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Work.
Lute,
Oregon Workers' Compensation Oregon,
Certificate of Insurance
Mail to: Certificate holder:
GROUNDWATER SOLUTIONS INC CITY OF ASHLAND
GSI WATER SOLUTIONS INC 20 EAST MAIN STREET
650 NE HOLLADAY ST STE 900 ASHLAND, OR 97520
PORTLAND, OR 97232-2045
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
Groundwater Solutions Inc SAIF Corporation
Gsi Water Solutions Inc SAIF Corporation
650 NE Holladay St Ste 900
Portland, Or 97232-2045
Issued 10/28/2025 Limits of liability
Policy 738154 Bodily Injury by Accident $1,000,000 each accident
Period 11/01/2025 to 11/01/2026 Bodily Injury by Disease $1,000,000 each employee
Body Injury by Disease $170005000 policy limit
Description of operations/locations/special items
GSI Project No. 658.006-Water Right Consulting Services, Flow Augmentation from Reeder Reservoir
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
7
Chip Terhune
President and CEO
400 High Street SE
Salem,OR 97312
P:800.285.8525
Policy_OLCA_CertificateOflnsurance F:503.584.9812