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a1:/11:11. CERTIFICATE OF INSURANCE 15,5 DiT6E,~M'/DD/YY, <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND JCONFERS <br />CISTi'f•3''~IrE11, a F7AR}.S'L` 'KAS' NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMENI. <br />13U LYr.S'1~ L'IFLQ~I STRFd7I' E%TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />rl-,QRT:T7C~, CO 8122E <br />COMPANIES AFFORDING COVERAGE <br />LETTERNY A IiF1kYPL~I2D AGCIDL'L~Fi' AtTil IPII.)il'TiI'lY CU.'ff'ai.: <br />CODE SUB-GOOF <br />COMPANY B <br />INSURED 21a~ P.II~•laS` IIVV 'L~rJI/IIIal, T,'I-yj'(+PrT) LETTER <br />PAR'i31Lli5Ei7P, FAL,C~,L'~ LTIL'I.GX, Ih'C. , COMPANY <br />QF.TTF.'RAT. pA[r.'LT~j LETTER C <br />P. ~~ BOX 2US9 COMPANY <br />CALQON C1•lY, CO 81212 LETTER D <br />COMPANY E <br />LETTER <br />COVERAGES <br />TI{IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIL I~, <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH I1~1} <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERh1S <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />'O TYPE OF INSURANCE POLICY NUMBER POIICT EFFECTIVE POLICT E%PIRATION ALL LIMITS IN THOUSANDS <br />TR DATE (MMIDD/YY( DATE (MM/DD/YY( <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR. <br />OWNER'S d CONTRACTOR'S PROT. <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDUlE0 AUi05 <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br />E%CESS LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/PESTRICTIONS/SPECIAL ITEMS <br />CERTIFICATE HOLDER <br />rz¢vz: rrrro 1~ncl.nr~:L'r~a Dlvrsxcxa <br />. 923 c~.ntennial building <br />1313 ;HFTSiA~N 5'~i`l, X423 <br />llEi`TVLR, 00 80203 <br />-6- <br />GENERAL AGGREGATE S <br />PRODUCTS~COMPIOPS AGGREGATE S <br />PERSONAL d ADVERTISING INJURY S <br />EACH OCCURRENCE S <br />FIRE DAMAGE (Any ann Inn) i <br />MEDICAL EXPENSE (Any one por.un) S <br />COMBINED <br />SINGLE i 30(~ <br />LIMIT <br />BODILY <br />39Ui~:L••t~1965 9-28-89 1-28-9U iPaUV :nrn i <br />BoDILv <br />INJURY i <br />IPnr accitlanp <br />PROPERTY i <br />DAMAGE <br />EACH AGGREGATC <br />OCCURRENCE <br />i S <br />STATUTORY <br />E (EACH ACCIDENTI <br />S (DISEASE-POHCr ~ ml <br />S (DISEASE-EACH EA1pl <br />CANCELLATION <br />SIfOULD ANV OF THE AROVE DESCRIBED POLICIES Bf CANCELLED BEFORE THI <br />EXPIRPTION DATE THEREOF, THE ISSUING COMPANY WILL [NDEAVUR 11 <br />MAIL ~-Q., DAYS WRITTEN NOTICE TO THE CERTIf--KATE HOLDER NAh{ED TO TIII <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OI <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGf:NTS OR R[PRESEIJ TA (IVES. <br />/AVU/TIH~O~RID~ZED REP TIVE ;`~~ %/%/ <br />___ _ ______ mACORD CORPORATION t~ <br />