HomeMy WebLinkAboutPermit Correspondence 1993-8-20
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L_. _ _ ____
CERTIFICA-t OF INSURANCE
.
ISSUE DATE (MM/ODJYY)
SMITH & CRAKES
503-687-2211
PO BOX 489
EUGENE
INC
I 8/20/93
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
PRODUCER
COMPANIES AFFORDING COVERAGE
OR 97440
COMPANY A
~TTER
I COMPANY B
LETTER
TRANSAMERICA INS CO
--- - -- ---
INSURED
TRANSAMERICA INS CO
MORTIER
P 0 80X
EUGENE
ENGINEERING PC
139
COMPANY C
LETTER
OR 97440
COMPANY D
LETTER
COMPANY E
LETTER
col
LTR
,
COVERAGES
_.~~._-
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
--rP~-E-;F~i POLIC-;-;-X;IRA~O~ -
TYPE OF INSURANCE POLICY NUMBER I
DATE (MMIDO/YY) DATE (MMfDDJYY) ~
5/17/93 5/17/9'-1- GENERAL AGGREGATE i s1, 000,000
I : PRODUCTS.COMP/OP AGG~- si. , 0 00 , 0 0 0
tpERSC;;:;AL&ADV.'INJURY I $1 ~ 000 ;000
,'EAcH occuRRENcE'1 4,000,000
fARE DAM-AG-e (An~ ~ne lire) , "SO, 0'00 -
: - MED. ExPENSe (k.y one person; 6, 0 0 0 .
5/17/94[' COMBINED SINGLE s
LIMIT 1,00_0,000
!' ~ODI~~-INJUR~-
I (Per person) $
r~~-DIL;INJ-U;;Y ; '$
(Per accident)
1.__ __
!
LIMITS
A' GENERAL LIABILITY I
rx COMMERCIAL GENERAL LIABILITY I
r-H ~ CLAIMS MADE~ OCCUR.l
_.---.J ~ I
OWNER'S & CONTRACTOR'S PROTI
731338751
B AUTOMOBILE LIABILITY
_~ ANY AUTO
ALL OWNED AUTOS
731338751
5/17193,
I
I
I
..x
..x
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
PROPERTY DAMAGE
r
. S
I
I S
GARAGE LIABILITY
EXCESS LIABILITY
-l UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
i- ~CH 5~CCUR~E_NCE_
I AGGREGATE
,
s
AND
I
I
I
l_ ,~ATU!?RY_ lI~ITS_
i~~I~~_ _ '_'-_
I DISEASE-POLICY LIMIT "1" $
I DISEASE-EACH EMPLOYEE I $
WORKER'S COMPENSATION
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATlONSJLOCATlONSNEHICLESfSPECIA~ ITEMS
AS RESPECTS TO: 326 MAIN ST. SPRINGFIELD - IN ACCORDANCE WITH
POLICY TERI'1S AND CONDITIONS.
CERTIFICATE HOLDER
CANCELLATION
CITY OF SPRINGFIELD
ATTN: LISA HOPPER
225 5TH ST
SPFUNGFIELD OR 97477
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL --1Q DAYS WRITTEN NOTiCE TO THE CERTiFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZEDREPRESENTATlY ~')- ~
... PHILK;rLIA~ .. . K
ClACORD CORPORATION 1990
---...1
ACORD 25-S (7/90)