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<br /> <br />08/08/2008 14:03 <br /> <br />.~ <br /> <br />2519379591 <br /> <br />BLACKMON INSURANCE <br /> <br />PAGE 02/02 <br /> <br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ <br /> <br />CONFIRM A TION <br />OF COVERAGE <br /> <br />LIMITS OF LIABILITY 1N <br />THOUSANDS <br />(000) <br /> <br />lYPE OF INSURANCE <br /> <br />POLICY <br />NUMBER <br /> <br />POLICY <br />PERJOD <br /> <br />.AUTOMOBILE UAR1UTY <br /> <br />XSAJ,.Q72995 03/01/200R <br />03/01/2011 <br /> <br />o NO <br />o NO <br />o NO <br />o NO <br />o NO <br /> <br />BOdily Jnjl)ry & Propf:rty <br />D~m~ge CClmbined <br /> <br />.$ LOOO <br /> <br />Any Auto <br />All Owned Amos <br />Schedulecl Autos <br />Hircd Amos <br />NOI\.Ownecl AllfO~ <br /> <br />EXcr.sS l~I^BILITY <br /> <br />GXS-Q<l2273 <br /> <br />03/0112008 <br />03/01/2009 <br /> <br />EReh OceurrcnCf: <br />. A/!,p:rcgRrc <br /> <br />$ 4.000 <br />$ -1,000 <br /> <br /> <br />Excc~~ Form <br /> <br />JOB OR PROJECT DESCRIPTJON <br /> <br />SPECIAL CONDlTlONS <br /> <br />Should the in.~lInncc herein described be cancelled. a~~ignecl or eh~ngecl in sl1ch a manner as to affccllhis cerrifie~te. THE GRAY ~SURANCE . <br />COMPANY will cndcRvcr to give thirty ( 30 ) day!; written nOlice 10 Ihe certificate hnldcr. l'\1Il fuilure 10 do so shall Impose no ohligation or liability <br />IIpon THE GRAY JNSURANCE COMPANY. <br /> <br />dv~4i2 <br /> <br /> <br />3601 N. 1-10 Servicc Ro~.d West. Metnirie. LA 70002 <br /> <br />DAn:8-R-?n~B____ <br /> <br />FORM NO. 13S REV. 1101 <br /> <br />- <br /> <br />.Gf <br /> <br />