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.ai:1/IS~~. CERTIFICATE OF INSURANCE . ~BBDEDATE,MMIDOIYY)- _ <br />~. -~G"1-.i . <br />vaooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />S~Dt',W ICIC JA:[E NATIONAL ACCOU^1T$ [; 1 <br />~OCICIES BELOW. <br />~~0 iNOe[kI5 TUkNFII?a <br />' GkT HILLS, NJ 0707 G-4B COMPANIES AFFORDING COVERAGE <br /> NY A <br /> LE7TER <br />NATIGNP.L UNION FIkE INS . C•=~ , <br />_... COMPANY B <br />INSURED LETTER <br /> <br />rEAEODY CGAL CO*!PANY _ _ ... <br />coMPANr r- ; ''• ' .. <br />~~ <br />~ <br />COI PfAP.EET STREET. SUITE 700 LETTER C <br />~,- <br />.. <br />_ LOUIS Ml'i bail Ol-Lg27 <br /> <br />' COMPANY <br />LETTER D OC t ~ 1 19C~~ <br /> COMPANY <br />LETTER E J V I~'~J'V .. <br />COVERAGES.._.~..::~ ~~. ~.<-~~~ ......... ._:.~ ~ MIN 0iu'~'~ <br />THIS IS i0 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE Of INSURANCE POLICY NUNBER <br />LTR~ POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE (MM/DD/YY) DATE (MM/DD/vYl <br />GENERAL LIAEILITY GENERAL AGGREGATE S z _ ~J (~ I) Ij 11 i 1 ' <br />A ~{ COMMERCIAL GENERAL l1ABILITY L,L.Ji Z'J 7 I.3 ~l ], I) / IJ L / .-l ~: 1 I) I I) 1 ; _l ~ PRODUCTS-COMP/OP AGG. 5 L I I (I IJ _- IJ 1 J (1 <br />CLAIMS MADE}[ OCCUR. PERSONAL 8 ADV. INJURY 5' j l l j l l _. _~ I1111 <br />OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE S i . 1) Q 1) jIIjIj <br />X ErQad F'J 1.111 ZI?:ZQ<J L'$ !:q V?L"9(7g Iil C.1LI t:~`J. FIRE DAMAGE (Any ana tir0l S CjI},~J{),J <br /> MED. EYPENSE IAny me oenonl 5 (I Ij I I <br />AUTOMOBILE LIABILITY COMBINED SINGLE S <br />A K_ANY AUro CA14 "[Au41) 10/Oi%."I~ 10/I;"~/:~; LIMIT i,l)I)11: QI'I) <br />.;_ ALL OWNED AUTOS BODILY INJURY S <br />SCHEDULED AUTOS (Per cersonl <br />~+ MIRED AUTOS BODILY INJURY <br />s <br />n NON-OWNED AUTOS (Per acoaenU <br />GARAGE LIABILITY <br />--- PROPERTY DAMAGE 5 <br />EXCESS LIABILITY EACH OCCURRENCE 5 <br />UMBRELLA FORM AGGREGATE 5 - <br />OTHFR THAN UMBRELLA FORM <br /> <br />WORKER'S COMPENSATION STATUTORY OMITS <br />~ _ ~ ~ ~ - - ~~ ~-~~ ~- ~~ <br /> EACH ACCIDENT S <br />AND ! <br /> DISEASE-POLICY LIMIT 5 <br />EMPLOYERS' LIABILITY "' - ' "" <br />DISEASE-EPCH EMPLOYEE S <br />OTHER ! <br />l <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Amy !IPErtAT:ONS V' 1HE 1:`I _~Ut EJ AT <br />ALL LCCA'_"IONS. COVER:. OFEkATT-ON AT ~F:IEi:.'v II-:d :?ie+E I'dCLI1DI;i~_, DAI~lAGE =F.Or~ <br />SUnFACE _~'7-1L :MINE OPERATIONS.'I-?x' <br />~ I-~r' ~...L-I - w -- m- L _ ! <br />IJSL _ l_.5I'IE:: .`I.idD DA, A~_ ~ I J 'HATE:: ~+?3 __ . <br />CERTIFICATE HOLDER CANCELLATION <br /> SHCULD ANY OF THE ABOVE DESCRIBED POLICIES eE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. THE ISSUING COMPANY WLLQ <br />@fypEAyQq rTp ~ <br />/ <br />i_=•LORAD~) D?PART~QENT I]F NP:TURA.L RE:~OUNM <br />T <br />/ <br />''I~ <br />T <br />F <br />T <br />/D/ <br />/ <br />/ <br />/ <br />/464 <br />/ <br />/ <br /> <br />D. J • :'?' ~+~ _NED LANL :c'aCLAMATI :'i`i AIL <br />DAYS WRIT <br />EN NO <br />ICE TO THE CERTI <br />ICA <br />E HO <br />ER <br />N <br />A <br />ME <br />H <br />L <br />D <br />E <br /> <br />`iTE:~? <br />~JE <br />T <br />' LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />i <br />Pf <br />_AL EL <br />•ID R <br />T <br /> <br />_ .._.-.:~A:~ STREET <br />^ LIABILITY OF ANV HIND UPON THE COMPANY, ITS AGENTS OR REP <br />ESEN <br />ATIVES <br />Denver , <br />CO 80203 <br />I AUTHORIZED REPRESENTATI~ // <br />V <br />ACORD 25-5 (7/901 ~JACORD CORPORATION 7990 ~ <br />