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COMPANY: <br />SAIF Corporation <br />Salem Office <br />400 High Street <br />Salem, OR 97312 <br />INSURED: <br />Pence/kelly Construction Inc <br />2747 Pence Lp SE <br />Salem, OR 97302 <br />~CERTIFICATE OF~VSURANC~' , <br />( ~. <br />THIS C~NRTIFF~TE IS ISSUED AS A MATTER OF <br />INFO~II~ITION~N LY AND CONFERS NO RIGHTS TO THE <br />CERTIF.~tCATE HD DER. THIS CERTIFICATE DOES NOT <br />AMEND,~XTEND~R ALTER THE COVERAGE AFFORDED <br />BY THE P~LiCIES ~LOW. <br />< - <br />.~j <br />UC'j <br />~1A`N' , <br />A~ ~...' .,. ~ <br />.~ <br />p2•(~, <br />- ^ ~~ <br />ti <br />THE POLICY OF INSURANCE LISTED BELOW HAS BEE $, ~{~ TO THE INSURED NAMED ABOVE <br />FOR THE POLICY PERIOD INDICATED. THE INSURANCE A~I~ORDED BY THE POLICY DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY. <br />POLICY NO. POLICY EFF DATE POLICY EXP DATE LIABILITY LIMITS <br />810215 10/01/1997 09/30/1998 (in thousands) <br />WORKERS' COMPENSATION STATUTORY <br />~ $100 (each accident) <br />$100 (each employee) <br />$500 (Disease, Policy) <br />OTHER COVERAGE AFFORDED: <br />DESCRIPTION OF OPERATIONS/LOCATIONS/SPECtAL ITEMS: Courthouse Square - Transit <br />CANCELLATION: <br />SHOULD ANY OF THE ABOVE DESCRIBED <br />POLICIES BE CANCELED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING <br />COMPANY WILL ENDEAVOR TO MAIL 30 DAYS' <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />NAMED TO THE LEFT, BUT FAILURE TO MAIL <br />SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OF LIABILITY OF ANY KIND UPON THE COMPANY, <br />ITS AGENTS OR REPRESENTATIVES. <br />CERTIFICATE HOLDER: <br />Marion County <br />100 High St. Rm. 5320 <br />Salem, OR 97305 <br />AUTHORIZED REPRESENTATIVE: <br />~ <br />Issue Date (October 7, 1997) <br />