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• <br />IssuE DATE (MM /DD/YY) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />DwAra"ve - sorwi+IIiiisaiiiiiI f X . <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />]P.O, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />` _ <br />COMPANIES AFFORDING COVERAGE <br />bwbms 27744 <br />COMPANY <br />- <br />LETTER A at � � <br />COMPANY B <br />LETTER j] $r+i E11 <br />INSUREDp <br />�� � <br />ri-M"a"u a � M. <br />COMPANY <br />P.O. IK 1 111 <br />LETTER C <br />COMPANY <br />Dort 277" <br />LETTER <br />COMPANY E <br />LETTER <br />t ' <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE <br />BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM /DD/YY) <br />POLICY EXPIRATION <br />DATE (MM /DD/YY) <br />ALL LIMITS IN.THOUSANDS <br />GENERAL <br />LIABILITY <br />GENERAL AGGREGATE <br />$ a <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS•COMP /OPS AGGREGATE <br />$ <br />CLAIMS MADE ® OCCURRENCE <br />+ SG1694 <br />� <br />12 -31 -n <br />p� <br />12 —.31 -" <br />PERSONAL & ADVERTISING INJURY <br />$ <br />OWNER'S & CONTRACTORS PROTECTIVE <br />EACH OCCURRENCE <br />$ <br />FIRE DAMAGE (ANY ONE FIRE) <br />$ so <br />MEDICAL EXPENSE (ANY ONE PERSON) <br />Is <br />AUTOMOBILE <br />LIABILITY <br />cSL'tl <br />ANY AUTO <br />S *1 694 <br />1 2-4140 <br />12-%M4* <br />$ <br />BODILY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />INJURY',A+ <br />(PER PERSON) <br />HIRED AUTOS <br />tre <br />, <br />ulRV?Y <br />NON•OWNED AUTOS <br />AC fPECIR DENT) <br />$ <br />PROPERry <br />GARAGE LIABILITY <br />DAMAGE <br />$ <br />EACH AGGREGATE <br />OCCURRENCE <br />EXCESS LIABILITY <br />�[ <br />�# W 243 <br />&�1 * <br />�!-M <br />$ 144A $1000 <br />OTHER THAN UMBRELLA FORM <br />STATUTORY ^ <br />A <br />WORKERS' COMPENSATION <br />�.� <br />13«WAIM <br />12-4"40 <br />$ (EACH ACCIDENT) <br />AND <br />$ (DISEASE - POLICY LIMIT) <br />EMPLOYERS' LIABILITY <br />$ (DISEASE -EACH EMPLOYEE) <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES /RESTRICTIONS /SPECIAL ITEMS <br />Pro jwta ldditiiiiiina %Ds ftemp CWAsty animal AwLt't '109 ALTpWt PA. t 0opel Hal, mc <br />of ftwow <br />Wales, N.C. 27278 <br />AUTHORIZED REPRESENTATIVE <br />