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ACORD,M CERTIFICATE OF LIABILITY INSURANCE T <br />nrvY) <br />DATE (MMIDD <br />02/01/2005 <br />PRODUCER <br />Trans West Insurance Inc. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2201 Willamette Street, Suite D <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Eugene, OR 97405 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />I <br />t <br />t <br />t <br />T <br />i <br />I <br />C <br />k <br />' <br />INSURERA: Lincoln General Incur a Co. <br />n <br />ers <br />e <br />ow <br />ng, <br />nc. <br />roc <br />ett <br />s <br />a <br />INSURERS: <br />DBA: T & M Transport, Inc. <br />INSURER C: QE <br />PO Box 11341 <br />INSURER D: S <br />Eugene, OR 97440 <br />INSURERE: AJA 411441 <br />rnvcwenPQ V _I T14V .FLU / <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 />INSR ADD'U <br />T <br />) <br />i TYPE OF IN URANCE <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />DATE (MM/DDNYI <br />POLICY EXPIRATION <br />DATE (MM/DD[YYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE <br />x <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurence <br />$ <br />a OCCUR <br />CLAIMS MADE <br />MED EXP (Any one person) <br />$ 5,000 <br />A <br />_ <br />LTP 102071-01 <br />01/31/2005 <br />01 /31 /2006 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />! <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMP/OP AGG <br />$ 2,000,000 <br />- I <br />X POLICY PRO- LOC <br />i <br />AUT <br />OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ 1 <br />000 <br />000 <br />ANY AUTO <br />(Ea accident) <br />, <br />, <br />. <br />r--1 <br />ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br />X j <br />SCHEDULEDAUTOS <br />- <br />(Per person) _ <br />A <br />X <br />HIRED AUTOS <br />LTP 102071-01 <br />01 /31 /2005 <br />01/31/2006 <br />BODILY INJURY <br />$ <br />j <br />X <br />NON-OWNED AUTOS <br />(Per accident) <br />. <br />PROPERTYDAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY-EA ACCIDENT <br />$ <br />ANYAUTO <br />OTHERTHAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />i <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />i I I RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />WC STATUS OTH-LIMITS I I ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />OTHER <br />Garagekeepers <br />LTP 102071-01 <br />01/31/2005 <br />01/31/2006- <br />Garagekeepers -See below <br />A <br />On Hook Cargo <br />LTP 102071-01 <br />01/31/2005 <br />01/31/2006 <br />On Hook Cargo 7@$150,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Garagekeepers location #1- $150,000- 29887 Kelso Avenue, Eugene, Oregon 97402 <br />Certificate holder, City of Eugene, is named as additional insured. <br />GtK I It^IGA I L MULUtK liA1Y1 CLLN 1 IVI`/ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEF E THE EXPIRATION <br />City of Eugene DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL QQ) DAYS WRITTEN <br />y NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />1 820 Roosevelt _ IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Eugene, OR 97401 REPRESENTATIVES. <br />AUTHORIZED <br />Arn0r1 9Q onni mm <br />r <br />1988 <br />1/ <br />