Laserfiche WebLink
TV <br />.~.Y <br />~ <br />~' <br />; <br />~' <br />• ', <br />' <br />. <br />,• <br />J <br />- <br />' <br />° <br />'' <br />- ~a <br />' v <br />9 <br />~ <br />. -; <br />~:. [ <br />..1 ^:. ._ <br />:.:1 : <br />.. ._ _. <br />," { <br />~ <br />1 <br />•.~ hi <br />Kac~:.:d <br />.flil~ <br />e~ <br />:..~' <br />. <br />1gL ~'T <br />V I <br />/ ~~JC <br />.PODUCJi <br />Lni TOP INSURANCE AGENCX ~ 7Ht5 CERTIFICATE IS ISSUED AS °R OF INFORMATIp`I ONLY AND CONFE=.L <br />I NO RIGHTS UPON THE CERTIFCATE HOLDER. THIS CERTIFICATE DOES NOT,LM_::: <br />OF KENm UCKX LL EXTEND OR ALTER THE COVERAGE AFFORDEil BY THE PGLIGIES BELOW <br />P. O. BOX 951 f - <br />PIKEVILLE, KY 41501 I COMPANIES AFFORDING COVERAGE <br /> I COMPANY ~~ <br />'a` <br /> I ~" <br />NATIONAL UNION FIRE INSURANCE CC <br />ODE SU8-COD4 , <br /> _ <br /> I G7MPANY p <br />__ I LETTER L~ . <br />l6VRED L <br />PYRO '-~:INING COMPANY, et al <br /> <br />P. O. BOX 2 b 7 j <br />coMPA,,,Y C <br />I LETTER <br /> <br />STURGIS, KY 42459 ' <br /> i COMPANY Q <br /> LETTETI <br /> COMPANY E <br /> LETTER <br /> <br />:: __ <br />COVERAGES :. "'i_r .,::•~.....a ~.L~- - __ <br />~~ ,. ..,._~. .. .~,.,rT . <br />- _ ~Cax~'... ..G;i ~ - .~•~::..,.=.~,„~. _ _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURAN CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLIO, P=RIO= <br />INDICATED, NOTW17115TANDING ANY gEOUIREMENTI TERM CR CONDITION CF ANY CONTR:.CT OR C'. HER CACV1lENT PATH RESP°Ci TO WHICH Tri:S <br />CERTIFICATc MAY 9E ISSUED OR MAY PERTAIN, TH E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERW: <br />EXCLUSIONS AND CONDITIONS Of SUCH POLICIES. L IMITS $HOwN MAY HAVE SEEN REDUCED BY Pao GWNt$- <br />q I ~ ' <br />TYPE OF IM$URANCE POUCY I POLICY EFFECTIVE 'POLICE IXARATfONI <br />NUYBER I <br />UYRf IN T/10V 9ANOy <br />AL <br />TR; I I I <br />L <br />I LATE (MMlDDIYYI I DATE (MMlDDlY17 <br />L y_ <br />--- <br />I n~ucv.l UABIUTY I I ~ <br />I OENEAAL A(1011EOATE ~ y ~- <br />A X'COYMEAGAL GENER <br />AL L1ABRffY iPRI MARY: I LT&COYPR7PH AOOREOATE!:7 !1n <br />~ I I PPDOU <br />v- <br />r <br />L'"`-~~CCAIM9 YAOE Y IortuR.. CAfI_CGQ ~ <br />S I 7/7 /aA ~ ~~ 4/7 /o n. PEI RSONALAAOVERn&NG IWURV It e <br />nn~ <br />- `~ J R V V J J J I r/ i/ / V I %/ J. ~ J V - - .