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~~AB~LIi' ~~~ DATE (MMIDDlVY) ~ Y NNSU~tANCE i~ aaoouceA ~AGE '~ OF 'I '; 14-MAY-1997 wi I I is Corroon Corporation of Eugene 99198 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P. 0. Box 1357 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE '-ene OR 97440 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ! 687 2222 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ) - COMPANIES AFFORDING COVERAGE COMPANY Reliance Insufance COlnpany Terry R. McCormick - . . _ A INSURED - --- ------ - - --- __. - ------- - . . ---- ..___. COMPANY B STATON CONSTRUCTION, INC. COMPANY 29394-B AIRPORT RD. C EUGENE OR 97402 COMPANY D cav~~ncEs THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCE LISTEDBELOW HAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD INDICATED NOTWITHSTANDINGANYREQUIREMENT,T ERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN SURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A~L THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L __ --- ~ , IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --- --- -- -- - - - - ~~ POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA 01T N ~ ~ CO TYPE OF INSURANCE LIMITS ~TR DATE (MMlDD/YY) DATE (MMIOD/YY) A GE NERALLIABILITY ~8~6]~jsrj6 31-AUG-1996 31-AUG-1997 ~ GENERAL AGGREGATE $ 2,QQQ,QQQ X COMMERCIALGENERALLIABILITY I ~ PROD CT ~ U S-COMP/OP AGG $ Z,OOO,OOO i CLAIMS MADE ~ OCCUR! PERSONAL & ADV INJURY i $ 'I,OOO,OOO OWNER'S & CONTRACTOR'S PROT ! EACH OCCURRENCE ~ 'I ,OOO,OOO X $500 PROPERTY DAMAGE ~ F~RE DnMnGE (Any one fire) i S 50, 000 X DED PER OCCURRENCE I, I MED ExP (nny one pers~ 3 5,000 A AUTOMOBILE LIABILITY Q61675656 I 31-AUG-1996 31-AUG-1997 ~ X ANY AUTO i COMBINED SINGLE LIMIT $ 'I , 000, OOO ALL OWNED AUTOS ~ BODILY INJURY~ ~ ~ SCHEDULED AUTOS , , II(Per person) g X~ HIRED AUTOS I I~___ ~ BODILY INJURY q •- ~ X~ NON-OWNED AUTOS ~ --i ~ ~ (Per accident) _ _ _ . ' I ~ IPROPERTY DA~AAGE y ITY CAR L B I I ~ I~ AUTO ONLY ~ EA ACCIDENT I $ ANY AU O ~ ~ --- - - IOTHER THAN AUTO ONLY: ~ r --- --- , ~~~, l__ __ i ~'~ EACH ACCIDENT _ _ $ I AGGREGATE I$ EXCESS LIABILITY ''~.. ''~. EACH OCCURRENCE I $ -~ ~iUMBRELLA FORM . ~~. i --- . . _ _ _ .., '~~,AGGREGATE I ---- --- _ . g ~ ~ OTHER THAN UMBRELLA FORM , r I I - -~ g WORKERS COMPENSATION AND EMPLOYERS' LUBIIITY ~ I WC STATU~ OTH- ~~ TORY LtMITS ER _ _ EL EACH ACCIDENT q THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE i EL DISEASE~POLICY LIMIT , ~_ _ $ OFFICERS ARE EXCL I I EL DISEASE~EA EMPLOYEE _ _. $ OTHER ~I II I li I I~ I~~i DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS Refer to attached Additional Insured Endorsement CG2010 10/93. RE: Salem Courthouse Square Inc. Demolition C~H'1'3F"I~ATE H~iLD~Fi ~Atd~ELLA~'JQN Exeept io Days For htneipayme~t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUINC COMPANY WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT MAR I ON COUNTY , BUT FAILURE TO MAII SUCH NOTICE SHALL IMPOSE NO OBLICATION OR LIABILITY 100 H I GH STREET N. E. oF ANY KIND UPON THE COMPANY, tT5 AGENTS OR REPRESENTATIVES. SALEM OR 97301 ~urH~RE ESENT IVE I A~QRD 25•S 1195 - A iGU1UGE1 d A~~7RD GQ#3P(IHA71Ut~t 1988