Laserfiche WebLink
Ww .saif.com <br />Oregon Workers' Compensation <br />Certificate of Insurance <br />Certificate holder: <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />Q,AWA <br />corporation <br />The policy of insurance listed below has been issued to the insured named below for the policy period <br />indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of <br />such policy; this policy Is subject to change or cancellation at any time. <br />Insured <br />Evinger & Associates LLC <br />PO Box 1 <br />Klamath Falls, OR 97601-0001 <br />Producer/contact <br />SAIF Corporation <br />Portland Service Center <br />971.242.5001 servic@saif.com <br />Issued 07/18/2016 Limits of liability <br />Policy 859289 Bodily Injury by Accident $500,000 each accident <br />Period 02/10/2016 to 02/01/2017 Bodily Injury by Disease $500,000 each employee <br />Body Injury by Disease $500,000 policy limit <br />Description of operations/locations/special items <br />All operations <br />Important <br />This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate <br />does not amend, extend or alter the coverage afforded by the policies above. This <br />certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the <br />certificate holder. <br />Authorized representative <br />Kerry Barnett <br />President and CEO <br />S <br />G <br />400 High Street SE <br />Salem, OR 97312 <br />P: 800.285.8525 <br />F: 503.584.9812 <br />Policy_OLCA_Certlflcate0flnsurance <br />