HomeMy WebLinkAboutInsurance Certificate: JBR Environmental
IWCFI
Workers Com pensation Fund
100 West Towne Ridge Parkway, Sandy, Utah 84070
800.446.2667 I www.wcfgroup.com
June 21, 2011
CITY OF ASHLAND
20 EAST ASHLAND
ASHLAND OR 97520
CERTIFICATE OF INSURANCE
This will certify that:
JBR ENVIRONMENTAL CONSULTANTS
8160 S HIGHLAND DR
SANDY UT 84093
policy Number 1298477
has an active Workers Compensation and Employers Liability policy in
accordance with the provisions of the Utah Workers Compensation Act
for the period 7/1/2010 to 7/1/2011 at 12:01 A.M.
If the policy is cancelled prior to the policy expiration date of
7/1/2011 you will be notified.
Employer's Liability:
Each Accident:
Disease - Policy Limit:
Each Employee:
1,000,000
1,000,000
1,000,000
Job Reference:
(A job-site location is the only valid entry in this section. Any other
language or representation is invalid and in no way extends or alters
the coverage issued.)
OREGON
This certificate is issued as a matter of information
confers no rights upon the certificate holder. This
does not affirmatively or negatively amend, extend
coverage by the policy. This certificate of insuran
constitute a contract between the issuing insurer,
representative or producer, and the certificate hol
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JUN 2 9 ZOO U