br />B <br />e <br />OFFIC <br />andatoryin NH) -I <br />(M E.L DISPASE-EA EMPLOYE $$QD DDD <br /> yy <br />SPECIAL~PROOVIS[ONS OeIPw E.L. PI6E46k-POLICY LIMIT $ 5DD DDD <br /> OTHER <br />A Commercial Applica 01Cx3370551 04/27/10 04/27/11 <br />A <br />DESCRIPTION OF OPERATIONS! LDCATONS / VEHX:LE9 / EXCLllSIONS ADDBD BY ENDORSEMENT / BPECIAL PROYGiIONS <br />Cerbifinate holder is added as an additional insured as respects liability <br />Ror work performed under contract by the insured. <br />,~e~8 -653 <br />(]FRTIFILATF Hfll r1FR GANUtLlAI IUN <br /> SHOULD ANY OF THE ABOVE DEBCRIBED POLIC[EB BE CANCELLED BEFORE THE EXPIRATION <br /> GATE THEREOF, THE ISSNNG RL9URER WILL ENDEAVOR TO MAR 3O OAY9 YBiITTEN <br /> NOTICE 70 THE CERTIFICATE HOLDER NAMED TD TWE LE4T, BUT FARURE TD DO SD SHALL <br />City O'E k'ucJene IMPOBE NO OBLIOAYION OR LIABILITY OF ANY KIND UPON YHEINBURER, ITB AGENTS OR <br />Attn: Kiss Aanderud <br /> REPRESENTATIVES. <br />541-682-48 B2 <br /> <br />1920 Roos®velt Hlvd ALIT OR6EP REPREEENTATIVE. <br />, <br />u en® OR 97402 1 ~ <br />ADDRD 25 (2009107) <br />~ TBaa-muy Acurtv uurtrurv{I lun. nn ngnLS rBServeD. <br />The ACORD name and IDgD are registered marks Df ACORD <br />Z00/l0U'd ZL85-b£~-£05'~[~ Xtld SNI S3,LHZS N~3,LS3M Wd 65~Z0 I~~/0[OZ/£Z/8dtl <br />