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CHANGE ORDER PROJECT C:enter NJcC PROJECT NO. DI\TE ISSUED TO VE _____l:7.5,9JJ ,O_Q SOQ-838-8240 [PHONE REDACTED] 20.>44) -4522 9 ) Ca;,endcr Davs FAX 208-667 -G73Ci FAX 206-LM; -7G ---PAGE BREAK--- ' ACOBD CERTIFICA< • OF Ll.l CE DATE (MM/DD!YY) . . . . 9/24/99 PRODUCER t .L >SUED AS A MATTER OF INFORMATION Dale Barton Agency NO RIGHTS UPON THE CERTIFICATE 1100 East 6600 South, Suite 400 CATE DOES NOT AMEND, EXTEND OR AFFORDED BY THE POLICIES BELOW. Salt Lake City, UT 84121-2400 ' SS AFFORDING COVERAGE Phone: 801/288-1600 FAX: 801/288-1944 Foreign Insurance Company ! ·iNSURED -i COMPANY Bodell Construction Company B 586 West Fine Drive I Salt Lake City, UT 84115-4244 COMPANY c COMPANY D . CoVERAGES . • . . · . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. E-F · -r c . . . . EF· • I • I CO ; OF JN"'URANCC , POUCY H'UMBER POLICY EFFECTIVE i POLICY EXPIRATION; LTR! • ' i ! I DATE(MMiODNY)- ' LIMITS GENERAL LIABILITY [ A rx: COMMERCIAL GENER:'L LI`SILITY ! r CLAIMS MADE j X ! OCCUR I ASP259387 09/30/99 09/30/00 I :ENERAL AGGREGATE · . L' PRODUCTS - COMP!OP AGG S [ - PERSONAL & ADV INJURY S 3 ----towNER'S & coNTRAC,2-s PROT I EACH OCCURRENCE $ txl lndependent Contractors FIRE DAMAGE (Any one fire) s i - MED EXP :Any one person) s j AUTOMOBILE LIABILITY ASP259387 . 09/30/99 09/30/00 A X :ANY AUTO COMBiNED SINGLE LIMIT s '1 ALL OWNED AUTOS BODILY INJURY 1 SCHEDULED AUTOS {Per person) s ! X j HIRED AUTOS I BODILY INJURY s X j NON-OWNED AUTOS , iPBr accident) \ I I i I : : PROPERTY DAMAGE ;s ) GARAGE LIABILITY ! ! AUTO ONLY- EA ACCIDENT s AUTO i OTHER THAN AUTO ONlY . . I ! I EACH ACCIDENT s I AGGREGATE s EXCESS LIABILITY ! I EACH OCCURRENCE i i UMBREllA FORM I. !C s ' 's , Tf-'i\N ""0RM 1 WORKERS COMPENSATION AND I I we srKua,l OJ1 i ! EMPLOYERs· LIABILITY l_s ' El EACH ACCIDENT 'THE PROPRIETOR/ - ]1 :NCL i ! EL DISEASE· POLICY LIMIT S PARTNERSiEXECUTlVE OFFICERS ARE EXCl ; EL DISEASE • EA EMPLOYEE i $ ! OTHER I i • • ' Cityj of Moscow, Idaho is added to th< general liability as additional insure= per endorsemelflt form GC0300 With respect to this job only. i i DESCRIPTION OF OPERATIONS/LOCAT!ONS/VEHICLESJSPECIAL ITEMS Hamilton -Lowe Aquatics Center CERTIFICATE HoLDER CAI\ICELLATlol\1 2,000,000 2,000,000 1 ,000,000 1 ,ooo,ooo 50,000 5,000 1 ,000,000 . . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Moscow, Idaho EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL P.o. Box 9203 122 East 4th Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Moscow, Idaho 83843 IUC XAli.l!ilt ¶06-ltiK:lllX!X X!Xdtil< -l)(dl.l(dWOX l!\kllil(\l< AUTHOR ESENTfitVf r-/lD.A Blft..{larton Agency CV S - ACORD 25-5 {1195) ] j "II n ©ACORDCORPORATI0!\11988 v