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<br />a~ nay <br />c~o~a~ DI 1010 ~ I00100~00 010 ISSUE DA <br />~ Z ~ i 3~9 a <br />PRODUCER <br />FLAT TDP INSURANCc A~_NCY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR71A710N ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />3 2 ~ F Dc r? AL ST R ~ ET EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pe Do d~7X 1439 COMt~fAfUI~S b'LFc=O:~JI~UCa COV[EaACa~ <br />8LJEFIELD <br />:'~~/ 247017DOP) COMPANY <br />Q <br /> LETTER <br />OLD RF_PU°l IC ibSURANCE CDMPAN <br /> NV <br />A <br />D <br />NP <br />C <br />I: LETTER <br />INSURE <br />. <br />e <br />L <br />V <br />A Yv <br />PeDo JDX ZG COMPANY <br />~ <br />7~tILNER ~7j fU`.G~~. LETTER F1atTo <br /> <br />CJ 8D47TDDDD .~~ <br />EnER"Y ° ,! <br />p <br />Insurance <br /> COMPANY ~ P.O. BO% 10.79 <br />BWEFIELD, WV 1701 <br /> LETTER <br /> <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />TERM OR CONDITION OF ANY f.ONTRAC7 OR OTHER DOCUiSENT WRH RESPECT TO WMICN THIS CERTIFICATE MAY <br />NOTWITHSTANDING ANV REQUIREMENT <br />, <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUM BER POLICY EFFECTIVE <br />DATE (MMIDp/WI PoLICY E%PIRAiIDN <br />pAiE IM.•d/DDM'I qLL LIMITS IN THOUSANDS <br /> GEN ERAL LIABILITY GENERAL AGGREGATE $ Z p On <br /> COMMERCIAL GENERAL LIABILITY ZY 51326 3/01/9D 3/D1/Sl PRODUCiG~COh'P/DPS AGGREGATE $ Z9ODO <br /> CLAIMG MADE ~OCCDPflENCE PEPGONAL 8 ADVERnSWG INJDRV $ Z 9 OO O <br /> OWNERS 8 CONTAALi0fl5 PROTECTIVE EACH DLLURRENCE $ <br />Z 9 OO O <br /> FRE pA'dAGE ZANY ONC RPEI G <br />G <br />+ <br />p 5 O <br /> MEDICAL E%PENGE ZANY ONE PER$DNI C <br />+p <br /> AUT OMOBILE LIABILITY R!O!S!A! !!!~lb~~ /J3a CSL <br /> ANV AUTO <br /> A <br />L OWNED AUTOS ~ ~ a~~~~ <br /> L BpDLLv <br /> <br />SCHEDULED AUTOS <br />C6 v((..{{I,' <br />~l I aTIW INJURY <br />IPFR PFRSDN) <br /> HIRED AUTOS BX ~ qY <br /> NON~OWNED AUTOS { <br />~ <br />(T ~D[pDExn <br /> GARAGE UABILItt ®~ ~ ~ ~ ) <br />~ <br />~ <br />`J <br /> pxOpegry <br />DAMAGE <br />$ <br /> EXCESS LIABILITY EeLH <br />OLCORRENCE NGGREGeiE <br /> <br /> OTHER TRAN UMBRELLA FORM <br /> STATUTORY <br /> WORKERS'COMPENSATION <br />(EACH PLLIDENI) <br /> AND <br />IpIGEAGE~POLICY LlMlil <br /> EMPLOYERS' LIABILITY <br />ID4EASFEACH EMPLDVEE) <br /> OTHER <br />A PDLLUTIJ~` LP433 3/J1/90 './nl/91 1vDDOv <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES mca i i n v i'$ :fi I SPECIAL ITEMS <br />LL`~1I7S SHOiiV ,;AY HASJ~ 7c EN :2E9UCEJ dY PAI7 CLAI1-0So <br />CJ~:f[U C~l~lll-L h G o ~ LGY~C~~.\~O.l <br />COL7FtAD~J :1INi.G L:1ND .2Fl:LAMATI7ti D' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E% <br />ATTV MS SUSAN J '-1J:IRYv 4Z3 PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />C ~ NT E' P~I N I A L 9L 0 G v 1313 S H cR s"lA N MAILOI D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />STe 9 D.NVER CJ SO ZO30 DOD LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> LIABILITY OF ANY KIND UPON THE COPFPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUT <br />HO <br />IZED REPRESENTATIVE FLAT TOP INSUflQNCE AP,.EQVCY <br /> ` <br />J <br />J <br />AC~CDWCD 25-511/65 ~ <br />y <br />