10-13-00 15:31 MONTGOMERY WATSnNI
<br />vV~
<br />-JVV rJVCU „i ...r..~ IL-
<br />.. ...
<br />. :.C °i....,.,.p•w.:~¢~:j„
<br />~:: _ _ _.~ ~..~:.~.......,:~ ~~~{ :~..
<br />._ ..~ - -
<br />.r _
<br />-.
<br />._
<br />:
<br />a~
<br />1
<br />-
<br />~~ r _~ 1111111111111
<br />~~ ~.
<br />~~
<br />~.~~
<br />
<br />~..
<br />.~
<br />,
<br />f. _ _
<br />~~._ :~,~. ~_
<br />, . .
<br />... ,~ ,: ;
<br />.:
<br />- v
<br />_.~..
<br />..
<br />L
<br />
<br />.:
<br />~.
<br />
<br />.
<br />~_:_.~ 999
<br />r~
<br />.
<br />. _..r
<br />
<br />..:.....:.r... e
<br />.
<br />4:.nT -
<br />vRODDCFA TH14 CERTIFICATE E9149VED AS A HITTER OF IIFOIMATION ONLT 1110 CONFERS
<br />hkjr5h USA InC. ND RIONTS 1°PDn THE CEIETDIG7E HOLDEII OTHER THAN TNO4E PROVID~DN
<br />• 1:66 Avenue Df the Americas THE PDUer. Tws cEaITFICITE DDE6 Nor aFRETEO. I][TEIID oR ILLTEA 7TIE
<br />r Yerk
<br />N6
<br />NY 10036-277a eovERlDC AProRDfiD BY TNC PDLN7~ DE9pYBE9 HEREtn, .
<br />.
<br />. COMPANIES AFFOgQ F1~C0°
<br />-
<br />l7121 3?5-E000 CDMPANv O'DT l 1
<br />A AHERIU,Y NGY~ ASSURANCE CQ
<br />_
<br />INSURED
<br />-
<br />~ _
<br />COMPANY
<br />o:~'ISlcl~::T
<br />C•6 CJ31 C[RIPan}' ' g INS. CO. OF TIfE STATE Of PA ILL".CI!.:LS G !'c0'_U`'v
<br />cm W.P,. Grace d Ce I -
<br />1 Town Cen*,Dr RDdO I compprvr
<br />6oca oaten, FC 33686 C f7ATILIFPL UNION FIRE INS, C17.
<br /> ~DMFANr
<br /> D
<br />r:F- :..~>' __ -, .:-
<br />,, .:...'. .. ~.. w
<br />
<br />
<br />e.......
<br />...<:..... .. .......w.f{... Ifl.C~rv
<br />
<br />
<br />.
<br />- :.aye.,. _«..... ,,~:_,~c;-~
<br />b
<br />....r ._ ._.a
<br />..`.`r"".: ^o:n;:~;.r'12!
<br />a:~r~1'
<br />~~. ~.rY9~'
<br />IbdT4:
<br />:'L:" _
<br />,
<br />THIS IS TO CERTIFY THAT POLICES OF INSURANCE OE$CRIBED HEREIN HAVE BEE ~
<br />~
<br />.r
<br />.
<br />N ISSUED TO THE IN$UREC NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
<br />NOT WITN$TANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRAC T OR OTNEfl DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE Mqr
<br />OE 13$VED OP MAY PERTAIN, THE IH4URANCi nEFORDfiD BY THE POLI[IE4 DES CRIBED HEREIN Ei $USJECT TO ALL THE TERMS, CONOITIONg AND EXCLUSIONS
<br />OF 50tH POL:CIEb. LIATITS 4HOLVN MAr HLVE BEEN REDUCED BY PAID CLALMS.
<br />iTR TTPE OF INSURANCE pO~ NVMSER PDtICT (ffECTIYE
<br />DATEIMAYODT!TI PDLCT E7fPRTATRNi
<br />DATE IMMYDDM'I UMAC -
<br />A oewEwuuaelLTrr RYGC6117B15 E13DIDD 6/30/DI 6ENERALaaDRepaTE • 2.ODD.ODO
<br /> Z' COMMERCIAL OENEDgi
<br />LIABILIT`/ PRDDUCTg•COMP+OP AOD • Z. DDD. DDD
<br /> r
<br />;~. ~ CtAIM3 MADE) y IOCGU9 PERSONAL BADY IWURY • z,DGD,ODD
<br /> OWNER'$ 6 CDN7RACTOR'S PRDT EACH OCOL•1RENCE •/, DDD. DDD
<br />
<br />-
<br />. FIRE DAMAGE IAnr one lire) !
<br /> . .
