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/ 1 <br />• ADV14663 -100 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />8/19/22009 009 Y) <br />DAT 8 /19 <br />PRODUCER Wells Fargo Insurance Services of Oregon, Inc. <br />3501 Fariview Industrial Drive SE <br />Salem, OR 97302 <br />(503) 585 -7555 <br />THIS CERTIFICATE IS ISSUED AS &MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES] NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Advanced Security Inc. <br />1255 Cross Street SE <br />Salem, OR 97302 <br />INSURER A: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURER B: SAIF Corporation <br />36196 <br />INSURER C: <br />$ .5,000 <br />INSURER D: <br />$ 1.000,000 <br />INSURER E: <br />rnvcoen_Cc <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFFECTIVE POLICY EXPIRATION <br />LTR <br />A <br />R <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 7 I OCCUR <br />POLICY NUMBER <br />PHPK443977 <br />07/12/09 <br />07/12/10 <br />LIMITS <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DA mGE.TO.RENTED _ <br />$ 100,000 <br />MED EXP (Any one person) <br />$ .5,000 <br />PERSONAL & ADV INJURY <br />$ 1.000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PHPK443977 <br />07/12/09 <br />.. <br />07/12/10 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILYJNJURY <br />(Per person) <br />$ <br />X <br />BODILY, INJURY <br />(Per accident) _ <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR FI CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />-B <br />WORKEfj3COMPENSATIONAND <br />- EMPLOYERS' - LIABILITY -- <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If es, describe under <br />SPECIAL PROVISIONS below <br />948621 <br />01/01/09 <br />01/01/10 <br />X WCSTATU- OTH- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000.000 <br />E.L. DISEASE • POLICV LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />PI MANU 10 100 Re: Contract #2004 -05325 Park Gate Security. <br />Cerificate holder is named as additional insured as respects work performed on its behalf by the named insured. <br />i <br />CERTIFICATE HOLDER LrAN(itLLA I IUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />I <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />City of Eugene <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attn: Contract Manager <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />1820 Roosevelt Blvd <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE Q <br />Eugene, OR 97401 <br />Acnon '2a r 'Jnn11rnR1 . -8n 732322 <br />r.) ACORD CORPORATION 19RE <br />