New Search
KPD Insurance, Inc. <br />Nov. 15 -2010 09:34:09 <br />Pg. 002 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE OPID LIDO DA' ( M I5 <br />/10 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />L <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />KPD Insurance, Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 784 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />LIMITS <br />REPRESENTATIVES. <br />Springfield OR 97477 <br />Phone:541- 741 -0550 Fax:541-741 -1674 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSUFER A Hat -1 Fire ins co of Hartford <br />$1,000,000 <br />INSURER Continental Insurance Co. <br />X <br />Roger Langeliers Construction <br />Co . <br />IN an <br />SURER C xraportaGion imuvnca co. <br />11/30/09 <br />INSURERD <br />RRE1.95EBIESasuencel <br />32929 Roberts Court <br />Coburg OR 97408 <br />I/�LRER E <br />� <br />CLAIMS MADE XI OCCUR <br />COVERAGES <br />THE ROLI-DES OF INSURANCE LISTED BELOW HAVE BEEN ISSU ED TO THE IN SUREGNAMED ABOVE FOR THE FOIL ICY PEP IOD INO I GATED NOP ITHSTAIID ING <br />AN! REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OF OTHER DOCUMENT Vw.TH RESPECT TO INHICHTH IS CERTIFICATEV lPE ISSUED OR <br />MAY PERTAIN, THE INSURANCEAFFORDEDBY THE POLICIES DESCRIBED HEREIN 5SIL ITO ALL [HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOYiN MAY HAVE BEEN REDUCED D r PAID CLAIMS <br />L <br />NQ <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P D M <br />DATE MMMO/YY <br />LIMITS <br />REPRESENTATIVES. <br />A ED REP RESENTATIVE <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />X <br />X COMMERCIAL GENERAL L ABILITY <br />2087884751 <br />11/30/09 <br />11/30/10 <br />RRE1.95EBIESasuencel <br />6100,000 <br />CLAIMS MADE XI OCCUR <br />MED EYE IAnv One psonl <br />rs <br />85,000 <br />• Contractual <br />PER 30N,R..X ADV INJURY <br />¢1,000,000 <br />• <br />Wash Stop Gap <br />GENERAL. AGGREGATE <br />$2,000,000 <br />GEN I. AGGREGATE LIMIT APFL ES PER <br />PRODUCTS - COMP /OPAuG <br />52,000,000 <br />POLICY X FRCT O- 7 Dx <br />JE <br />Pollution <br />1,000,000 <br />B <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />2087884765 <br />11/30/09 <br />11/30/10 <br />COMBINED SINGLE LI V IT <br />1E a o.d M) <br />1 1,000,000 <br />X <br />X <br />ALL OWNED AUTOS <br />SCHECULED pINOc <br />BODILY INJURY <br />IPSr PO pers:nl <br />$ <br />i <br />X <br />X <br />EJDILY INJURY <br />HIREDAUTOS <br />X <br />NON -OWNED ADIOS <br />(Per acneeIJ <br />X <br />PROPERTY DAMAGE <br />°ernu,centl -. <br />T <br />Auto Phys Damage <br />X <br />SUd /ACC Pollutieh <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />1 <br />OTHER THAN EAACC <br />T <br />ANY Al 'TO <br />$ <br />A'JTO ONLY AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />55,000,000 <br />C <br />X OCCUR rICLNNISMADE <br />2087884779 <br />11/30/09 <br />11/30/10 <br />AGGREGATE ,',.. <br />15,000,000 <br />t <br />I <br />q <br />DEDUCTIBLE <br />q <br />X RETENTION T10,000 <br />WORMERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PR OPRIETOR nARi NER.L4ECUTIVE <br />VY <br />TDFVIIId ITS ER <br />E L EACH ACCIDENT <br />EL DISEASE- EAEMPLOYEE <br />T <br />OFFICERVEMBER EXCLUCFD� <br />1 yc s 1es ✓I�e bnler <br />SPECIAL PkOVIGIONS:aIOw <br />EL DISEASE - POLICY LIMIT <br />q <br />OTHER <br />A <br />Limited Worksite <br />POLLUTION FOR GL <br />11/30/09 <br />11/30/10 <br />1,000,000 Limit Each <br />B <br />Sudden /Accidental <br />POLLUTION FOR AUTO <br />11/30/09 <br />11/30/10 <br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Ferry Street Bridge Corridor Joint Repairs (Contract #2011- 00476). City <br />of Eugene is primary additional insured as per form G140331B 1/09 on General ' <br />Liability and additional insured on the Auto Liability per form CA2048. Per <br />project aggregates applies per form G18652- H- 01 -06. <br />CERTIFICATE HOLDER CANCELLATION <br />CITEU04 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS MITTEN <br />City of Eugene <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO BO SHALL <br />Public Works Dept. <br />1820 Roosevelt Blvd <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Eugene OR 97402 <br />REPRESENTATIVES. <br />A ED REP RESENTATIVE <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />