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Return Completed Certificate <br /> (City) CERTIFICATE OF INSURANCE <br /> ("City") <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. 1 <br /> Insured <br /> Address <br /> Description of operation sliocation slproducts insured (show contract name and/or <br /> number, if any) <br /> POLICIES <br /> AND POLICY EXPIR <br /> INSURER LIMITS NUMBER DATE <br /> Worker's Comp <br /> Employers <br />'F (Name of Insurer) Liability <br /> i Best's Rating <br /> Check Policy Comprehensive <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 /> DIVISION IV-33 <br />