PERMFILE40894

• Permit No: C1982057
• IBM Index Class Name: Permit File
• Doc Date: 5/1/2003
• Doc Name: Insurance Certificate
• Section_Exhibit Name: Tab 03 Attachment 3-3
• Media Type: D
• Archive: No

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~ _ a ISSUE DATE {MINDOI'M
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.~ PRODUCER THIS CERTIFICATE IS ISSUED A9 A MATTER OF INFORMATION ONLY AND CONFERS
`' J ? C'~ S' 1 C k
) 301:: NO RNiHYS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NpT AMEND,
. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
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a^I 'n-!_nd. inc.
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r o.. a . t r ~ a ` COMPANIES AFFORDING COVERAGE
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LETTER
COMPANY
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LETTER

THIS t3 TO CERTIFY THAT POLICIES OF INSURANCE LISTED 9ElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOP THE POLICY PERIOD INDICATED.
NOTNTTNSTANDINO ANY REOUIREMEHT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'MMICX THIS CEATIFH:ATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS, AND CONOH
TIONB OF SUCH POL1C1E5.
' CO TYPE OF INSURANCE POLICY NUMBER '''OIL' (IEECi~~E POtiCI (RRrui!CM j LIABILITY lI.M1TS IM THOUSANDS
LTR 9AiE IMIW00.M1 111E IMMgDYYI cA " AOOREOATE
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s ,1 GENERAL IUBR.ITY :; L ,; , '; . , .1 / L~ 1 / -'I
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PREMISES/OPERATIONS
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.{. ,~( CONTPAOTUAC~ I COUSmECjJ ^ V'„' $ 1:00
~( INDEPENDENT CONTMCTORS
Y BROAD FORM PROPERTY DAMAGE I

PE0.50NAL INJURY
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aEPSONAL IWURV
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AIL OWNED
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-' A ALL OWNED AUTOS OTHER THON I /~ eSR,'0 $ ~.': ~:,'•~•:~
PRIV. PA$$
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OTHER TXIJI UMBPEIIA FORM ~ ~ ~ I
: WORI(ERB' COMPENSATION
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AND _ ~ $ (EACH ALCICEHTI
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EMPLOYERS' LIABILITY C,A IGISEA$EPOLICY LIMIT) •
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_ OTHER I ~
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~f DESCRIPTION OF OPERATIONS/LOCATIONyVEHICLE S/SPECIAL ITEMS ~ ~ '/ .. - .: L ~ ~' 1 _ T i~ ~. ,: L ~ /. ' ~: J / .'. C L :' .. , '. :.

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'~' . ~/ , ] ~ 'd I ;.1 ~ n L,S .~ ~ ;. °_ ~ ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- (`
,_ PIRATION DATE THEREOF, THE IS$W/jCh Ogf/P,Sry Y. WLLL.ENDEAVOR TO f,
:1r ~::VT_N~r~r:L ~LC~.
DFSIVER 00 80230
MAIL GAYS WRITTEN NOTICE ATO T7+1FCfNTPIPIOA.TE,QNgOLT~IFNIJQ7YAMp1E10 TO THE
n ANeUNINONUPONO EACOMPAN`/O IYa'A~C`IS LOST kR PIZESEWI`ATldly~''~Y
BY