2010-00475 Ins 12-17-2009 - Laserfiche WebLink

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DEC-21-2009 07:52 Ward Insurance 541 342 8280 P.02i02 0 2/ml IDDIYYYY) , CERTIFICATE OF LIABILITY INSURANCE DATE l17/2009 PRODUCER (541) 687-1117 x204, Pax(541)342-8280 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ward Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 10167 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eugene, OR 97440 Bob Powell INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Continental Casualty CO On Time Systems INSURERB: - - 1850 Millrace Drive INSURER C: Suite 001 INSURER D: Eugene OR 97403 INSURER E: rnVFRArvc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR D...._ P OF INSURANCE POLICY NUMBER ............_.........................._.........................................A' T'l''0"......................._....._..................._........._........ .._.............._........._....... INSRT .wgPOLICY EFFECTIYE POLICY EXPIR......ATION LIMITS GENERAL LIABILITY 1078602710 05/07/2009 05/07/2010 EACH OCCURRENCE 6 11000,000 COMMERCIALGENERALLIABILITY -n PREMISES Eaooartence S 500 000 A CLAIMS MADE 171 OCCUR / MED EXP (Any one arson) S 10,000 X Auto/Host Liquor PERSONAL BADVINJURY S 1 000 000 , , L _L....i.a.....b....i......l....i.t _Y GENERAL AGGREGATE S 2,000,000 GEM? AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2 r 0 0 0 000 POLICY PRO- I LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea scodent) ALL OWNED AUTOS L--- BODILY INJURY S SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per acoldant) ; PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY • EA ACCIDENT S ANY AUTO EAACC i OTHER THAN $ AUTO ONLY: qGG S EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE l AGGREGATE DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TQBY LIMI ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory In NH) I t s desrribe under I E.L. DISEASE - EA EMPLOYE $ , SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT S OTHERHired & Non-Owned 1078602710 05/07/2009 05/07/2009 Limit $1,000,000 Auto Liability DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDED AS ADDITIONAL INSURED VIA CONTRACT, AND REQUIRES NOT LESS THAN 30 DAYS PRIOR WRITTEN NOTICE OF ANY MATERIAL CHANGE, NONRENENAL OR CANCELLATION. CITY SHALL NOT BE AFFECTED BY ANY BREACH OF POLICY PROVISION BY INSURED CITY OF EUGENE PUBLIC WORKS 1820 ROOSEVELT BLVD EUGENE, OR 97402 ACORD 25 (2009101) t,AIVL.CL.LA I IuN SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE SELECT/LACY ©1988.2009 ACORD CORPORATION. All riahts reservad_ INSU-15 (200901) The ACORD name and logo are registered marks of ACORD Matthew L. Ginsberg Chief Executive Officer TOTAL -P. 02 s N G E M S 541.346.0471 T 541.346.0474 FAX S 1850 Millrace Drive, Suite 1 I Eugene, Oregon 97403 mginsberg@otsys.com