|
` "?i 19::L1 KN Er;E~~r LAkEIJVUL~
<br />,: ci 39tid "I ti101 ,~* .~ 11IIIIIIIIIIIIII111 ~ F~•` -
<br />~YY_~~~~~ _ _~.ip .:1_'~. ~ .~i'~ .RS{g:r ~'i. {~i. -.:y~ _ .. 999 ~~r::e.nr0 .:_~ . : :.. ........._ ..
<br />..
<br />. ~... n, .. ..: `411F
<br />l/~-e ~ p...,,--_.,;; ., 'ISSUE DAT
<br />a ii'
<br />'. :.._~. ...
<br />. ~':..:..'.T ,:-7~:1•'l...a. ~Y.•':r.s ~•i'~ " "'~}'_ '~a J^ :^4~ ~.al~.~j.T.'w'~j~,:;(~T"'_1''.. J!:c?'~=
<br />.._:.~_-a~..'..~. i-.... .._. -..w...~~.a4~Y..~_i'Y+Niti>! i~..er..'. ~.-...'~~.. .4Yl+S •.. _ ~.....:._ ~ .. A.ei. ]i ..... ..
<br />rRODUCEM
<br />[ TH)S CERTIFICATE 15198VED AS A MATTER OF INFOALVITIOH ONLY AND CONFEpS
<br />Y R2@Xd,dEr ~ AlEXandEr Ilc. NO RIGHTS )lPON THE ClRTIFICATE HOLDER. TNI8 CERTIFICATE ODES NOT AMEND.
<br />CDrT~hUBkgr Plaza, Snit! 502 ~ ~~ ~ ALTER THE COVERAGE A2°FORDEO 6V THE POLICIES BELOW
<br />'..0: 5. 13tH Street, P. D. 9DX B25i5 I +~ ~ppMPAN1ES AFFORDING COVERAGE
<br />LirrDlnl NE b~lz".IS5 ............... .................. ....... ..
<br />~_- r.r-_._ _.....__..~._.__ ..............
<br />aowANY
<br />~~~ 479-2328 ~~ ~ ._,:;,1D1'~.OF 2.GKpCN RECEIVE D
<br />_. _..........._.___.._......._.__ ............ ..... ......._........._. cDMPANrB '.
<br />wsuRED ~ LCRHN '
<br />~~ ~ +' i ~ ~ ••• FEB 2 7 1991
<br />1ru~Tl~on, m 80215. ~~ p Mined Land
<br />
<br />' -- '---•'- - - °• Reclamation Division
<br />
<br />
<br />.wi:...,. y... .N...... _
<br />
<br />:{ .... ,..~.. :: ..,. .. ... t..
<br />' cov ... ~~.._... ... - - --
<br />F,RAGEY,,.~....a....'r2lY'.:i ~_ a _. J.'Vr~-~ ~~c... .~. f:._._~
<br />ya':.J.+.Ea'. , n_ ,t_:P'.~ ._.. .- s • .. m-t.xaw ^„"~',~ :%+f~i}C~"1' {w'~i rC.i ~; L={y).riJil~:.::~6^_3.' ~' i ~:IL::{«.; ~~ :" ':. i.::": ;:?:::: _,.
<br />THIS IS TO CEpTtfY THAT THE POLICIES Of INSURANCII LISTED BELOW NAVE BEEN 189UEU TO THE INSURED NAMED ABOVE FOA THE POLICY PERI00
<br />i
<br />INDICATED, NOTWITHSTANDINGRNY REOUIREIAENT, TERM OR CONOR)ON OP ANY CQNTPICT OR OTNEA DOCUMENT WfTH RESPECT TO WHICH TH,S
<br />CEATIflCATE MAY BE ISSUED OR MAY PEATAJN, 7HE INBVAANCIF ,APFORpEp BY YNE POLICIES DESCAI880 NEAEIN IS SUBJECT 70 ALL THE TEAMS,
<br />EXCLUSIONS 4N0 CONDITIONS OF EUCN POUCIE9. LIMR$ SNOWK MAY W1V8 BEEN pEDUCED BY PAID CLAIMS.-, __, • • -.-, ,. -_~_.-___._....._ ._.....
<br />~ TYPE OF UICVRAMCt roLtDY WIYeEiI ' A'N'Y ~egECpYE iOUDT EXPIRATION`
<br />7A' ~ DATE pNYDpvrY1 DATE (YMIDOIYY) ... LD,RB ~TPeNmre4
<br />aeMENU uAmLfiy GE.METUI. AGGREGATE ~
<br />' ~ CDMNf7SCILL GENERAL LIABILITY ~
<br />~~~~ PRODULTSCOY-IOP! MOPPtMT! 6
<br />CWUS MADE
<br />OCCUR. :' PEREONµ6AOVO1T15WG kYURY i
<br />.. .
