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GENERAL50602
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Entry Properties
Last modified
8/24/2016 8:37:14 PM
Creation date
11/23/2007 6:06:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/17/1989
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br /> <br /> • • • <br />~ <br />• • ' III I~II IIIIIIIII III 1~~/';f/(AOA4/DD/YY) <br /> PRO <br />CER <br /> THIS CERTIFlCATE M MSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFlCATE HOLDER THIS CERTFCATE DOES NOT AMEND, <br /> EI(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLIgE9 BELOW. <br /> ~Rr'~. S. JfaME F ca. , u~r.- <br /> P.. 0, bOx i96iN COMPANIES AFFORDING COVERAGE <br /> r~rloxville,TN ~7^?^-• <br /> (61:=)56'%-c^2"C COMPANYA Rr NRTTONAI UN7onl -T RE It`IB rp. <br /> LETTER <br /> CODE SUB-CODE <br /> <br /> COMPANY B b = <br /> INSURED LETTER <br /> r;"PRL15 IYii!\I[~raL CO„ COMPANY`. c~ J L 171989 <br /> ?P.ID 'T3 SI;b5I1)IRP.Y CO. LETTER <br /> ;. 10 ~ s=s~ COMPANYD '~~ <br />Ep LNNL <br /> <br />i-I\I^I_FbIQ(]F~, CO 62115 / <br />LETTER <br />RECLAMA <br /> COMPANY E [ " <br /> LETTER <br /> • <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> NOTWITHS7ANDINGAHY REOUIREMEN7, TERM OR CONDITION OF AN Y CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PO LICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDI- <br /> TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUC ED BY PAID CLAIMS. <br /> CO <br />LTR TYPE OF INSURANCE POLICY NUMBER PoLICY EFFECTIVE <br />DgTE IMMIDO/Y1T PoLILY E%PIgATIDN <br />DATE (MMIDOIYIT ALL LIMITS IN THOUSANDS <br /> GE NERAL LIABILITY GENERAL AGGREWTE $ 1,„i,~7r <br /> C COMMERCIAL GENERAL LIABILITY PRODUCTS-LOMPIOPS AGGREGATE $ G.O,;%I <br /> - , CLAIMS MADE ^OCCURRENCE PERSONAL 6 ADVERTISING INJURY $ I:I f/I;~ <br /> !a C, OWNER'SBCONTFlACTORS PROTECTIVE RMC+_R!,~9695?. QI%'~1/R9 27/!P1 /tT!D EACH OCCURRENCE ,$' ~I~i -, <br /> TT !"ITT ill If T /U[hiT1f1R FlAE DAMAGE (ANY ONE FIgEI ,~ ., q1 Vii.; <br /> <br /> x `! f I I MEDICAL E%PENSE ZANY OHE PERSON) ,b' <br /> AU TOMOBILE LIABILITY comemso <br /> <br />q ANY AUTO slxcLL <br />LIMIT <br />,~' '~ :ii <br /> ALL OWNED AUTOS <br /> EaolLv <br /> O SCHEDULED AUTOS <br />R~1>?Ai4:,9F,lE, <br />?1?i2?/89 <br />417/@1/9171 Ix~uxr <br />1PPAPE0.50N1 <br />$ r+ <br /> HIgEO AUTOS amnr <br /> <br />NON-OWNED AUTOS VIAIRY <br /> <br />~ <br />Pa <br /> <br />$ r/ <br /> L <br />lodn 1 <br /> GARAGE LIABILITY <br /> PmPERn <br /> OANAGE <br />m_ <br /> EXCESS LIABILITY EACM <br />OGGUgAEMCE AoagEOATE <br /> / / / / $ $ <br /> OTHER THAN UMBRELLA FORM G~ <br /> <br />RS' <br />P <br />T <br />O <br />W STATUTORY <br /> ORKE <br />COM <br />ENSA <br />I <br />N <br />$ n! IEALH ALCIDEHf) <br /> AND <br />' / / $ 171 DDSSEASE-POLICY LIMIn <br /> EMPLOYERS <br />LIABILITY $ (~I (DISEASE-EACH EMROYEE) <br /> OTHER <br /> / / / / <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRIC710NS/SPECIAL ITEMS <br /> rv?':•IS ORC~;A!?D •'.~; ! ~,• "~'+ll'_. CORPL7^~TiF7P+ <br /> ~ . <br /> SHOULD ANY OF THE 4BOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br /> FT(~ ~ OF `~E;LCr)(11)fl PIRA710N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> '"i 1 i~IFh I ^i\I I RrCI _(1PiR 1 I0\I D I V MAIL2 DAYS WRITTEN NOTCE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> i.,j'I " SI-rrRP1.^N ST^,~I=T LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ,flSL10AT10N OR <br /> 7cyIL/~ R C~ e[T,^-• J _ LIABILITY OF A PON THE CO PANY, ITS AGENTS OR AEPR ENTATNE& <br /> ' AUTHORIZED P TIVE `, <br /> d <br /> I <br /> <br />
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