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SAIF Corporation 2/22/2007'3:53:19 PM PAGE <br />OREGON WORKERS' COMPENSATION <br />CERTIFICATE OF INSURANCE <br />CERTIFICATE HOLDER: <br />CITY OF EUGENE <br />PUBLIC WORKS MAINT ATTN: WEBB <br />1820 ROOSEVELT <br />EUGENE, OR 97402 <br />1/001 Fax Server <br />C7 <br />.,saq <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. POLICY PERIOD ISSUE DATE <br />974648 05/02/2006 TO 04/01/2007 02/22/2007 <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 ITEMSi <br />2005-00407 <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 />(SJ SAIF CORPORATION 1 400 High ;t. SE I Salcnn, OR 417:312 1, P: 800.2HS.8h2S I www.saif.C0M <br />