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:rF:R'nFWATF:14n lnFR CA'N69LLA1I0N'.
<br />A RD,„ CERTIFI.C�ITE OF LIABILITY INSURANCE''. -
<br />1 '
<br />EXPIRATION .DATE THEREOF, , , , THE ISSUING INSURER WILL ENDEAVOR; TO MAIL
<br />'
<br />PRodUCER
<br />I I-
<br />Beecher Carlson 4=nsuraace w eac LI,C °w<
<br />59 E 11th Ave Y
<br />PO `;B63c ,7,02.0'6
<br />Eii ene :OR 97401 _
<br />THIS CERTIFICATE; IS;' ISSUED' `AS' A MATTER OF INFORMATION. ;
<br />ONLY AND'' CONFERS ':NO,RIGHT3' UPON THE ;:CERTIFICATE.,
<br />ALTER TH C BY THE POLICD 'EXTEND .OR E
<br />S BELOW. ''
<br />INSURERS AFFIORDIN1G COVERAGE
<br />NAIC #
<br />Eugeae, ,.:OR >97402K
<br />INSURED
<br />Jeff Greene, IDEA: SOletree' Co
<br />PO :S07L 12111
<br />ELiCJelle OR 97$4;0
<br />INSURER Amerlaan'., a 1 arks'Ii s 06
<br />^.43
<br />AUTHORIZED REPRESENTATIVE '
<br />Mike
<br />NSURER B
<br />INSURER C
<br />NSURER'Df=
<br />INSURER E:,
<br />THE POLICIES QF INSURANCE LISTED,BELOW HAVE,BEEN ISSUED TO'THE, INSURED NAMED ABOVE:F THE POLICYi,PERIOD:INDICATED NOTWITHSTANDING ,ANY'
<br />M,
<br />REQUIREMENT,' TERM OR CONDITIbN OF ANY CONTRACTOR OTHER DOCUMENT'WITH RESPECT T_O WHICH :THIS:CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,.
<br />THE ;INSURAN,CE AFFORDED BY THE POLICIES` DESCRIBED `HEREIN IS SUBJECT TO ALL THE TERMS 'EXCLUSIONS AND' GONDITiONS OF. 'SUCH POLICIES:
<br />AG REGA E LIMIT SHOWN MAY :HAVE BEEN- REDUCED:BYPAID C IMS. ^-
<br />INSR
<br />DD'L
<br />TYPE OF INSURANCE'
<br />POLICY: NUMBER
<br />POLICY. EFFECTIVE
<br />DATE( MMIDO/YY .
<br />POLICY EXPIRATION
<br />':DATE` MMIDDIYY :;
<br />' ' LIMITS
<br />`
<br />GENERAL,LIABILITY
<br />X COMMER CIAL-GENERALLIABILITY
<br />'CL AIMS`MADE.,a OCCUR
<br />,. -....
<br />-
<br />- 44MG449.02..0
<br />-
<br />;:4 2'/2010
<br />4[2)2011.
<br />_
<br />_
<br />EACH OCCURRENCE
<br />$ 1 i 0. 00
<br />: DAMAGE TO RENTED
<br />PREMISES
<br />$ 100;'000
<br />MEDEXP An .one 6666
<br />I °
<br />`PERSONALr &ADV.'IN URY
<br />6'
<br />- GENERAL AGGREGATE!
<br />$ 2,.000,`000:'
<br />GEN'LAGGREGATELIM IT.APPLIESPER,
<br />X 'POLICY PRO- LOC IECT El
<br />-
<br />$= 2.,;000 -,.00O
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL,OWNED AUTOS
<br />SGHEDULEDAUTOS
<br />HIREDAUTOS
<br />SS
<br />°
<br />-,
<br />COMBINEDSINGLE LIMIT
<br />(Eeacddent) -
<br />$.
<br />BODILY INJJRY'' ' .
<br />(Per;peson).
<br />$
<br />BODILY IN AIRY'
<br />r,(Per.acdd6nt),
<br />$�
<br />PROPERTY DAMAGE
<br />jeer cadent)
<br />$,
<br />GARAGE'LIABILITY
<br />ANY AUTO
<br />rAUTO'ONLY -EA ACCIDENT
<br />$
<br />OTHER THAN' EAACG
<br />AUTO ONLYy;' AGG
<br />..
<br />$'
<br />EXCESSJUMBRELLA LIABILITY
<br />OCCUR' CLAIMS'MADE
<br />DEDUCTIBLE
<br />RETENTION'.. :.. -.
<br />-
<br />:EACWOCCURRENCE
<br />:AGGREGATE
<br />$
<br />WORKERS, COMPENSATIONAND- .fo, :'
<br />LOYER*'UALIT Y '
<br />EMP BI
<br />AN Y . PROPRIETORiPARTNER/E)CECUTIVE
<br />OFFICER&EtE 1BEREX6L`UDED. `' `"
<br />If;yes,,descnbennder
<br />"SPECIAL -,
<br />-
<br />_.
<br />VtCSTATU-
<br />�.
<br />0TH -
<br />-
<br />EL EACWACCIDENT.
<br />E.L- ..DISEASE - EA EMPLOYEE$
<br />El: DISEASE - POLICY `LIMIT'
<br />$'.
<br />OTHER'
<br />DESCRIPTION OF: OPERATIONSILOCATIONS IVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 'PROVISIONS
<br />:rF:R'nFWATF:14n lnFR CA'N69LLA1I0N'.
<br />C ACORD CORPORATION 1988'
<br />l
<br />P ge o Q
<br />a m r7 s3 �.
<br />SHOULD ANY' OF THE ABOVE . DESCRIBED POLICIES BE CANCELLED ,BEFORE THE-
<br />City , Eugene;`'
<br />EXPIRATION .DATE THEREOF, , , , THE ISSUING INSURER WILL ENDEAVOR; TO MAIL
<br />UZbe1l1'. 3FOle$ ter ;:,
<br />30- ' 'DAY&WRITTENdNOTICE'TO"THE :CERTIFICATE HOLDER NAMED TO THE LEFT,: BUT•'`
<br />182,0-160 s Blvd
<br />,.6A
<br />�'
<br />FAILURE TO DO SO�SHALL' IMPOSE NOI.OBLIGATIDN OR;LIABIL OF ANY KIND'iUP,ON THE
<br />Eugeae, ,.:OR >97402K
<br />INSURER RS AGENTS OR REPRESENTATIVES:
<br />AUTHORIZED REPRESENTATIVE '
<br />Mike
<br />Godfrey,,
<br />C ACORD CORPORATION 1988'
<br />l
<br />P ge o Q
<br />a m r7 s3 �.
<br />
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