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Home My WebLink AboutInsurance Certificate: Welburn Electric Inc ~E SAIF Corporation 9/29/2015 1:05:01 PM PAGE 1/001 Fax Server M M Y www.saif_corn Oregon Workers' Compensation sai f Certificate of Insurance C0,000111111 corporation Certificate holder: CITY OF ASHLAND 20 E. MAIN STREET ASHLAND. OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at any time. Insured Producer/contact Welburn Electric Inc SAIF Corporation PO Box 329 Phil L Swinford Phoenix, OR 97535-0329 541.857.4209 phiswi@saif.com Issued 09/29/2015 Limits of liability Policy 488390 Bodily Injury by Accident $500,000 each accident Period 10/01/2015 to 10/01/2016 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items ELECTRICAL WORK AS REQUESTED AT VARIOUS SITES Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW. SAIF WILL ENDEAVOR TO PROVIDE WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. Authorized representative ) ~4-- Kerry Barnett President and CEO 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.584.9812 Pol i cy_OLCA_Certificateof Insurance SAIF Corporation 9/29/2015 12:59:39 PM PAGE 1/001 Fax Server i www_saif_corn Oregon Workers' Compensation sail Certificate of Insurance rovocorporation Certificate holder: CITY OF ASHLAND 20 E. MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named belowfor the policy period indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at anytime. Insured Producer/contact Welburn Electric Inc SAIF Corporation PO Box 329 Phil L Swinford Phoenix, OR 97535-0329 541.857.4209 phiswi@saif.com Issued 09/29/2015 Limits of liability Policy 488390 Bodily Injury by Accident $500,000 each accident Period 10/01/2015 to 10/01/2016 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. Authorized representative Kerry Barnett President and CEO 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.584.9812 Pdlcy_OLCA_certiflnteOflnsurance