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i <br />� 1 <br /> _Return Completed Certificate <br /> (City) CERTIFICATE OF INSURANCE <br /> Attn <br /> ' This certifies to the City that the following described policies have been issued to the <br /> Insured named below and are in force at this time <br /> tInsured <br /> Address <br /> Description of operations/locations/products insured (show contract name and/or <br /> number, if any) <br /> POLICIES <br /> AND POLICY EXPIRE <br /> INSURER LIMITS NUMBER DATE <br /> NWorker's Comp <br /> Employers <br /> (Name of Insurer) Liability <br /> $ <br /> Best's Rating <br /> Check Policy Comprehensive <br /> rehensive <br /> Type General Liability <br /> Comprehensive Each Occurrence <br /> General Liability $ <br /> ' or Aggregate ' <br /> Commercial $ <br /> General Liability <br /> Commercial <br /> General Liability <br /> ' Each Occurrence <br /> ' General Aggregate <br /> either per project /location <br /> August 2001 Division IV-38 Ball Park& Park& Ride Wells Ph 1 <br />