New Search
® SAIF Corporation 3/19/2008 3:28:39 PM PAGE 1/001 Pax Server <br />% • <br />%0 <br />OREGON WORKERS' COMPENSATION loft <br />No saff <br />CERTIFICATE OF INSURANCE <br />CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />PUBLIC WORKS MAINT ATTN: CONTRACT ADMAN <br />1820 ROOSEVELT <br />EUGENE, OR 97402 <br />The policy of insurance listed below has been issued to the insured named below for the policy <br />period indicated. The insurance afforded by the policy described herein is subject to all the terms, <br />exclusions and conditions of such policy. <br />POLICY NO. <br />974648 <br />POLICY PERIOD <br />01/2007 TO 04/01/2008 <br />ISSUE DATE <br />03/19/2008 <br />INSURED: BROKER OF RECORD: <br />CROCKETT'S INTERSTATE TOWING & TRANSPORT INC <br />PO BOX 11341 <br />EUGENE, OR 97440 <br />LIMITS OF LIABILITY: <br />Bodily Injury by Accident $500,000 each accident <br />Bodily Injury by Disease $500,000 each employee <br />Bodily Injury by Disease $500,000 policy limit <br />DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: <br />2005-00407 2005-00408 <br />IMPORTANT: <br />The coverage described above is in effect as of the issue date of this certificate. It is subject to <br />change at any time in the future. <br />This certificate is issued as a matter of information only and confers no rights to the certificate <br />holder. This certificate does not amend, extend or alter the coverage afforded by the policies <br />above. <br />CANCELLATION: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS' WRITTEN NOTICE TO THE ABOVE NAMED <br />CERTIFICATE HOLDER. <br />AUTHORIZED REPRESENTATIVE <br />(~J SAIF C=ORPORATION 1400 High SI. SE I Sabin, OR 97312 1 P: 800.28h.t911S www.8aif.COM <br />