GJN4586 Knife River 2010-00024 - Laserfiche WebLink

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17/10M,°°m, ACERTIFICATE OF LIABILITY WSI RANCE 5 0 / ew..A PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 333 South 7th Street, Suite 1600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Minneapolis, MN 55402-2400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY J43750-KRCC-GAWX-10-11 A Liberty Mutual Fire Ins Co INSURED COMPANY KNIFE RIVER CORPORATION - NORTHWEST B N/A DBA MORSE BROS INC DBA HAP TAYLOR & SONS INC , DBA KNIFE RIVER COMPANY 32260 OLD HIGHWAY 34 C Liberty Mutual Insurance Company TANGENT, OR 97389 COMPANY D COVERAGES iws c~(u edes and replaces any previously issued ccate_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GE NERAL LIABILITY TB2641005097-040 01/01/10 01/01/11 GENERALAGGREGATE $ 4,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 4,000,000 CLAIMS MADE I JOCCUR PERSONAL & ADV INJURY $ 2,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000 FIRE DAMAGE (Any one fire) $ 500,000 MED EXP (Any one person) $ 10,000 A AUT OMOBILE LIABILITY AS2641005097-050 01/01/10 01/01/11 COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY- EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND ' WC7-641-005097-020 (Gaur.cost) 01/01/10 01/01/11 X TORY LIMITS T C EMPLOYERS LIABILITY WA7-64D-005097-010 (AOS) 01/01/10 01/01/11 EACH ACCIDENT $ C THE PROPRIETOR/ X INCL WC7-641-005097-030 (OR,WI) 01/01/10 01/01/11 DISEASE - POLICY LIMIT $ 1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE. EXCL INCLUDES"STOPGAP" DISEASE - EACH EMPLOYEE $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: JOB# 4586, CONTRACT 2010-00024; PBM ON HARLOW ROAD FROM 1-5 TO COBURG ROAD THE CITY OF EUGENE: THE CITY OF EUGENE'S GOVERNING BODY, BOARD, OR COMMISSION AND ITS MEMBERS, AND THE CITY OF EUGENE'S OFFICERS AND EMPLYOEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. COVERAGE IS PRIMARY AND NON-CONTRIBUTORY TO ANY INSURANCE MAINTAINED BY THE ADDITIONAL INSURED. CERTIFICATE HOLDER CHI-002838206-01 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL CITY OF EUGENE 30 PUBLIC WORKS ENGINEERING DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: MARK SCHOENING, P.E. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 99 E. BROADWAY SUITE 400 , EUGENE OR 97401 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. , AUTHORIZED REPRESENTATNE of Marsh USA Inc. BY: Mary Radaszewski ACORD 25-S (1/95) C ACOR(7 CO(~POFfAT)ON 19f8