<br />- MED E%P PRY i1w Pi~MD1 •
<br />JI pUT OM061LEt]ADIIRY RNA.L53a7978 lAlS) 6/30/GD 6/30101
<br /> ,I' ANr AUTO COMBINED SINOLE IJMIT P
<br />2. DDD. DDD
<br />.
<br /> ALL JWNED A~TDa - _.
<br /> BODILY IYJUflV T
<br /> SCHfDULEJ auw: I Pa °e1wN
<br />
<br />H~RED AUTJg
<br />
<br />BODILY INJV+IY -
<br />
<br />•
<br /> NDY-DwNEp aUT05
<br />i IPa acciJEMI
<br />
<br />" - -
<br />•
<br /> - I PROPERTY DAMAGE
<br />04MOE LIABIUR AUTO ONir - EA ncclbNR
<br />ANY AUTO OTHEp THAN AUTO DNLT: ~~~^LY~%;~:.'t' -
<br /> VCN ~CUPlNT
<br /> ~ AGOREOATE F
<br /> EYDFBS UpWLRY EACH DCCDRGENCE °
<br /> VMpXELLA FORM ACOREDATE •
<br /> JTHfA TM4N UMBRELLA GORY I °
<br />A I WORSGGE COIa DEFIDgT~pM Y\D ryw'(.SZJSDOJ 1A/SJ SIJDIDD 6I3D/DI X TOPr LIMITS ,~ C4 :~^''^~~'.+.`~n ~:: r..t,
<br />~ DRPLDTEAS•uAeRln ~AJC6Z75087 (FC.NNA.TN.VA) 6/3UlCO 6/30/71 ELFncNACODENr ° 2.OOD.000
<br />C THSDRDPRIE;ow
<br />T INCL Ta'9JCSe"]508PlJJ.hY.ORW!.NV 6/?0106 6/3Ol01 ELDI$EaSE•PDUCrOMIT a $, 000.000
<br />
<br />A PAR
<br />VE°5~4:<ECifi lvE
<br />OFFICERS APE:
<br />E%CL 1 G 0
<br />RNL[527_DB. 1~I ~
<br />C/3U/Dr
<br />6/3D/DI EL DISEASE-ER EMROTEE •
<br />2, DDD. DDD
<br /> OTHER
<br />DESCRIPTION OF OFplnTmwa+LDCAT~Onp +NegOted +aFpTAL ITeMA
<br />rHc CD'JEDAGE AND C1M?TS STATED ABOVE APPLY TO PEI7MIT A: Coo-UG3.
<br />. ~ ~yy~ e.:::. -.........: _ s- - _ ......... -ace: -a x~ +c:"... ;~a:.
<br />, . x~
<br />r- ~:......
<br />~E(ii<fBCA~~' ~~.
<br />:T-~'-',1°~~:. .w..~a:- 3~_:~~+?xti... _.,._,
<br />_
<br />. .
<br />T
<br />E
<br />H
<br />E
<br />SHOULD ANr OF THE POLICIB6 DESCRIBED HEREIN BE CANCELLED BEF'OP
<br /> Y
<br />fI
<br />R
<br />Y
<br />gfAI
<br />C%PIRgTICN OAT[ THEREOF. THE 1NSIJPEP AFFORDING COVERAGE WILL/[wypwsAe~
<br />COCC144CG DI YISION OF MINERALS
<br />" MAIL _LT DAYS WRITTEN NOTICE TO THE CER7IFlUTE HOLDER NAMED
<br />AhG u
<br />fOCOu'Y
<br />
<br />ATT;v: r;,Y xAl.~e+eACN HEREIN.
<br />1313 J,'EFP': N STkEET. RQG4 Z15
<br />,iEn'VEF. CO RO2C3 ~~'
<br /> USA Inc.
<br />+
<br />~
<br />
<br />Y.
<br />S~//~/~ ~P
<br />G
<br />~±`
<br />_
<br />- _.~
<br />/ _
<br />....,a.. ... ...
<br />.:..,_...:. .::r.:-.., ..-...,,, -- __
<br />.......n.. .. ... ... ..
<br />«: s,
<br />.-.,,x,.
<br />...::..:.. .......:... .: .........: m_
<br />.aLU.
<br />:~.
<br />...::i~:XE. ~.:.y...._ ..,.
<br />....
<br />.. ..~ 'r.; ..,... ....... ~t..-F.... _...,.~..,or::~:...,-.r..'F~'.<^,:.`SYR~~RSCI?R.e:^.T ~S:°
<br />FSI-9Df ZO/ZO d £51-1 965P5bE2lZ NY6'N31~Yf 8 H58YR H?f:BDy 0[~5( 00-Z1-170
<br />
|