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RUG 04 '00 14~s~ rk F51 ~F OR 503 585 6749 TO 5663997 P.02i02 <br />.~c~c~ CEF~1"IFICATE OF L1ABlL~TY (NSURANC~SR ~ DATE~IAMlDDlYY} <br />~,FtSU2 08/04/00 <br />PrtoouceR THIS CERTIFICATE IS IS5UED AS A lNATTER OF lNFORMATION <br />Eirst Security Insurance OR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1390 Capitol Straet, N.~ . HOLD~R. TNlS CERTIFICATE OOES NOT AMEND, EXTEND OR <br />P. O. Box 550 ALTER THE GOVERAGE AFFORDED BY THE POLICIES BELOW <br />Salem OR 97308 COMPANIES AFFORDlNG COVERAGE <br />Fixst SQCUrity InsuX~ce, OR <br />____.._ enz_~QS_tis27n c..w., Sn~- <br />coMpu,nr <br />p Mutual of E:numclaw <br />COMPawY <br />B <br />COMPANV <br />Barker 3urveying Co C <br />Clarenee Barker <br />,1~3~ 25~ $t sE COMPANY <br />Salem OR 97302 ~ <br />COVER4GES <br />rHts IS TO CERT1FV 7-u~T 7HE POLICIES OF iNSUwwCE LISTED BELaw ttnVE BEEN iSSUEO r0 THE pdSl1RE0 Nn~FD naOVE FOR TME POiiCT P~bD <br />INpICA~fl. NOTM7MSTANDING NIY ltEQUIREME~. TERM OR CONGmOt~1 OF ANY CONTw+CT OR OTHER DOCU~~T WITM RE3PECT TO W~'~~CH T1'(~3 <br />CERTiF1~ATE MAY BE ISSt1EP OR MAY PER7AIN, TNE R13UR/WCE AFFORDED BY TME POLICIfiS DESCRIBED HEREIN 1S SIJBJECT TO ALL 7HE TERMS. <br />EXCWS~O~ ~1D COND17lONS OF $UCSi POUCIES. L1MRS $HOWN MAY HAVE 9EEN REDUCEC 8Y PAID CWM3. <br />CO 7yPE OF INStJRANCE POLICY NUIVIBER ~~~Y EF~EC111~E ~OLIC~ EXPtRAnON UMITS <br />~~ DA7E (ASM1DDnY) DA7E (MMUDD/YY) <br /> GENERAL L1A&LITY BODlLY INJV~ oCC S <br />A COMPREHpdSNEFORM PKZ36ZX 08/ZO~OO O8/ZO~O1 BODILYINJURYAGG g <br /> ~ <br /> X~ P~MISESlOPERATIONS PROPERr' D/+t~nGE OCC 3 <br /> <br />I UNDERGROUNO PROPERTY DAMAGE AGG S <br />' <br />i ~ <br />}( ! EXP~OSION 8 COUAPSE NAZARD <br />PROOUCTS/COMPLETHO O~R <br />BI d, PD COMB~NED OCC <br />S~, OOO , OOO <br /> ~ COr171tACTUAL 81 & PD COMB~ED AGG S~ OOO ~ OOO <br /> ~f NOEPENDENT CONTRACTORS PERSONAI. INJURYAGG S <br /> I <br /> BROAU FORM PROPERTY 0/+~GE <br /> <br /> PERSONAL ~N.A1RN <br /> AuT aMOm~ une~un eoo~r w.,u~Y s <br /> rravro CPOQ007167 08/20/00 08/20/01 ~P°`~°`°0"~ <br />p, ,or <br /> ~( ALL O~NMED AUTOS (fYivaro Pass) 80D1LY INJURY <br />S <br /> All OWNED AUYO$ (Per ooadent) <br /> ~ (O'•her fnan Prlvate PasaM+9~) <br /> HIRED AuT03 pRppERTY DAMAG£ 3 <br /> X OWNEO AuroS <br />O <br /> -+ <br />n- 80DILY Iti~WRY 8 <br /> c~nw+c,~ ~v+s~iTY ~nOP~ttr' onawaE s 1, 000 , 000 <br /> cOMe+r~n <br /> Fa((C ESS LtAHiU7Y fJ~CN OCCURRENCE S <br /> <br /> lMABREUA FORM ' AGGREGA'i'E S <br /> <br /> O~R Ttw~ uMeREIU FORM S <br /> VN~ 3TATLl- OTM- <br /> Wp RKERB COIAPENSA'i10N AW~ T RY LIM <br /> EMPLOYERS' LN81UTM ~ ~q~l A~CIDENT S <br /> TM£ PROPRIETOR! ~~ EL DISFASE - POL~G~' LIMIT S <br /> PARTN E RS/E)CE C1R11/E <br />oFF1CER5 ARE; ~ <br />EXCL <br />EL DISEH3E - FA EMPLOYEE <br />S <br />orn~rs <br />OESCR1PTtON OF OPERATION&LOCAS7[7NSnEwL'~t5is~unL ITCri3 <br />AS RESFECTS TO OPERATIODTS OF NAi~D INSTJ~tED PER POLICY CONDITZONS. 1rIls,RION <br />ADDUITY6NALgINSUREDS~-' =T3 AGErTTS, F.MPLOYEE~ AlID VOLUNTEERS LIAMED AS <br />CERTIFICATE HOLDER CANCELLATION <br />' _-.. ___ SFiOULD ANY OF THE ASOVE DE3CR19ED POL.IqES 6E CANCELLEA BEFORE TFiE <br />~cv~w-nOM DATE TM€ttEOF, TME tssunG CONIPANY vw~~~s~rw~-MNL . <br />3O DAYS YYRITCEN NOTICE 70 TME CERTIPICAYP MOI.D~Ft NANED To iHE LEfT, <br />I~.EtION COUNTY <br />P O BOX 1Q500 <br />SAY.EM OR 97309 -•_• -_---~--_,~ <br />~~ C/1yD[. ~laV4ii~rs a o ~~~ v~. <br />ACORD 25-N (9/95) OACORD CORPORATION 't988 <br />