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- ISSUE DATE (MM1DDlYY) <br /> <br />PRODUCER i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> I NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />IK~Sh ~ ~~~ f =$(_ ~ I EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />sZZ St~uth gitrarraide Piasa ~------- <br />©6 <br />0 <br />6 <br />i <br />.L <br />~iCago, z ~ COMPANIES AFFORDING COVERAGE <br />~~ <br />~~aa <br />,. <br />~ <br />a <br />piiKiLS~ <br />~~.~ = JBZ <br />a _....- _........~._ _._.._.. - <br />~ <br />~y <br />~~~~"'~`+i8 COMPANY A <br />~ LETTER A <br />as I~pQbii~ I~saranc~s Ct~t~iatly <br />SUB-CODE <br />CODE _. <br />l <br /> <br />- <br />~-"__.~_...._..._-._.._..~.__._ _.-- <br />--_. COMPANY B <br />_.-! LETTER ~i~ ~SYiNOfaaC.~! ~"a`C"~.'p <br />INSURED <br />`~ <br />~T~~ <br />~~ ~~~~~ ~5~1"~Q~ t J.araFa~ ~ COMPANY C <br />LETTER <br />~ <br />~~ <br />* <br />t ~© a~ <br />s <br />[i <br />~ <br />l ~ <br />' <br />C <br />®~ ~~l~~ <br />t <br />~ <br />j <br />a~ <br />/ <br />s <br />Gtbde~d COMPANY D <br /> j LETTER <br />i - <br /> COMPANY E <br /> LETTER <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 />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED <br />, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURA NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALl THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ POLICY NUMBER <br />TYPE OF INSURANCE ~ POLICY EFFECTIVE -POLICY EXPIRATIONI <br />DATE (MMlDD/YY) DATE (MM/DDlYY) ALL LIMITS IN THOUSANDS <br />LTR ~ <br /> GENERAL LtA81LITY ~~ ~ ~ GENERAL AGGREGATE f <br /> COMMERCIAL GENERAL l1ABILITY ~ ~ ~ PRODUCTS-COMP/OPS AGGREGATEI i <br /> CLAIMS MADE(z OCCUR.j 3 I PERSONAL 6 ADVERTISING INJURY I i <br /> S <br /> OWNER'S b CONTRACTOR'S PROT.~ ~i~y`', '~~~ 8 f ~~/gQ $~30~,~ ~ EACH OCCURRENCE <br /> FIRE DAMAGE (My one fire) t <br /> -~"~ ~ MEDICAL EXPENSE (My one person) i <br /> <br /> AUTOMOBILE LIABILITY 1 CS,IONGBE ED t ~ <br />T ~ <br />~~ <br /> : ANY AUTO ~ ~ # <br />LIMI <br /> ~ ALL OWNED AUTOS j ~ IW,IURY Z ' t <br />A ~ SCHEDULED AUTOS (Per peraa~) <br /> = j <br />HIRED AUTOS ~~-14ii1 j ) w <br />~/~y~~~ ~/~©~~} BURY i <br /> NON-0WNED AUTOS ~ i (Per accWenl <br /> GARAGE LIABILITY ~ PROPERTY ~ _ <br /> DAMAGE <br /> <br /> <br />A I EXCESS LIABILITY ; <br />I ~ ' »~-1 a~ <br />OTHER THAN UMBRELLA FORM ~ ~ I <br />l a/~a/~o ~ t/30J31 <br />, OCCURRENCE <br />X000 = ~os© <br />~ __., <br /> _______ <br />- ~.. _- ~~ <br /> " <br />-------- ~ ? ' <br />r <br />STATUTORY <br />; ~' <br />'~` ~~« " <br />"` <br /> j WORKER'S COMPENSATION ? <br />i ~ . <br />~ ~ '° <br />" <br />--'- <br />~ = i (EACH ACCIDENn <br />W. ~ <br /> ~ AND ~ ~ _ <br />(DISEASE-POLICY LIMIT) <br />..~.-..-.-----------.---.__.._.._..._ <br />t <br />- <br /> EMPLOYERS' LIABILITY <br />i <br />-- - _ <br />~ <br />-... <br />S j (DISEASE-EACH EMPLOYE <br />i --- <br /> <br />i>; .- - <br />jOTHER <br />~85tCerss Liability ? ' ';, <br />~ <br />Eat tflcc. ~qQ. <br /> ~ ! X~OC23?680i ~ 6 j30/90 8/30/91 ~ <br />000 <br />~0 >~15 <br /> . <br />~15~ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS. <br />)~ ~~~ ~:~~*~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />~~~ ~~ >3~urlaeaa MfDiag EXPIRATION 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 COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORt REPRESENTATIVE <br /> <br />r <br />