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An ' <br />199UE DATE (MMIDD/YY) <br />aca-rn <br />F INSURANCE , <br />ts <br />CERTIFICAT <br />~n <br />. <br />E <br />O _ <br />. <br />L __._. _._ <br />-.__ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION pNLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICAT <br />4~„~T ,~~ ~ ~ <br />~T ~ DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH <br />~ <br /> <br />... <br />OL IES BELOWi_ <br />U. ~}X AL~D <br />CultBaw SraKnss, Cb. H0918 COMPANIES AFFORDING COVERAGE <br /> '. COMER Y A IjI.C.UD17YA14 <br /> <br />WBURED ~ LETTER <br />.. <br /> <br />7Ld1Y I'1Jr'73 11:V~i9t liBriCixl ITi i <br />I COMPANY `. <br />I LETTER <br />rtL1C[1'1 01i7~ ~. ... .. _. . <br />~ <br />A <br />. <br />~ <br />'3Y <br />1V <br />I <br />Y COMPANY D <br />~ LETTER <br />~ <br />y~ <br />ww <br />~yy <br />_~,~ <br />_~^~ <br />~~ ~.~/~~~ ~~~/ <br /> COMPANY E <br /> LETTER <br />COVERAGES ~ ., '~ ~ `"~' ~'':2~;~y~T.~" ' <br />THIS IS TO CERTIFY THAT THE POLICIES OP'INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TkIE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICIi 1111:: <br />CEIi fIFICATE MAY BE ISSUED OR MAY PERTAIN: THE INSURANCE AFFORDED BY ThIE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERhI:;. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUYBER <br />LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />DATE IMWDDIYY) DATE IMWDD/YY) i <br />GENERAL LIABILITY 1 ~ GENEML AOOREGATE 3 I,II.U,~(.C' <br />A k COMMERCIAL GENERAL LNBILITYI PBODUCTS~COMP/OP AGG. 'S 1,~r1~~' <br />DWM9 YADE jOCCUR.I CZ1T1101T.~3 ~y /y~ <br />'j-'j~Jfl }~y~-H PERSOtUL 6 ADV. IWURY i ~,I~X) <br />O <br />W <br />NER'S a CONTRACTO <br />W <br />R <br />B <br />P <br />OT~ EACH OCCURRENCE , i 5CO,CCI? <br />T <br />Q <br />' <br />. <br />~ <br />t <br />~ <br />X y...,~~ <br />Y <br />! <br />'OpESCJ •""99~ iDed. 1 FIRE DAYAOE (MY mA Nrp f ~r(~-', <br />rn _ <br />J <br />J <br />I;.Y ~~ .>...u ~ ' LIED. EXPENSE WM m, ps,wy i S (.~' <br />AUTOYOBILC LU101LfTY ~ ~ COYBINED BINDLE <br />~~ ANV AUTO ' DMIT i <br />~ ~~~~ <br />~ • ALL OWNED AUTOS '• BODILY IWURY <br />f <br />i 6CHEDULED AUT08 (p~, Ppr,yi) ' <br />I. .. _.__ .. ... ... <br />' ~ HIRED AUT09 <br />i ~ ~ i <br />BODILY IWURY <br /> <br />,NON-0WNED AUTOS <br />~ f <br />i ~ (~ ~~ ~ <br />OARAOE LUUNLTTY i PROPERTY DAYAOE ~ i <br />. CXCEBB LIABILITY ~ ' EACH OCCURRENCE j f <br />'- ~ <br />~~ <br />~ <br />:UYBRELU FORM ~AOOREGATE ~ <br />'i <br />~ <br />..._.. <br />... .. <br />~~-.-___.._..,..__ <br />• OTHER THAN UYBRELIA FORM : <br />I <br />i <br />WORKEq'8 COYPCNBATION ~ ~ _ STATUTORY LIMBS <br />_ _... _. <br /> EACH ACCIDENT • i <br />AND <br />I I <br />1 DISEASE_POLICY LIMB ~ i <br />EYPLOYERB' UASILITT ....... _ .... .. .. ........ ........ ... <br />I DIBCASE-EACH EYPLOYEE 1 i <br />OTHEq j <br />i <br />I <br />DESCRIPTION OF OPERA710NSILOGITIONB/YEHICLl9/SPECIAI ITCYS <br />Yrr: :41n Ylcrs $'1 - ltavdt rC•83-CGS <br />CERTIFICATE HOLDER;Sr%+:~!.F(>;~'~eAV `ci~~3:~ri~~:y ,{';pr;. '., :•.'CANCELLATION .., ._,. . <br /> <br />DSVLi'Gdl OY 1•11K"'^lc Ff Casilq~y ~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THI <br /> <br />~1Ti'lN.ltll ~~' ~ E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL _ <br />g <br /> <br />~~~ ~' h ~~ ~'1 MAIL ~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH1 <br />(e <br /> <br />111JJJ~666"'SSS <br />~~~ <br />111"'~ <br />~ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OT <br />14'{ LIABILITY OF ANY KIND UPON THE COMPANY <br />ITS AGENTS <br />' <br />' <br />y L , <br />OR REPRESENTATIVES <br /> <br />'•+ AurNOR <br />RED REPRESENTA <br />_ <br />~. T <br /> :. _~ ~ <br />~, f <br />_ <br />~ <br />ACORD $$ ~~ ~ •„ , ~ <br />