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CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) <br />a1:11~e~~ <br />. / <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />~~ ~ ' "• - DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />- i -~ POLICIES BELOW. <br />- COMPANIES AFFORDING COVERAGE <br />,.. <br /> COMPANY A <br /> LETTER <br /> COMPANY B <br />INSURED LETTER <br />- ~ ~ ~ ~ ~ ~ ~ ~ <br />~• COMPANY ^ <br /> LETTER y <br />I <br />- i - COMPANY D <br /> LETTER <br /> COMPANY E <br /> LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION 'LIMITS <br />LTR DATE (MMIDDIYY) DATE (MM/DDIYY) <br />GENERAL LIABILITY ~ ~ ~ ~ ~ GENERAL AGGREGATE f ~ <br />COMMERCIAL GENERAL LIABILITY , PRODUCTS~LOMPIOP AGO. 3 •, <br />CLAIMS MADE OCCUR. PERSONAL 6 ADV. INJURY S I <br />OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE S ' <br />• - FIRE DAMAGE (Any one Itre) f <br /> MED. E%PENSE (Arty one person) f I <br />AUTOMOBILE LIABILITY ~ COMBINED SINGLE <br />ANV AUTO LIMIT S <br />ALL OWNED AUTOS ~ <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS f <br />(Per person) <br />HIRED AUTOS BODILY INJURY <br />NON-OWNED AUTOS (Per ecclEenp S <br />OARAOE LIABILITY <br /> - PROPERTY DAMAGE S <br />EXCESS LIABILITY ~ EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br /> //~~ <br />STATUTORY LIMITS <br />WORKER'S COMPENSATION oU <br /> EACH ACCIDENT f <br />AND d Land <br /> <br />EMPLOYERS' LIABILITY DISEASE-POLICY LIMIT S <br />Mine <br />• IVIrjIOn <br />CH EMPLOYEE S <br />S <br />S <br />E <br />n D <br />i <br /> DI <br />EA <br />E- <br />A <br />O <br />` <br />OTNER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEXICLE9/SPECIAL ITEM9 <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />-- ~ ~ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~XllSPlAU61iXX3f <br /> ER NAMED 70 THE <br />H <br />L <br />D <br />MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICAT <br />E <br />O <br />'. ' . - ~ <br />a <br />~ <br />.t <br />~ <br />~ <br />LEFT, ~2SIX~CXIL'P[C(9CXQLXd4%X97)DEPC114[gr~C$lElmc~eCRldl70Bk1671RIIPN7AP <br />' ~ KIX~IXVLX~KXNVL1f0416X~6t4?I~El4Si~1FL7~~iiY~L~ <br />~ AUTNORRED REPRESENTATIVE <br />BY ~-P,,..~5 .~i~ <br />D D •S 7/90 v S~gnelurppj4't`,0 PORATION 4990 <br />