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THE e0L CIES D 'SURA NCE LiSTEC EELO' -+ i! 'S he:; T THE INSURED nNl' RCGJ:REENT. ?^R 1 ^R CONDITION Or t vt :2 i OR OTHER :MED ABOVEr r< r E PC.!C MAY r^ERL1 r{ \SU KF: DOCU-- Y PERIOD I'1DICATED. NO'1- ITiSTi,ND'P,G Ar'FORG D EY : L F -G ''✓� T h RESPECT TO 'H:CH THIS CERTIFICATE f,.AY 3E ISSUEDOR PCLIGES. Ar G2,.,, ATE L-., -S CES:,Ri6C^,HERE I,! Y S:;6JECT TO! ':�- -E S S"C"vVN'.SAY H JC „Err; REDUCED BY FAID CLAI.'d S. E ' R;✓. S. EXCLUSIONS AND CONDITIONS OF SUCH _TR INS RD TYPE OF INSURANCE POLICY uumBBR POLI Y EF,-ECTI'✓E ;POLIO r ; G E!JERi:L LIABiLi TY DAT'c MLVDDrI'Y' I t' I -- r DATE NhllDD:YY ! Llh!ITS I ERCIAL GENERAL LIABILITY I I EACH OCCURRENCE ' S CLAUriS MADE I ' ! '�C-ETII—'— � I t OCCUR PREM!SES (Ea cccurer I S GEN'L AGGREGATE LIMIT APPLIES PER PRO- (� j I POLICY � JE CT I I LOC AUTOMOBILE LIABILITY }_. ANY AUTO ALL OWNED AUTOS SC HEDULED AUTOS HIRED AUTOS i NON OWNED AUTOS GARAGE LIABILITY ANYAUTO EXCESS/UMBRELLA LIABILITY OCCUR I17 CLAIMS MU1,DE I DEDUCTIBLE I j RETE MON ! WORKERS COMPENSATION AND ' A i EMPLOYERS' LIABILITY ANY PROPRIETOR/ I'ARTNERJEXECUT:VE ' i I OFFICERItIEIBER EXCLUDED? If yes, doscrioa unc°r f SPECIAL PROVISIONS beton MED EXP (Any cne person) S PERSONAL & ADV iNJURY ' S +GENERAL AGGREGATE c PRODUCTS - COMP/OP AGG S ! COMBINED SINGLE LIMIT ' (Ea accident) S � I ! BODILY INJURY I (Par Person) _ i S AC0R-D CERTIFICATE OF LIABILITY --------------- PROPERTY DlJ,tAGE (Per accider.!) _ S INSURANCE S I I OTHER THAN EA ACC AUTO ONLY: I S s IS EER P AT iSISS — I S - ez C` FE .S roc r � n i S _'CS - r i C .0. r�i,.eei..-a, y1c BOY 1025 c, --- - -------- cacram:ento cA 59 _su R D: —.._—-------- -- -- —' COVERAGES NSURER E -- THE e0L CIES D 'SURA NCE LiSTEC EELO' -+ i! 'S he:; T THE INSURED nNl' RCGJ:REENT. ?^R 1 ^R CONDITION Or t vt :2 i OR OTHER :MED ABOVEr r< r E PC.!C MAY r^ERL1 r{ \SU KF: DOCU-- Y PERIOD I'1DICATED. NO'1- ITiSTi,ND'P,G Ar'FORG D EY : L F -G ''✓� T h RESPECT TO 'H:CH THIS CERTIFICATE f,.AY 3E ISSUEDOR PCLIGES. Ar G2,.,, ATE L-., -S CES:,Ri6C^,HERE I,! Y S:;6JECT TO! ':�- -E S S"C"vVN'.SAY H JC „Err; REDUCED BY FAID CLAI.'d S. E ' R;✓. S. EXCLUSIONS AND CONDITIONS OF SUCH _TR INS RD TYPE OF INSURANCE POLICY uumBBR POLI Y EF,-ECTI'✓E ;POLIO r ; G E!JERi:L LIABiLi TY DAT'c MLVDDrI'Y' I t' I -- r DATE NhllDD:YY ! Llh!ITS I ERCIAL GENERAL LIABILITY I I EACH OCCURRENCE ' S CLAUriS MADE I ' ! '�C-ETII—'— � I t OCCUR PREM!SES (Ea cccurer I S GEN'L AGGREGATE LIMIT APPLIES PER PRO- (� j I POLICY � JE CT I I LOC AUTOMOBILE LIABILITY }_. ANY AUTO ALL OWNED AUTOS SC HEDULED AUTOS HIRED AUTOS i NON OWNED AUTOS GARAGE LIABILITY ANYAUTO EXCESS/UMBRELLA LIABILITY OCCUR I17 CLAIMS MU1,DE I DEDUCTIBLE I j RETE MON ! WORKERS COMPENSATION AND ' A i EMPLOYERS' LIABILITY ANY PROPRIETOR/ I'ARTNERJEXECUT:VE ' i I OFFICERItIEIBER EXCLUDED? If yes, doscrioa unc°r f SPECIAL PROVISIONS beton MED EXP (Any cne person) S PERSONAL & ADV iNJURY ' S +GENERAL AGGREGATE c PRODUCTS - COMP/OP AGG S ! COMBINED SINGLE LIMIT ' (Ea accident) S � I ! BODILY INJURY I (Par Person) _ i S BODILY INJURY i (Per accident) j 5 PROPERTY DlJ,tAGE (Per accider.!) _ S I ! j AUTO ONLY - EA ACCIDENT S I I OTHER THAN EA ACC AUTO ONLY: I S s incc IEACH OCCURRENCE 1 (AGGREGATE i S i � S i S BB1093003 i X 'TORY i �=R i 10/01/09 10/01/10 ! E.L. EACH ACCIDENT S 1,000,000 i LE.L. DISEASE - EA Ef,'PLOYEE) S 1 '00 0,000 j E.L. DISEASE -POLICY LIMIT i s 1, 00 0,000 _ I JESCRIPTiO!! OF —OPERATIONS ! LOCATIO!JS !VEHICLES / EXCLUSIONS ADDED BY ENCORSE!AE *10 days notice applies if cancelled for non-DaNT15PECIAL FRovisloNs insurance only, Yment O1 premiu-,n. Evidence of CFRTIFICdTc unr ern TO1vF0,1SI To Nhom _ May Concern. iFnan 1)r roman„_, CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRAM DATE THEREOF, THE ISSJING INSURER i'JILL ENDEAVOR TO MAIL 3 O NOTICE TO THE CERTIFICATE HOLDER NAMED T0 THE LEFT, BUT FAILURE TO D O SO SDAYS SO SHALL flL: . ALL '"OSE NO OBLIGATION OR LIA6ILITY OF ANY KIND UPON THE INSURER, ITS AG ENTS OR REPRESENTATIVES. AUTHORIZED RE PR ESENTA�T/ATS Dennis Cote' @ACORD CORPORATION 1988