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<br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE s~3i2olo ' <br />PRODUCER (541) 667-1117 FAX: (541) 342-6280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ward Insurance A en <br />9 ~' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 10167 ~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Eu ene - OR 97440 ~ INSURERS AFFORDING COVERAGE - " NAIC # ~ ' ~-- - "'""~ <br />INSURED - ~ INSURERA.COntln@ntal Casualt Co 20443' <br />ON TIME SYSTEMS INC INSURER e. - - --~- ~~ "" <br />1850 MILLRACE DRIVE INSURER C. ~ -- - <br />$ult.@ DDl INSURER D: ~ " ~~ <br />EUGENE OR 97403 INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TNIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />GGREGA E LIMITS HOWN MAY HAVE BEEN REDUCED BY PAID LAIMS. ' <br />INSR A00'L POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OFINSURANCE POLICY NUMBER DATE MMlDDIW GATE MM/DDf/Y LIMITS <br /> -GENERAL LIABILITY -" ~~ ~ _ EA H ~~URRENCE $ 2000, 000 <br /> COMMERCIAL GENERAL LIABILITY PRMMGET EaEONCOUErrOence $ 500,000 <br />A CLAIMS MADE OCCUR 1078602710 5/7/2010 5/7/2011 MED EXP A one rson $ 10.000 <br /> P R NALBADV INJURY $ 2000. 000 <br /> GENERAL AGGREGATE $ 4,000,000 <br /> GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCT - MP! P GG $ 4,000,000 <br /> X POLICY JECOT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accitlenQ $ <br />- ~ ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY. ~.~ <br /> ~' --' ~ - (Per person) „ $ <br />- - <br /> BCHEDULED AUTOS , <br /> HIRED AUTOS BODILY INJURY I <br /> <br />(Per acudenl) $ <br /> NON-OWNED AUTOS <br /> ' PROPERTY DAMAGE <br /> <br />(Per accitlanp $ <br /> GAMGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> - -RETENTION- -. - - _ ~.__ - _- _ _ ___ - _ __ - .._ - $ <br /> WORKERS COMPENSATION ANO WC STAIU- OTH- <br /> EMPLOVERS' LIABILITY <br /> ANV PROPRIETORIPARTNERlEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> OWICERIMEMBER EXGLUOED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> If yes, tlescribe untler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BV ENDORSEMENT/SPECIAL PROVSIONS <br />CERTIFICATE HOLDER IS ADDED AS ADDITIONAL INSURED VIA CONTRACT, AND REQUIRES NOT LESS THAN 3D DAYS PRIOR WRITTEN <br />NOTICE OF ANY MATERIAL CHANGE, NONRENEWAL OR CANCELLATION. CITY SHALL NOT HE AFFECTED 8Y ANY BREACH OF POLICY <br />PROVISION 8Y INSURED <br />~ G t - -7S <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF EUGENE PUBLIC WORKS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />1820 ROOSEVELT BLVD 1 D DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BUT <br />EUGENE , OR 97402 FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR lV\BILITY OF ANY KINp UPON THE <br /> INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATVE <br /> SELECT/LACY .,--'-~c.'-~-- --_ .-..._. <br />ACORD 25 (2007106) <br />INSD25 (moe~ oea <br />©ACORD CORPORATION 1966 <br />Page i of 2 <br />