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a~:~~~si~~ <br />Acordia of Oregon, Inc. <br />10300 SW Greenburg Rd. #110 <br />Portland, OR 97223 <br />(503)293-9500 FAX(503)293-9599 <br />INSURED <br />CAPITAL CITY MOVING & STORAGE <br />DBA: CAPITAL CITY TRANSFER <br />P.O. BOX 7371 <br />SALEM, OREGON 97303 <br />~._ COMPANY A <br />LETTER <br />COMPANY B <br />I LEffER <br />I __ . ._ . _ <br />I COMPANY `. <br />LETTER <br />', COMPANY D <br />' LETTER <br />I COMPANY E <br />LETTER <br />_ __ ___ _ _ _ _ . . ____ _ _ <br />CORNHUSKER CASUALTY COMPANY <br />CORNHUSKER CASUALTY COMPANY <br />_ _ _ _ _ _ _ _ _ _ ___ <br />CORNHUSKER CASUALTY COMPANY <br />~ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ~ <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />_ _ . __ _ __ _ _ _ _ . . _ _ __ _,. __ _ _. _. _ _ <br />___ _ __.._ <br />CO npE OF INg~pANCE <br />~Tp ; POLICY NUMBER ~~Y EFFECTIVE POLICY EXPIRATION : ~ <br />DATE (MM/DD/Y`n I DATE (MM/DDIY`~ ~ ~ <br />_ _ _ _ _ _ _ _ <br />A ~~~~ Wg~/ _ _._ ___. _ _ _ . _ _ _ _ :_ ___ i _ <br />' GENERAL AGGREGATE <br />_ .................... _ _ _ _ ___ <br />I S 2~ O O O~ O O O <br />........... _..................._...... <br />~( : COMMERCIAL GENERAL IIABILITY QB~6 PRODUCTS~COMP/OP AGG. I S 1~ O O O~ O O O <br />CLAIMS MADE X OCCUR. 6 ADV INJURY <br />~~~~ <br />O S~O 1~9 S O S~ O 1~ 9 9; ' S 1~ ~ 0 ~~ 0 0 ~ <br />; <br /> <br />OWNER'S 6 CONTRACTOR'S PROT. . <br />. <br />EACH OCCURRENCE ... <br /> <br />S Z~UUO~UUU <br />i i ' FIRE DAMAGE (My one fire) ! S 5 O i O O O <br /> <br />_ ......................................_._..... <br />_ _ __ <br />__ _ _......._ .............................. _... <br />; MED. EXPENSE (My one Person)'S ~J ~ 0 ~ Q <br /> <br /> <br />_ ;_ . _ _ _ , _ _ _ _ __ _ ___ _ _ ___ _ _ __ __ __ <br />_ ___ __ _ __ _ <br />_ _.... __ __ . _ _ <br />`AUTOMOBILE LIABILITY COMBINED SINGLE <br />LIMIT <br />O O O <br />s 1 <br />O O O <br />B X i ANY AUTO OBPOOOeas <br />' i _. , <br />, <br />..;. _ ___ _... <br />ALL OWNED AUTOS ;O ~J ~O 1~9 H I O S~ O 1~ 9 9; BODILY INJURV ' <br /> <br />(Per person) s <br />SCHEDULED AUTOS <br />~( : HIRED AUTOS ; ! i BODILY INJURY 's <br />X : NON-OWNED AUTOS <br />...... (Per accident) <br />: GARAGE LIABILIN ~~. <br />' PROPERTV DAMAGE <br />IS <br />_ : _ _ ._ _ _ _ _ _ <br />p~~~g ~g~y _ _ ..__ _ __ _ _;__.. _ _ _ __ __ _ _ ._ _ __ _ _ _ <br />EACH OCCURRENCE <br />;.... ......................................... ! _ . _. __ <br />S <br />...: ....................................... <br />UMBRELLA FORM AGGREGATE ' S <br />OTHER iHAN UMBRElU1FORM <br />: <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. <br />; . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . <br />' STAiUTORY I.IMITS <br />WORKERB COMPENSATION _ _.: ._ __........ ... ._....._...... <br /> '~ : EACH ACCIDENT '. S <br />AK'v <br /> DISEASE - POLICY LIMIT S <br />' FJiAPLOYER3' W1BIllTY ` <br />DISEASE - EACH EMPLOYEE _; _ _ _ _ __._ <br />S <br />; . ..... ............................................................................................................................................................. <br />ornen <br />E; HIRED AUTO OBPOOOeae 05/O1/98 05/ O1/ 99: LIMIT 50, 00 <br />PHYSICAL DAMAGE ' COMP./ COLL. 50 ,25 <br />DESCRIPiION OF OPFRATIONSJLOCATIONS/VEFIICLE$/SPECIAL REMS <br />ALL OPERATIONS OF THE NAMED INSURED <br />MARION COUNTY <br />ATTN: ELYN LION <br />220 HIGH STREET, 4TH FLOOR <br />SALEM OR 97310 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 3 ~ DAYS WRITfEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHOR~D R TATNE <br />. ~/ • <br />