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AC <:W?E) NORTFUE-01 ZFRIEZ <br /> --- CERTIFICATE Of: LIABILITY INSURANCE DATE (MWtDDrrYYY) <br /> 1/2021 <br /> THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL/DER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the POIIcy(les) must have ADDITIONAL INSURED provisions or be endorsed, <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on <br /> this certificate does not confer rights to the certificate holder In lieu of such endorsements , <br /> )RODUCER CT <br /> lutte Office Npµg <br /> 'ayneWest Insurance, a Marsh McLennan Agency LLC Company NC No, Ea1 : (406) 494-8000 <br /> 0 Box 3089 p Y Ear FAX 4947641 <br /> utte, MT 59702 <br /> INSURER S AFFORD NG COVERAGE A cm <br /> lsuREo NSURER : Westchester Sur, Dius Lines Insurance Co 10172 <br /> Nwestco LLC dba Northwest Fuel Systems, I SURER B : Libe Mutual Insurance Cc an 23043 <br /> ANC Vehicle Wash, Petrol Services INSU C : Ohio Casual Insurance Com an 24074 <br /> 116 Industrial Court INSURER D , Eva sto Insurance Com an 35378 <br /> Kalispell, MT 59901 INSU E : <br /> OVERAGESwsuRER F : <br /> CERTIFICATE NUMBER : REVISION NUMBER: <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 /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN <br /> IR REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE - ADDL SUER III III <br /> X COMMERCIAL GENERAL LIABILITY III= WPOUGYNUMBER POLICY POUCIfEXP I LIMUS <br /> CLAIMS NAGE ( OCCUR EACH OCCURRENCE S ! 2,000,000 <br /> 628147646 003 9/30/2020 9/30/2022 DAMAGE TO RENTED � 3 250,000 <br /> MED EX An one aerscn 3 61000 <br /> PERS 3ADVINJUR s 2,000,000 <br /> OENL AGGREGATE LpIMpIT. AP UES PER GENE GR GA S 2,000,000 <br /> POLICY � JECT M Loc 2,000 000 <br /> O ER: <br /> PRODUCTS - COM PIO GG 3 <br /> AUTOMOBILE uABILriY C8 ED SINGLE UMn• SANY 11000,000 <br /> Orso O SCHEWLED SAWS7384241 10/3012021 10/30/2022 90DILYINJURY Paroerscn S <br /> A��UgqTggO�pS ONLY X AllrOS <br /> AUTOS ONLY INTO ON�� Bp�ILY INJURY Paracddc I S <br /> PerOaPEWant AMiAGE 5 <br /> UMBRELLA LUIS X OCCUR S <br /> X EXCESS UAB CLAIMSAWE 628147567 0059/30/2021 9130/ E, C OCCURRENCE S 4,000,000 <br /> 2022 AGGRE TE S <br /> oe0 RETENTIONS <br /> WOMSORPSE' AnOAggregate S <br /> 4,000,000 <br /> PER PROPRIETORIP <br /> EXCL OE61 ECU7NE Y� N 1 A 557384241 10130I2021 1013012022 T <br /> (Man a ry ) E.L EACH ACCIDENT110001600 <br /> If yyeess dexrlbe under EL DISEASE . EA EMPLOY S 10 <br /> 0001 <br /> 000 <br /> 0 SCRIPIO OF OPERATIONS below 1000,000 <br /> CommerC ai Excess Li MKLVZEFX100575 9/3012021 9/30/2022 Excess E4 L Llabii ucY UMrc s 2 000 0 <br /> hY , 00 <br /> :RIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1019 AddlUonal RaiI Schedule, may be attached N more spaca fe mqulrad) <br /> tTIFICATE HOLDER CANCEL ON <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> To Whom it May Concern THE EXPIRATION DATE THEREOF, NOTICE WiLL BE DELIVERED IN <br /> ACCORDANCE WiTH THE POLICY PROVISIONS, <br /> AUTHOORRMED REPRESENTATIVE <br />