|
<br /> ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM100:YYYYI
<br /> ,.. E14BLIYl? IH/09120OB
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION
<br />~~~}.': l.r:E::t"3~C-= e:"'f'.<':'!l.~a.:-= --' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />J" \':....:~:..d;;~ .\-......:':;,t,: HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />'J'~ ~- .)~~- :.'1:'10(: ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW.
<br />::!,,~',:('tr;~ 111::;1 1'0.. ~;'''?=,n I
<br /> !
<br /> i INSURERS AFFORDING COVERAGE I NAIC#
<br />INSURED IIN5~R:.::; A $el~c:' ive r:.~ Co of AIr'.e~:icC'l. I
<br />;':t:::'cc:ti-.'c 04<.? ~o: ....:::.:.on::;.. I:1c. ~....,._._._--_.. -_.~.' .__. ---- --. ----.-.- .--
<br />:- c r'f:!!:'" .1ill1.:r01"lt:i ;".::;:Hc;;n;;., .:"ie. ~~RER 8 $t"=l.<.:ct:.. ',;f= ;:0:;; Co 0: S<)l.lt.hei\S ..
<br /> __ _.h_~___. ___.__.. --- I ---.
<br />t..~.;t) :rofess.:..cn.t.:' Fdl."~~'a.~' '::as~ ; 1~S:Uhe!-\ e -y---.
<br />~:,1.1',1:;;:"'r" , -.. .~.:!.~.; t1
<br />..--.:- ','~,,-.a }..; e;.:::' 131 1d:': :J'; i-'.'~t--i";:..; I INSlIR~n D i
<br /> I
<br /> I II\SUfi:fi E
<br />
<br />COVERAGES
<br />
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIRCATE MAY BE ISSUED OR
<br /> MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />I~SR 'ADD'U TYPE OF INSURANCE ! POUCY NUMBER i PgM~";=~~~E I P~~i'FY ~:..wt,WN I UMTI;
<br />TR lNSRD
<br /> f GENERAL UA13luTY i I ::ACH OCCUf'V,CNCE i ;:
<br /> , i f ll^''''^,.iE<'T".;~''I:U--.l-- ----
<br /> I I I CUloIV:FHG:^:' (~;'N~f~N... L1,'\?d.rTY I LfR;;'MISES .t~ii oCc:.Jre,:!cel l : --,---- -
<br /> i ,. : -j CJWJS MAC::' !. "' !)CCU,
<br /> J ~ED EXP {MY ;:,,, F'tUl;~"} 1;>
<br /> ; I Is
<br /> i i ' ~EfiSONAL & ADV INJURY
<br /> : ,-j I GENERAL AOGREOA"i[ Is
<br /> t GF:X'1 ^(~fU.;=G^! t- ~ :v'ii A;:::'::'UF:!-: Of.:; ~RODLc.rs . r-,oMP!O? A~
<br /> "I ~::-;~,:;y r--1 ~21:?i .--.---.. - ----- .--~
<br /> : i i ;C;C ; ! I.
<br /> i
<br /> ~MOB1LE UABIUTY , I I IS
<br /> I COM31P\ED SI~(3LE LIMIT
<br /> A'lY AJTO (lOa axicolrt'l
<br /> -
<br /> - ALL OW:\IED ALrrCS i I
<br /> ~P~~~~:;';;'~IU;;V I $
<br /> - SG~E:DUL=D AU-i OS I ! ~'-II:JU:;\' - ~-_. --
<br /> - I Hr;~ ,I Al): ~JS I ,
<br /> I f
<br /> - i\1:r'\.::;w:\~::J A...'T<;S ! (r~r -9:OCi:'oiJ;~l~ I
<br /> i I
<br /> -..J , I '~O---T" DAIIA-~ I.
<br /> i . M !""='l"'\ .' ,,:..;:1_
<br /> I I , I I {Per aC';dc:~11 I"
<br /> ~AGE UABIUTY , I I A'.JTO O~Lv - EA ACCluE'Ii~. :~
<br /> , i
<br /> ~ A:\;Y A'" TO I I QiHERTHAN EAACC!S
<br /> I i ! , I AUTO O!\::LY AGG I s
<br /> I I EXCESSiUMBRELLA UABIUTY I I [ACH cr..,cUF1;1ENCE IS
<br /> i I
<br /> o .)~.-.,~ n CLAV.S VADE f!9.GR=GATEo _ is
<br /> . ........-,
<br /> , I ! -is ------ ----_.
<br /> I i I
<br /> I r--< I
<br /> ; [-1 d:-I): 1(; 1i~:L:-:- I l ~
<br /> , ; i1[1::~ T!O\! I -r;
<br /> <- I
<br /> WORKERS COAfS'ENSATlON AND I"~-:J-"--' 01/0: ''-no~ 01:01 f;'.aOC; ~WGS!AiU' 'lor~'1
<br />.. .-,'- " L...:' .:.. : 6. jCrtY.~'V.)TS !___.!~_..
<br /> , EMPLOYERS' UABllITY __.___._n -_.-
<br />- l~iC"79~':~'-'~ I ! EL E:~;HACCIDI:''li1 is 1 ,OQI], IJ r) f)
<br /> ^'V ?f\np~!ETOR'PM\I~E",IEXEC;lTIV~
<br />~ cn::'~S1.:\'c.\':::::'s. EXCL~CE~'l i ~'j:~ -q ::;.,) 65 i'. ! I E l DISEASE - EA "-V=L<)V~::.i ;
<br /> ; ~'i': -9~'~ ~,.; ,; 1 ,U;_~D,0!)Q
<br /> ~~~r~ ~k:"::.'~~~~:;.i;~<:-; t-"~':\'I IEL D:SE.A5E . FCUCY uv,n ! s 1 f G \) r) 1 1"1 :.1 ;)
<br /> OTHER i i I
<br /> ~ i I I
<br /> : !
<br /> i I I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHlClES! EXCLUSIONS ADDEO BY ENDORSEMENT! SPECIAL PROVlSIONS
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> SHOULD ANY OFTHE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORETIiE EXPIRATION
<br /> DATETHEREOF.THEISSUING INSURER WILL ENDEAVOR TO MAIL3D DAYS WRITTEN NOllCETO
<br /> THE CERTIACATE HOLDER NAMEOTOTHE LEFT. BUT FAILURETO DO SO SHALL IMPOSE NO
<br /> OBUGATlON OR UABlUTY OF ANY KIND UPQNTIiE INSURER. ITS AGENTS OR
<br />- REPRESENTATIVES.
<br />.. --
<br />"- AUTHORIZED REPRESENTATIVE ....
<br />..... ; . t2:fyi>!.';'~'1.~.~:~.. .
<br /> .. ~..
<br /> P~qt: - or 1 ~._..~!.~~-;I~~.~l.~.,
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATION 1988
<br />
|