GJN4622 Wildish 2010-00026 - Laserfiche WebLink

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ACORDCERTIFICATE OF LIABILITY INSURANCE DATE ~MMOIDJDIYYYY) PRODUCER (541) 687-1117 FAX: (541) 342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ward Insurance A enc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g y y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eugene OR 97440 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Indemnity 25658 Wildish Construction Co INSURER B: Travelers Prop Cas Co of 25674 PO BOX 7428 INSURER C: America INSURER R Eugene OR 97401 INSURER E: OVERAGES 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. GREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A INSRD DD'L TYPE OF INSURANCE POLICY NUMBER ~DALTEYMMfFDDm DATE EXPIRATION LIMITS r GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMMAISES Ea occur ence $ 300,000 A CLAIMS MADE a OCCUR CO 526D7537 4/1/2010 4/1/2011 MED EXP An one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRCO- LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT E id t $ 1,000,000 X ANY AUTO a acc en ) ( B ALL OWNED AUTOS 810-526D7537 4/1/2010 4/1/2011 BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY, AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND ' VuC STATU- OTH- TORY LIMITS ER EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A OTHER Pollution Liab CO 526D7537 4/1/2010 4/1/2011 each occurrence $1,000,000 B Pollution Auto 810-526D7537 4/1/2010 4/1/2011 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENUSPECIAL PROVISIONS RE: CITY JOB #4622-PAVEMENT BOND MEASURE, PATTERSON ST REHAB ON PATTERSON ST FROM 13TH AVE TO 24TH AVE, E 18TH AVE FROM PATTERSON ST TO HILYARD ST, E 23RD AVE FROM PATTERSON TO HILYARD ST CERTIFICATE HOLDER (AGENCY), THEIR GOVERNING BODY, BOARD OF COMMISSION AND ITS MEMBERS AND THE AGENCIES OFFICERS AND EMPLOYEES ARE ADDED AS ADDITIONAL INSUREDS (PER CGD246 & CAT301); THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY; GENERAL AGGREGATE SHALL APPLY SEPARATELY PER PROJECT (PER CGD211); RESPECTS TO THE WORK PERFORMED BY INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF EUGENE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 99 EAST BROADWAY SUITE 400 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT EUGENE, OR 97401 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE /CARSON ep R b H o arvey ACORD 25 (2001/08) INS025 (01o8p8a © ACORD CORPORATION 1988 Page 1 of 2