~ u l J ~~ <br />~` I ~NErl'9 d CONTRACTOR'S PRDT.iFOLLOWING FORM : j I - EACH OCCJPRENCE ~ ~ I y O T~ 0-_ <br />_ -_ _ I 5 4 0 - 6 5 ~ 5 i FIRE DAYIgE (Airy elr M1el 17 - <br />- - -- - <br />I I <br />; , MEDX:AL EJ(PEN4E IAIry ene Doan) { - <br />.. <br />' AUTOMOBILE UA81L(TT I <br />"-~ I ~ COMBINFFD I , <br />~ ~ '~ .L <br />I 191NOLE I Z ~'~ ~'^~~ . <br />: <br />' !ANY AUTO I '~ <br />; I I LI.MfT ...~{~ <br />~:~ <br />~` . <br />I I ALL OWNED AUTOS <br />~ I <br />I BODILr 1 <br />~ <br />F <br />l_~ <br />SCHEDULED ALRDS I ~ INJURY Ii <br />r <br />I ~ I (Pw P.oall I ~ ' •'y,--.~{~ <br />- <br />NwED AUT09 I <br />I _ <br />I j BODILY I ..'`4 ~.'~- <br />~ <br />.A•' <br />~ <br />-~ I I INJURY <br />: y <br />~ <br />I ~ - <br />- <br />NONv^14NED AUTOB ~ I I Ter Ae.Jeenq <br />~' <br />. <br />^ <br />~ <br />'-~ GARAGE LIABILITY I <br />i <br />i-. I <br /> <br />~ <br />._ I ~ <br />';~~ ~ <br />. <br />I PROP~.PTY' ' '1... .. <br />I IOAMAOE ~t f~.~ .y <br />EXCE94 LUelLfiT i <br />- ..__. <br />---. __' ._...._~~_._~ 'I•;r~J~-~...;,, EACH AGGREL~.. <br />~ : <br />~~ji <br />~•••IJRREYCE I <br />I t <br />r <br />y s <br />-+''OTHER THAN UMBRELLA FORM ~ l i r ~ <br />I ~ I I ~ 6TATLRORY i~' ..:~3~ Y•%'' <br />"~ ~..7: <br />+ <br />WOR1(~R5 COYPEN9ATION ~ _ <br />. <br />~''~ <br />( I (t I ~ (EACH ACCIDE'(Tj <br />~ <br />AND 1 <br />I <br />- <br />EMPLOYERS' UABILfTY ~ <br />I I -~_- <br />I I y I (CIBP IBE-EACH ci¢~_ <br />.... ~OTl1ER -~.._..~-~- ..~ i <br />I <br /> <br />I <br /> <br />_ I I <br />I <br /> <br />__ <br />_ 1 <br />DEBCAIPTIOM OF OPEAAT7ON9JLOCATN)119/YEHICLE9JIIESTRIOTIO N6lSPECIAL REMS <br />CERTIFICATE HOLDER '= _ r^ ~ t=:"r~•.•--~;:._=. ;:SZ: ~.;~'.•.: 1' _ _wnsn[ ~a; __ _ ___ ?'r•.r, rr :. <br />bANCEL_ATION~~~~-lr?F ~iC._,__ _r~?IF...._~_=:•:.._: :1,;,~ti y_ -_ <br />~ <br /> _~77 <br />~' <br /> l BEFO~E <br />SHOULD ANY OF THE ABOVE DESCRIBED PCUCIE$BE CANCELLED <br />S:1N LAND I~!INING _y EXPIRATION DATE THEREOF, TF7, ISSUING COMPANY WILL ENOEAVC~ <br />P . O . BOX 5 j I '~ MAIL ~ ~ DAYS WRITTEN NOTICE 70,THE CER71F1CAlE HOLDER NAME? i C - <br />GrK CRE°%, CO 80467 i .~ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATIC'~ <br /> i _~ <br />I LIASIL;TY OF ANY KIND UPON THE C01.1PANY, ITS AGENTS OR REPRESEN7A,': = <br /> <br />^ <br /> ! '~ AIITMnPIK 6.aCPNCSL UtInK /1 / <br />~ <br />- rw~~ ~ VrL.~ q~,c: <br />.-..:... ~e .. i...~ ~.'r':^'o'~..:5~: '.a...r~.%-_'.iL9."=~. :.K: ..~,-.'~ _. ~ ~:.e ~_T.~::r_esril!'1_~'~'O'e C!]Rd ORPO RAif. <br />