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' ! r./ <br />Hc,VHU,~ c~.~K ~ I~'I~.Io1,1 ~ QF Lt,AB~LIT Y IN:SURA <br />~CE ~' <br /> <br />PRODUCER ~ ..-. <br />Ili I I is Corroon Corporation of Eugene <br /> <br />99198 , <br />, <br />..... <br />THIS CERTIFICATE IS ISSUE ~~,j <br />P. 0. Box 1357 ONLY AND CONFERS NQ fE <br />6~~ene OR 97440 HOLDER. THIS CERTIFICAT ~R <br />) 687-2222 <br />ALTER THE COVERAGE AFrc~HpED BY THE POLICIES BELOW. <br /> COMPANIES AFFORDING COVERAGE <br /> coMPnNrRelia~ce Insurance Company <br />Terry R. McCormick_ <br />_. A <br />.--- _ __ _ ...- _ _ -- -- ---_.. <br />INSURED .. _ _~ _ . <br />- - --- _ <br /> <br />-_. - - __ _ <br />- - <br /> COMPANY <br /> B <br />STATON CONSTRUCTION, INC. COMPANY <br />29394-B AIRPORT RD. C <br />EUGENE OR 97402 COMPANY <br /> D <br />GbVERAGE5 <br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOW HAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />INDICATED NOTWITHSTANOINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TNE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S <br />B <br /> <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />LIMITS U <br />JECT TO ALL THE TERMS, <br />SH <br />. OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />co <br /> <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE <br /> <br />POLICY EXPIRATION . <br />- - ---- -- <br /> DATE (MM/DD/YY) OATE (MMfDDfYY) ~~MITS <br />A GENERAL LIABILITY <br />X COMMERCIAL G 61675656 31-AUG-1996 31-AUG-1997 GENERAL AGGREGATE $ Z, OOO, OOO <br /> ENERAL LIABILITY <br />CLAI PRODUCTS-COMP/OP AGG S Z, 000, 000 <br /> MS A~ADE ~ OCCUR <br />OWNER'S 8 CO <br />' PERSONAL 8 ADV INJURY S 1,000,000 <br /> <br />X NTRACTOR <br />S PROT <br />5500 PRO EACH OCCURRENCE S ~, 000, 000 <br /> PERTY DAMAGE FIRE DAMAGE (An <br />one rir <br />) S <br /> <br />X <br />DED y <br />e 50,000 <br /> PER OCCURRENCE MED EXP (Any one person) S 5 <br />000 <br />A AUTOMOBILELIABILtTY B1675656 31-AUG-1996 31-AUG-1997 , <br /> X ANY AUTO COMBINED SINGLE LIMIT $ ~, 000, 000 <br /> ALL OWNED <br /> AUTOS <br />BODILY INJURY <br /> SCHEDULED AUTOS (Per person) s <br /> ' HIRED AUTO <br /> S <br /> <br />NON~OWNED AUTOS BODILY INJURY <br />(Per accident) S <br /> <br /> PROPERTY DAMAGE g <br /> GA RACE LIABIUTY <br />AUTO ONLY <br />EA ACC <br />D <br /> <br />ANY AUTO - <br />I <br />ENT S <br /> OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> <br /> AGGREGATE S <br /> EXCESS LIABILRY <br /> <br />UMBRELLA F EACH OCCURRENCE S <br /> ORM <br /> <br />OTHER THAN <br />AGGREGATE <br />j <br /> UMBRELLA FORM <br />4 <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS'LIAB~RY T RY IMIT <br /> <br />THE PROPRIETOR/ EL EACH ACCIDENT s <br /> <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE INCL <br />E~ DISEASE-POLICY LIMIT <br />S <br /> : EXCL El. DISEASE-EA EMPLOYEE S <br />OTHER <br />DESCRIPTION OF OPERATIONSfLOCATIONS/VEHICLES/SPECIAL ITEMS <br />Refer to attached Additional Insu red Endorsement CG2010 10/93. <br />RE: Salem Courthouse Square ~#<nc. Demolition <br />CERTIF~CkT"E HC~LCtER CANCLL.LATiQN; ExcepY to Oays Forl~nnpayi»e~t <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WI(1 ENDEAVOR YO:MAIL <br /> $O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFi <br /> <br />MAR I ON COUNTY , <br /> BUT FALURE TO MAII SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABI~fTY <br />100 HIGH STREET N.E. oF ANY KIND UPON THE COMPANY, RS AGENTS OR REPRESENTATIVES. <br />SALEM OR 97301 ~urH <br />RE ESENT IVE <br /> <br />I <br />ACC7Q13Q 2~~5 t 1195) A tGI.AUt~1 ~e l/ <br />_ _ <br />~~~~~~ <br /><>~ . ..,.,.;. ..,...~.... . _.'=-- : _ _ ~ <br />~~~~~~~-~~ -~~-.~ ++~!tiin4+ k~Ii~rLFSR~~.I>~tYCt 7~.Yp.G <br />