PERMFILE124770

• Permit No: C1981029
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Section_Exhibit Name: 2.03.9 PERSONAL INJURY & PROPERTY DAMAGE INSURANCE INFORMATION
• Media Type: D
• Archive: No

'I acaia~. CERTIFICATE OF INSURANCE ISSUE GATE IMM/DD/V V)
1 1 / ..~ r
PROWLER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
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- CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
_ _
' ' ' ~ L S ~ ~ '= T POLICIES BELOW.
i-. .i. ::1 lti?> COMPANIES AFFORDING COVERAGE

',Q'p [ 4'r ~ 1 Il -) ~ ~~ COMPANY A

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I„41;~a'•,?:Tt. a' LL:Y'11 pn~
COMPANY
B
INSURED LETTER
V~^I.U` ii,SU'. .),~',.- ~, ~,'Ir .~.,~C,
)J`J C,nL C-~'I F-4'IY1 ~ iG• COMPANY`.
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.,..~ ::/'~ ~~, !% J ~_ LETTER
COMPANY E
LETTER
COVERAGES
THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LIST ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS
LTR DATE (MMIDO/YY) DATE (MM/DDIYYI
L GENERAL LIABILITY ) C !~ U j J i : / ~% ! / ~ ~ L L / O 1 / ~ :GENERAL AGGREGATE f ` ! /~ ,'~ ^ 1 ~, •% ~•
I
(~ COMMERCIAL GENERAL LIABILITY PROOUCTS~COMPIOP AGG. f •, ., r /. n +
,
CLAIMS MADE •t OCCUR. •
PERSONALBADV. INJURY f ^, 1;+. ;, :11 ~,~
.
OWNER'S d CONTRACTOR'S PROT. `
EACH OCCURRENCE f ~• +
f `~'1 I,~ I .. .
FIRE DAMAGE lAny one wa) f _ 1 J v i! J J ~'
MED. EXPENSE (Any ane person) f
AUTOMOBILE LIABILITY
COMBINED SINGLE
f
LIMIT
•
ANY AUTO
ALL OWNED AUTOS ~ ! ~ BODILY INJURY
f
SCHEDULED AUTOS f'' f `. ., ~- (Per persanl
.ti
HIRED AUTOS ~ '' ~ ~~
~^1`:y [•. BODILY INJURY f
NON~OWNEO AUTOS
.~ ,i9gL (Per acci0enl)
~
GARAGE LIABILITY _~~~~
PROPERTY DAMAGE f
EICESS LIABILITY ''''~~ _ h EACH CCCURRENCE S
J
UMBRELLA FORM ~%`~-' AGGREGATE f
~^
' ~'~\^'
OTHER THAN UMBRELLA FORM
~ STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT f
AND
DISEASE-POLICY LIMIT S
EMPLOYERS' LIABILITY
pISEASE-EACH EMPLOYEE f
OTHER

DESCRIPTION OF OPEflATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS

I CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
• T -
.. +L ~? ~. ~~ ~ : '•E ~ L a ~~,n =, =C I_:.".. 1 .:I
~ 1 V EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL

• MAIL _~ DAYS WRITTEN NOTICE 70 THE CERTIFICATE HOLDER NAMED TO THE
~
~
- LEFT.
-
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AUTHOflIZED REPRESENTATIVE[ Iat Top Insurance Agency
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P~I ~
ACORD 25-S (7/90) ORATION 1990