Laserfiche WebLink
AClll:llo CERTIFICATE OF INSURANCE °ATE(MMID°"~" <br />RopucEfl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />~E061~'iC~ J~,hE~ ^F C,. 'IJC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />~Q,~.,S ;;TLSHIFF ,3L'!l: T~.l1U <br />- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />LOS APiGEL L ~ ''r~ ?OG i '-/ COMPANIES AFFORDING COVERAGE __ _ <br /> COMPANY <br /> A tt~o~~;-r Ir,~Llrauc.. Cemp~.~"d <br />INSUREp COMPANY <br /> B <br />F•3152T 1~2>UUi DES 1' <br />1 <br />... <br />. COMPANY <br />3633 E Ini:InS Emp_1 ~ J1..Si0".:O C <br />^1'I ~drl <br />O <br />~~ /~~'"• --_-_ _ - _ _ _ __ -_- <br />. <br />... COMPANY <br /> D <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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />__ ~ -~ <br />CO TYPE OF INSUflANCE PpLICY NUMBER <br />LTfl POLICY EFFECTIVE POLICY E%PIRATION' LIMITS <br />' <br /> DATE (MLVDD/YY) DATE (MMrDD/YY) <br />, <br />li GEN ERAL LIABILITY J.7'/,?. ~./\ti%~`J ~~../[_Tl ,'n rt(..^.r~. .l .. ~. <br />GENERAL AGGREGATE ~E ~ <br /> _ _ <br />r <br />~ <br />`, <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG 1 § / ~ <br />_ <br /> <br />CLAIMS MADE ~ OCCUR r- <br />PERSONAL 8 ADV INJURY <br />E ~ r' ~ ~' ' ~ ~' <br />- - <br />_ <br /> OWNER'SS CONT PROT _ <br />~- <br />_ <br />II EACH OOCCURRENCE ~$ "'~~"~ .~ <br /> 'FIRE DAMAGE (Any one lire) ~S <br />~ ~ / <br /> _ <br />MED EXP (Any one person) ~ E <br /> AUTOMOBILE LIABILITY I <br /> 'COMBINED SINGLE LIMIT S <br /> ANY AUTO <br />~ _ - - ' <br /> ALL OWNED AUTOS <br />J <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />~I (Per perspal <br />L <br /> HIRED AUTOS IL <br />BODILY INJURY <br /> IPer a¢idenp § <br /> NON-OWNED AUTOS I~ <br /> <br />( PROPERTY DAMAGE S <br /> GARAGE LIABILITY i LAUTOONLY EA ACCIDENT E _ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> <br /> i EACH ACCIDENT E <br /> - <br />I~ AGGREGATE ~§ <br /> E%CESS LIABILTY i EACH OCCURRENCE_ E __ <br />i <br /> UMBRELLA FORM AGGREGATE '$ <br /> _ <br />~I r ~ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND STATUTORY LIMITS __ __ <br />1~ <br /> EMPLOYERS'LIABILITY <br /> 'i EACH ACCIDENT ~ $ - <br /> THEPROPRIETOIL INCL DISEASE-POLICY LIMIT S <br />~ <br /> PARTNERS/E%ECUTIVE ~ - -- -- -- <br />- - - - <br /> OFFICERS ARE: EXCL I DISEASE ~ EACH EMPLOYEE S <br />OTHER <br />I <br />I <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS <br />FL~ COLON=+i''= C,~r'_ .~Ih.~- _ ~J~ '! ~=_~ICEi'+G .;-~ti3i•S.. .!~.1 .,~ yi-._ <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />- Tr ~ ~ ~'- L G~ ~~•' [T I~ E%PIRATKkT DATE THEREOF, THE YSSUNIG COMPANY WILL ENDEAVOR TO MAIL <br />DETT. Ur .'~rTLlRf1~. ,.L7G1irl'__~ r1'ppYSWRITTENNOTICETOTHECERiIFlCATEHOLDERNAMEDTOTHELEFT, <br />~' I ~'+ED L - ~ ' J ~ t C L -:1 - ~ ~ L L' I ~ v ~" 1 ~ L r'i'I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />l JS~ 3HERi'iP.(v S aE'- ~ OF ANY KIND N THE COMP Y, RS AGENTS OR REPRESENTATIVES. <br />OEf;`-'E,R, CGLL7F=+Lu c7;.C' i AUTHORREDREPRES ATI E q <br />/~ <br />ACORD 25-S (3/93) aG ?;} ©ACORD CORPORATION 1993 <br />