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DEC-17-2009 14:37 WaInsurance <br />541 342 8280 P.02i02 <br />.4CORD,„ CERTIFICATE OF LIABILITY INSURANCE <br />12/17/2 00 9' <br />PRODUCER (541) 687-1117 FAX: (541) 342-8280 <br />Ward Insurance Agency <br />P 0 Box 10167 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />.Eugene OR 97440 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA:Hartford Ins CO Of the <br />37478 <br />ON TIME SYSTEMS INC. <br />INSURER B: <br />1850 MILLRACE DR. STE 001 <br />INSURERC: <br />Suite 001 <br />INSURER D: <br />EUGENE OR 97403 <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE PAID CLAIMS. <br />INSR <br />ADD'L <br />INSRO <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYY <br />POLICY <br />EXPIRATION <br />DATE MM/ DM/ <br />LIMITS <br />GENERAL LIABILITY <br />--EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES aoccurrence) <br />$ <br />CLAIMS MME D OCCUR <br />MED EXP one n <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />p Op AQQ <br />$ <br />POLICY PRO- F JECT F7 LOC <br />AUT <br />OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea accident) <br />$ <br />ALLOWNED AUTOS <br />BOO LY INJURY <br />SCHEDULED AUTOS <br />(Per person) <br />$ <br />HIRED AUTOS <br />BODILY INJURY <br />NON-OWNEDAUTOS <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />P <br />ANY AUTO <br />OTHER THAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />DEDUCTIBLE <br />$ <br />A <br />WORKERS COMPENSATION AND <br />' <br />yyc g p U 7~ <br />X TO{~Y LIITS ER <br />EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT <br />500,000 <br />OFFICERJMEMBEREXCLUDED? <br />52NECGV5955 <br />2f1/2009 <br />2/1./2010 <br />E.L. DISEASE - EAEMPLOYEE <br />$ 500,000 <br />Ifyes, describe under <br />SPECIAL PROVISIONS <br />E.L. DISEASE-POLICY LIMIT <br />500,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: All Operations <br />CFRTIFICOTE NOl nFR CANCELLATION <br />(541) 682-4882 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Eugene <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Public Works <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />Attn: Heather Nelson <br />1820 Roosevelt Blvd, <br />FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />OR 97402 <br />E <br />INSURER, ITSAGENTS ORREPRESENTATIVES. <br />ugene, <br />AUTHORIZED REPRESENTATIVE <br />Chris <br />ACORD 25 (2001108) C ACORD CORPORATION 1888 <br />INS025 (ms)m. Page 191`2 <br />TOTAL P.02 <br />