• <br />• ADV14663 -100 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE nm-Y) <br />1 / / <br />PRODUCER Wells Fargo Insurance Services of Oregon, Inc. <br />THIS CERTIFICATE IS ISSUED AS A' MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />3501 Fariview Industrial Drive SE <br />HOLDER. THIS CERTIFICATE DOES; NOT AMEND, EXTEND OR <br />Salem, OR 97302 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POLICY NUMBER <br />REPRESENTATIVES. <br />(503) 585 -7555 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Advanced Security Inc. <br />jNSURER A: Everest Indemnity Insurance Co. <br />10851 <br />INSURER B: Progressive Casualty Insurance Co. <br />1002 <br />1255 Cross Street SE <br />INSURER C: SAIF Corporation <br />36196 <br />INSURER D: <br />$ 1,000,000 <br />Salem OR 97302 <br />INSURER E: <br />nnVFPAnFA <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 />PO EFFECTIVE PO EXPIRATION <br />LTR <br />N R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE 0 0 <br />LIMITS <br />A <br />GENERAL LIABILITY <br />51 GL000123 <br />12/27/08 <br />12/27/09 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />occurrence) <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />-- <br />-- <br />- <br />. CLAIM$ MADE "� OCCUR <br />_ _ .. _. <br />� =- - <br />_� n - <br />r - - <br />MED'EXP _ (Any one person) - <br />�$ � ^- 1,5,000 _ <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />POLICY PRO- LOC <br />JECT <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />03617669 <br />07/12/08 <br />07/12/09 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />X <br />BODILY: <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />�BODILYINJURY - <br />cci #den <br />(Per accident) <br />j <br />. - <br />X <br />HIRED AUTOS <br />NONOWNED AUTOS > �� <br />,, : ..-.- .., - <br />° <br />X <br />PROPERTY DAMAGE .. <br />(Per accident) <br />-� <br />.._ <br />GARAGE LIABILITY. <br />r � °"AUTO <br />ONLY.- EA'ACCIDENT <br />.., <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO - <br />$ <br />AUTO ONLY. AGG <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />948621 <br />01/01109 <br />01/01/10 <br />X WCSTATU- OTH- <br />E.L. EACH ACCIDENT <br />.$. 1,000,000 <br />..__ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />: ,OFFICER /MEMBER EXCLUOE07,___ __.... <br />_ _ __,.____ _ __._ _ ^_._.._.� -..___ <br />1 <br />.. __, -_. .. <br />_,,.._.._ .�.� „ _.:E.L. <br />DISEASE'- -EAEMPLOYEE <br />$ <br />' <br />E.L. DISEASE - POLICV LIMIT <br />$ 1,000.000 <br />If yes, describe under - <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ,. <br />Re: Contract # 325 Park Gate Security. <br />Cerificate holder is named as additional insured as respects work performed on its behalf by the named insured per CG2010 attached. <br />, <br />is <br />ACORD 25 (2001/08) 1 of 2 54OUOt1 W ALIUMIJ %1VKrvrva I IVR 1400 <br />SHOULD ANY OF THE ABOVE DESC RIBED POLICIES BE CANCELLED BEFORE THE'EXP<IRATION <br />- , <br />DATETHEREOFjHEfISSUING 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 0 0 <br />Eugene, OR 97401 <br />ACORD 25 (2001/08) 1 of 2 54OUOt1 W ALIUMIJ %1VKrvrva I IVR 1400 <br />