<br />~__.._ . OWNER'S b CONTRACTOR'S PROT.
<br />E C
<br />E
<br />~ V
<br />E
<br />D ~
<br />F EH
<br />••.. ~ 7...._...... _. -
<br /> D MADE {AMY dr RM
<br />__
<br />- .... .... .. ... -.. .. __ ..._....,..._-_.. MEDICnLZx-eNSewn.ar.auwnl:.s .. .
<br />O ter" F E B 2 7
<br />`~
<br />w
<br />19
<br />.. .
<br />s`I°nl"c~ 6° i
<br />.
<br />ANr
<br />T
<br />J 1
<br />_.__._
<br />~ uART
<br />......_.~..~~._ _.
<br />-
<br />:ALL owMee w*es ~
<br />---- Min
<br />d L eoour
<br />'""'°Y
<br />`
<br />e
<br />SCNEDULGD AUTOS
<br />and
<br />- /4RED AVroE Reclamation:Divisi
<br />~ IPe o~?P, :..,.._--- -..... _.....
<br />°
<br />°
<br />~
<br />D
<br />on
<br />. ,
<br />:
<br />II
<br />i
<br />41FY
<br />~
<br />NON.OWNEO A17T03 ~ .
<br />....... i IP,r ~cudMY)
<br />..
<br />.. ... ........ .. ......_... ......; .. '
<br />' GARAGE LIA8141TY ..
<br />PROPERTY .
<br />,
<br />' • :1AMAGS ~ ~ I
<br />aoew Lue,urr _ EACH MGREOAYE
<br />• ~ OCCURRlNOE:
<br />A'---- Is-~514/384°15 07/01/92 j 07/01/91 i~0, ~ 5C3)
<br />' OTNET THAN UMARE4J,A FOPM
<br />WORNEAS COW6tlATNM1 . .
<br />AMC
<br />ENPIOYERE• L1A81LIrY
<br />OTNfA
<br />'880522.~~.,~__.._.._....._..._.._..:.._...BI[01190_!,....d7l01/92......: ... .._......,._.:. ,. ,. ,.._._. .::
<br />. .._.-STATUTORY ::. -
<br />~~ { ~.~.... ._... .. _.. ... (EACH ACCmiN?. .. ..
<br />~ ~ 3 (DISEASE-lCLICY JM7T)
<br />i .. ....~.._._.__._. ... ...... ... ... ...._..
<br />6 IOF,GLgE-EAOI, eMPLOYE-
<br />i
<br />OfiECrypT{OM GF OPIMTIONyLOUTOMBNIMIG.FSfEplCIAL ITEY6
<br />~5 TF~ ~RTTFICATE MRY.7ER5 1hiEfEST MAY APPEAR AS RESPECTS: MEN E1K MAZE, fi@I1Fa1 E~16L.E M1kE, Cix>;;DIAR STRIPE WIRE
<br />~zn+Ir,enla nNwerT~-'....e:.:..-„-:-. ,'Y..;,;,-r; :: a!'.::'I-.:°;,~,e:<' LA~ADM'a'=~~~:v;.:.:r.-:.. . .~....: ,. _:;-; ;...~ns•.e.,: r:.-,..........
<br /> ~
<br /> ~
<br />9NOUL0 ANY OF THE ABOVE OESCFIBED POLICIEB BE GNCELLED BEFORE THE
<br /> EXPI)UTION GATE THEREOF, THE 198UING COUPANY WILL E?iDEAVOR TC
<br />JfIl1~'LAHD RE2A."ATIL'L' 9@RFJBJ ," MAIL GAYS WRITTEN NOTICE TQ TNC C2PTlF,CATe HOLDER NAMED Tp ThE
<br />~ T1V $:FTE ~ C@~RA~U i':: LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHaLL IMPOSR NO Q9LI13A71ON oc.
<br />nTTN) :ERF6;'1 Y,E=FELEN '" Lu81LTrY OP AN7 N1N0 UPON THE COMFANY~17S AGENTS OR HCPRESEN7AYIVES
<br />1323 -'?~.gMAI1 5UITE 2f5 '
<br />
<br />A+L !~~ f',O PM~42-Y~T~ •
<br />wr TED EPR /J~
<br />~. E9ENTATrv,S ~L
<br />G~/
<br />~
<br />.
<br />.. ... . ~.,..•..Y.:,.:n~.-.>..I: Fr,J..'.:: '.•:. ~-". ;~F;;~.-:,,.':'~.. RIeY _ eXarder,, j
<br />~ _ //1i!2'.....
<br />iCORD .iS (71189): ~ ... r n-..,_' :...: :.. ...:.. ... ..:...... .. ...~:., ~~-:_.. ::.; ;,......>.:z1:4~,~,.~,,;. •:: :.:..;zy ~'..':~. ~ ACORD CORDORATION ),•.
<br />2'•
<br />
<br />
|