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ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlODIYVYY)
10/01/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kibble & Prentice, A USI Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
601 Union Street, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle, W A 98101
206 441-6300 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A U S Specialty Insurance Company 29599
OBEC Consulting Engineers INSURER B:
920 Country Club Rd, #100B INSURER c:
Eugene, OR 97401 INSURER D:
INSURER E:
Client#: 19162
OBECCONE
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
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.
[friRR tN'SA TYPE OF INSURANCE POLICY NUMBER PJlAL.J.~~ri~~J8XI.;')E Pg~rJ f~~~CX~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
- DAMAGE TO RENTE;;'n...",\
COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
r-
n'L AGG:EAE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $
POLICY jfR,: lOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
~ (Eaaccident) $
ANY AUTO
r-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
r- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
r- (Per aCCident) $
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
==rAGE LIABILITY AUTO ONLY- EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
~:SSlUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I. WC STATU- IOJ~.
EMPLOYERS' LIABILITY E.l. EACH ACCiDENT $
ANY PROrRIETOR/PArnf~ErtJEXECUTlVE
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $
~~~31~tS~~ooJI~~~s oelow E.L. DISEASE - POLICY LIMIT $
A OTHER Professional US071156303 09/25/07 09/25/08 $2,000,000 per Claim -
Liability $2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Re: Project No. 05-15, Railroad Crossing Improvement. {",.-
--
u__
L_____...
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -AS..... DAYS WRITTEN
Engineering Cept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
20 East Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ashland, OR 97520 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE 1/
~ do .'+,
- -a-
ACORD 25 (2001/08) 1 of 2
#M229545
6MT
@ ACORD CORPORATION 1988