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FEB-12-'90 9t MOM III 1":5.1 ID:C*C ENTERTAINMENT IC TEL NO:SO'-:177-5C2 #1:211: P02 6 <br /> _FE Et — 1 2 -- 9ell MOF4 1 2 : 4e I-1r-4A .; IA I L.F: ER = CI h+ — F: G P _ 0 1 <br /> _ - e--vo4:0I 13 ' 3-JJ 138s 1--$.cry - . ._.^ .-_- l <br /> IS3uE OATS(VH,OC•YYI <br /> 1_. r1�it(or i��CEF CERTIFICATE OF INSURANCE 02/ 1V9 ) <br /> PRODuCEA <br /> Y1-11E CERTIFICATE IS ISSUED AS A MA*'ER OF INFORMATION ONLY AND CONFE-S <br /> NO RIeNTg UPON THE CSRT1rICArE H;LQE",THIS QCRTIRICATio DQ65 NOT A)' NO- <br /> EXTEND OR ALTAR THE COVEPM3P.ARP'ORCED BY THE POLICIES E;IELOW <br /> HF'IA9 it WILRERSON, INC. <br /> 4300 SHPWNEK MISSION PPKWY COMPANIES AFFORDING COVERAGE <br /> SWIWN 'F MISSION, K3 C6205 <br /> 05 <br /> 1913) 4 3a- f14>Z+e+ trio TIE 0 (800) 521-R0CK COMPANY A n <br /> L�GTTBR AMERICAN I�CJ�11! AS�aURHNL CO. <br /> C,�GE Rlad C07E <br /> 6GYT�4 4� B <br /> u.9unED <br /> C AND C; .>rrn ER rAINr1EN r G7MPANY O <br /> Lirtell <br /> COMPANY O <br /> LETTER <br /> 1=. O. EC)X 771 SC c':32 20 coM1°ANY it <br /> C�IMI_I :Nw LETTt:r1 �_.____..._ ___.. �.,.__.._..._ <br /> COV RAGES The Ac c'f'a Jf T JACKSON ON I w/t 3/�9RJ( R M SET UFO 10 'T'FI't,E DOWN) <br /> THIS IS TO CERTIFY THAT THE POLICIES Or INSURANCE LISTED BELOW HAVE SEEN+$SUED TO THE IN"UAEr)N, MEO ApOVE FOR THE POLICY PER Op <br /> INDICATED,NOTWITHSTANDING ANY REOU+REMENTl TERM!OR CONDITION OF ANY.CONTRACT CR OTHER DOCUMENT WITH RESPECT TO WHICH HIS <br /> CERTIFICATE MAY SE ISSA:"OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DE$C1I25D HEREIN IS SUBJECT TO ALL THE TEA IS. <br /> ExCLUSIONS AND.CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAY HAVE PEEN REDUCED BY P?ID CLAIMS, <br /> POLICY MM,DO IVE POLfCY exrirtric,J ALL LIMITS QI�SAL+P� <br /> Co TYPE OP INSURANCE POLICY NUhISER DATA(MMIOONY) BATE,M!•TV,+ <br /> TA <br /> �L°hi�AAL h3GRE0ATE � <br /> n OCNERAL LIABILITY 2(14 2789 01/43/,4 01 /Il11 i 91 FGW114A.TS•COMPCOPS aaCRSCATE a S, <br /> x COW eOIC! L OENEnAL unon.irJ AD!.)I T I ONf�L. CO'VERACE PEcov T C A'?VCPt S A3 INJURY S S,@00 <br /> CLA Ms marl X OCCL�I. EMPLOYEE'S AIJ1:)' L. INSURED EEf.H AL a0VCt: + 5,000 <br /> OvariCr,S b:CNTRAC-7R'S�'rIr:I HOST 1. I�?UOR LIABILITY FIRE pA'JM1Gi(my On011,e1 S 3 Se <br /> NO GENERAL AGGREGATE r'A[1 CAL,TXPEjN$ (Any ore Purtlorl S <br /> AUsoMOBILE LIABILITY R11/01/90 ci 1 r ei 1/9 1 C'4d'�.E e.. S <br /> A Cr:A ?9Q 2783 L I)IT 5, 000 <br /> or,•;'r0 ����, <br /> A LL 0v:Nn AUYOE ono 5 <br /> Pa.Fn� en) <br /> AC,,ittui.rD AL'TQS r .' <br /> ISJL' Y I <br /> x HIR_7 AV'-`.:S EQ011.Y1dOM1i1 <br /> X rlC';0;"!"IfiC'aLVO5 <br /> cpoaenrY y <br /> 0‘7..", e u�,muTY DAUAC,E <br /> Faces AoC,FI b et <br /> OCCURRENCE <br /> CxCF55 LIABILITY S S <br /> CIT,4C.P,THAN LI', RE LA PC r”4 $TAT JTORV <br /> YvoRKER'$CCIPIErJ3ATION I ` (EACH AC.IDCI <br /> I cOrSeASe—POLI "LIMIrl <br /> EINL'L O TEAS'LIABILITY 1 MIDEAST—EACH EmPLCYEHI <br /> °THIS <br /> LESSEE WI SORELY AS RESPECTS TO PREMISES RECITED/LSD TO THE INSURED FOR THE PURPOSE OF PROMOTING A MUSICAL CONCERT. <br /> ADDITIONAL INSURED: dANt~7 3P1gI5'AN <br /> DCSCPIPrrON Or OPERATIONSJ LOCAYIONSNEHICLF3+RestRICT10NSrSPECIAL+TENS <br /> UHIVEF(SITY OF NORTH CAROLINA AT DWI, MILLI <br /> DE J MPH CENTER; APO DRIO Ci3UNTY 1 NC ___ _ _.___- . _. <br /> CERTIFICATE HOLDER CANCELLATION <br /> 5HOULO ANY OF The ABOVE DE HE I BOU NOICCOMPE CANCELLED DER, OR THE <br /> 11)014;W:cN DATE THEREOF. r TO <br /> DEAN SMITH OFriI�1 OR ' MAIL__.,*SAYS WRITTEN NoTIC!TO THE CERTIFICATE BOLDER NAME.. TO Ml <br /> PI.LIVID. Bx'rY OF NORTH CAR�LINfa <br /> ,' LEFT, Sift FAILURE TO M1II1. 5t�c:H NOTICE SHALL IMPOSE NO OBLIOA ION OR <br /> - r' BOX 1 �a NC 117515 LIASILITY Q ANY WINO UPON THE CC/ARANY. ITS,AGENTS OR REPRESEN ATIVES <br /> L'.})r�E''!eL HILL --..-.--rlye 1;Tii:;: it rrli• Z.h, --1714'• <br /> 3I %./E CPMP AUrH LEC REPRESS I <br /> I v e 4)--r. Ck!An ") 0 L'` // <br />