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0rdp. CERTIFICATE OF -INSURANCE • ' _. _ •
<br /> ISSUE DATE(MM/DDiYV)
<br /> PRODUCER 4
<br /> t THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br /> Southern In ti oval, IncNO RIGHTS UPON THE CERTIFICATE HOLDER_THIS CERTIFICATE DOES NOT AMEND,
<br /> 1146D East White St. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_
<br /> r; ; Rock Hill, South Carolina 29730:f� COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br /> LETTER A Sou lPr
<br /> INSURED LETTER in
<br /> B
<br /> CIGNA�
<br /> N.C. SPECIAL OLYMPICS COMPANY
<br /> P. O. Box 30191 LETTER C
<br /> J: Raleigh, NC 27622 COMPANY
<br /> LETTER
<br /> SOUTHERN INTERNATIONAL COMPANY
<br /> FIR_EWiRPS I LETTER E
<br /> '"'"- - THIS IS TO CERTIFY THAT POLICIES OF•INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURy
<br /> -'f: '. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT OTO WHICH THIS CE TFD'IICAITE MAY
<br /> BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI-
<br /> iY..
<br /> TIONS OF SUCH POLICIES.
<br /> 1``:; CO TYPE OF INSURANCE POLICY NUMBER I POLCY EFFECTIVE POLICY ExPAATJN LIABILITY LIMITS IXMOM
<br /> PATE,MM/pp/YY) _
<br /> n' DATE(MMIpO.'VYI LAC'[ ;,GG.FG-T ..
<br /> GENERAL LIABILITY ?GCvF uEtiCE E
<br /> r': COMPRErIE`.SI E DR;; I IBOLIR ir ;NJLIRr 1$
<br /> PREMIJES;urE7r'IC':S i ��..� Vim.
<br /> ;I'_� UNDERGROU'J0 PFaOPER1Y�
<br /> ■ EXPLOSION; COLLAPSE HAZARD DAMAGE S
<br /> '- ■ PRODUCTS•CONG,ETED OPERATIONS
<br /> t° ■ CONTRAC1UAL GA 1988 01-01-88 01-01-89 HI s PD I
<br /> •�`,1 ■ INDEPENDE'. RAC T ORS - 1' 8 8 I "s� COM61NED {$
<br /> T _..r T
<br /> ir BROAD FORM PROPERTY DAMAGE g ,
<br /> PERSONAL NUR PERSONAL INJURY
<br /> :T. $
<br /> AUTOMOBILE LIABILITY 300 000
<br /> ANY AUTO I 1 &-.),•
<br /> '.= 1
<br /> •. , I 1.xa a•q,..:N I$
<br /> =_ ALL OWNED A:_ITOS'PRIV. PASS.i 1
<br /> S 7THER THAI: I 1,
<br /> T° ALL DY✓NEO T FRIV P„55 �
<br /> ' ■ HIRED:L'TO$ i I ca;,;,,-_,2p.” $
<br /> I
<br /> te,
<br /> NON OWNED A' TGS I I :DA'PFATY
<br /> •- GARAGE LIAS VT`' Do.a,urE $
<br /> EXCESS LIABILITY I -
<br />- r- I 'OTHE~•!THA. ..: =E__ ^ORtJ: i. I C:34�51eD I S i$
<br /> 1
<br /> WORKERS-COMPENSATION ry .7 I TA-JTQRY
<br /> _= AND I C2 /1 ! 2 23 2 1 $l00I( E ri± A,iI;E 'z
<br /> EMPLOYERS'LIABILITY I $10 gIDISE.SG. (i!'C'r :ry'I {
<br /> r 1 -I
<br /> OTHER ADDITIOWAI, I —��__.,�__,__� -LOO�{IOISEiwi% r=Yt�_,�vrrl:
<br /> ;=P INSURED: North Carolina Special Olympics
<br /> r DESCRIPTION OF pF FRA1°J V$iLOCAT)ONSNEHICLESr$PECIAL ITEMS —��
<br /> Display site Chapel Hill, NC-
<br /> :7: U. of NC-Chapel Hill -
<br /> .• .1; Display on: May 13 , 1988 or alternate date
<br /> .- , _ -- • =. _ ='rANCEL1a1Tt .. ...- ,- _ -•. __,3
<br /> `` Mr+ Alan Bolick SHOULD ANY OF THE/ABOVE DESC-IBED POLIC'- = CANCELLED BEFORE THE EX-
<br /> _:;, P.O. Box 30191 PIRATION DATE THEREOF, TH 'IS - COMPANY WILL ENDEAVOR TO
<br /> MAIL 1GDAYS:'WRITTEN'NO - 0 THE CERTIFICATE HOLDER NAMED TO THE '�,
<br /> F'` = LEFT.BUT FAILURE:TO MAIL QTICE SHALL IMPOSE N OBLIGATION OR LIABILITY
<br /> ti; Raleigh,gh, NC 27 622 OF ANY KIND UP: T. OMP`4 ', ITS AGENTS OR REPRESENTATIVES-
<br /> AUTHORIZED REP• - gx1VE • — —
<br /> .. «.r� w .',T'i"=','ia'+I - ii.
<br /> y�, .c. _ .. . <- •rte•:�-,.- �T �:':,: ����TT..,e.: � �0ys
<br /> v:� -v' L:,-, 7 `N``."': •',�,.-,: *'. . ,.. ....ii'''';' ,...yam. 'ir...• i� .'Y
<br /> �k`f.F•�Y� ��_ �.�� a��,• .��.37c[y _:;�` .{- � _� dt� _ {.w•FkfHw ,., ...
<br /> 'r.` ,-�a :. .:;P4. . ,- .. „,•x� .. .± „4',,..:&7;.," , `� 4:::: :"7, ± ' -,' -,2 ?:�" .
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