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GENERAL52956
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Last modified
8/24/2016 8:38:39 PM
Creation date
11/23/2007 8:11:01 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/17/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~ 1 ISSUE DATE IMMIDD <br />a~.l1i.~~. CERTIFICATE OF INSURANCE ~~~ ~~~~~~~~~~~~~~~~ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />- "' 1 ~ < . m d Ei O f NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ODES NOT AMEND. <br />;: n ~, , S ,2,~ i -~ T ^ . E%TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />' c.: 1 ~ 1 v COMPANIES AFFORDING COVERAGE <br />COMPANY A <br />LETTER IT2CIr~rc1 :nsur~nc:: '•:o. <br /> COMPANY B <br />INSURED LETTER <br /> COMPANY C <br /> <br />''~ 11ze~s <br />FOri< <br />Company <br />LETTER - - <br />• J• J'7 X 1 ~ T COMPANY <br />D <br />'.r~_; 1. '] 31 c.5 LETTER I <br />.. ... _. -.-.. - - I <br /> COMPANY E I <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 ANV REQUIREMENT. TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHIC H THIS <br />CERTIFICATE MAY 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 SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />'O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION ALL LIMITS IN THOUSANDS <br />.TR DATE (MM/DD/YV) DATE (MMIOD/YV) <br />~ GENERAL LIABILITY T137O L3O 7/2O/9O 7/20/91 GENERAL AGGREGATE_ 3 [I)~Q <br />COMMERCIAL GENERAL LIABILITY PRODUDTS.GOMPIOPS AGGREGATE 3 1 OOLi I <br />CLAIMS MAOEX OCCUR PERSONAL b ADVERTISING INJURY 3 100 J <br />OWNER'S b CONTRACTOR'S PROT. EAOH OCCURRENCE S 1 OOI~ <br /> FIRE DAMAGE (Any one lire) 3 1 <br /> MEDICAL E%PENSE (Any one person) S 1 j <br />AUTOMOBILE LIABILITY COMBINED <br /> SINGLE S <br />ANY AUTO LIMIT <br />ALL OWNED AUTOS BODILY <br />- INJURY 3 I <br />SCHEDULED AUTOS (Par person) ___ i <br />HIRED AUTOS BODILY <br />-~ -~ INJURY S <br />NON-0WNED AU i05 (PP! iCCi0Bn1) <br />GARAGE LIABILITY <br />PROPERTY ' <br />_ __ 3 <br />pAMAGE <br />EXCESS LIABILITY <br />OtHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSlV EHICLES/SPECIAL ITEMS <br />CERTIFICATE <br />_ O.Or=I^n .di^=_ Loud 13Ci 3171 .] ~10n <br />'_~/i.:ion dttn: Tory '7alaron <br />1 .'I :Tar non Street <br />EACH AGGREGATE <br />OCCURRENCE <br />S S <br />I <br />STATUTORY ~ ~~ ~~ ~~-~--~~'-~ -- <br />3 (EACH ACCIDENT) <br />S IDISEASE-POLICY LIMIT? <br />_ ....-. <br />5 /IDISEASE-EACH EMPLOYEE <br />JUL ~', a ';:~: <br />M1NtG r_;~vG <br />-.Frl n~,.a./ATII?AI I~r,,, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPAN V, ITS AGENTS OR REPRESENTATIVES. <br />ACORD 25-S (71/89) - nACORD CORPORATION 1989 ~, <br />
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