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COMPANlES AFFORDING COVERAGE <br />INSURED <br />ENCE/KELLY CONSTRUCTION, INC. <br />OR REG. #63435 <br />747 PENCE LOOP SE <br />ALEM, OR 97302 <br />(503) 399-7223 <br />COMPANY A <br />IETTER RELIANCE INSURANCE COMPANY <br />COMPANY B <br />LETTER RELIANCE INSURANCE COMPANY <br />COMPANY C <br />LETTER <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <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 FiEQUiREMENT, 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 />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~ I T~E OF INSURANCE I POLICY NUMBER I OA~ ~Fj~pD/YY) I PDATE (MANDDT/YY)N I UM~TS I <br /> GENE RAL LIABILIiY GENERALAGGREGATE $2 ~ O O O~ O O O <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $2 ~ O O O~ O O O <br /> CLAIMS MADE X~ occua. PQ 8 6 2 2 4 2 6 O 1/ 01 / 9 9 ~ 1~ ~ 1~ ~ 2 PERSONAL 8~ ADV. INJURY $~.. ~ ~ ~ ~~ ~ ~ 0 <br /> OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $1 ~ O O O~ O O O <br /> FIRE DAMAGE (My one fire) $ ~J ~~ Q ~ ~ <br /> ME~.IXPENSE(Myoneperson) $ 5~ ~ ~ 0 <br /> AUTO MOBILE LJABILITY COMBINED SINGLE <br />$ <br /> ANY AUTO IJMIT 1 ~ O O O~ O O O <br /> ALL OWNED AUTOS BOOILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS PQ 8 6 2 2 4 2 6 01 / 01 / 9 9 ~ 1~ ~ 1~ ~ 2 gODILY INJURY <br />$ <br /> NON-0WNED AUTOS (Per accident) <br /> GARAGE LIABILITY <br />MAGE <br />D <br />$ <br /> PROPERTY <br />A <br /> D(CESS LIABILITY EACH OCCURRENCE $S ~ O O O~ O O O ' <br /> UMBRELLAFORM QU8622426 Ol/O1/99 ~1~~1~~2 AGGREGATE $5~ ~QO~ ~0~ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br /> WORKER'S COMPENSATION / / / / <br />EACH ACCIDENT <br />$ <br /> AND <br />DISEASE-POLICY LIMIT <br />$ <br /> EMPLOYERS' 11A81UTY <br />DISEASE--EACH EMPLOYEE <br />$ <br /> OTHER <br />~ ~ <br />/ / <br />DESCHIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />ERIFICATION OF INSURANCE - RE: COURTHOUSE SQUAR.E, PROJECT NO. 9828 <br />OURT AND HIGH STREETS, SALEM, OR. <br />: SHOULD ANY OF THE ABOVE DESCRIBED POIICIES BE CANCELLED BEFORE THE <br />IXPIRATION DATE THEFiEOF, THE ISSUING COMPANY WILL ~TI~'A <br />I ON COITNTY MAIL 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />HIGH STREET N. E. '.> LEFt, <br />EM, OR 97301 - 'T=,~•• ~ ~~ ~~•~ ~~•••~ <br />:';~ AUTHORI~D PRESENTATIVE <br />c~~~.~~ ~ - ~ . <br />