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<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />
<br />THE ~iC C¡6¡I...L {:¡GENCY IN COMPANIES AFFORDING COVERAGE
<br />X B600;?!5
<br />F'¡ (,;,¡O" T'" 7""OC"', COMPANY
<br />j". n '" "}, l d.. '-' \..' LETTER
<br />"',"""""',"', i"", , ,-
<br />" "
<br />COMPANY iIJII
<br />INSURED LETTER U
<br />','-)-"""" '.",1(""",,0. -
<br />, , " -, , " ~, " ",' ",', ,~ ~
<br />COMPANY
<br />LETTER
<br />CHA ES WILLIS & ASSOC
<br />? 0 <?. 1,,1 í:~ E: ¡:;: (.'1 I'i COMPANY
<br />"""'1 ""","-'--',","'" '~\(,' "'i" ,¡,':," LETTER DO',
<br />¡"1!~,_,j,¡',:b!'Jj'~ iJ'. /(:,,).1,..5 II
<br />
<br />
<br />
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH THIS, CERTIFICATE MAY
<br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI.
<br />TIONS OF SUCH POLICIES, '
<br />
<br />TYPE OF INSURANCE POLICY NUMBER ~Wfi~~~j6g~~ P8ki~Y(~~~:m~ ALL LIMITS IN THOUSANDS
<br />
<br />GENERAL LIABILITY ; 6 TMPYF 7:i. B 1,/ 12/B9 ':í. /1;;:: ~;,() GENERAL AGGREGATE :t ~ 000
<br />COMMERCIAL GENERAL LIABILITY PROOUCTS,COMP/OPS AGGREGATE ¡ ,,() {) 0
<br />
<br />CLAIMS MAOE D OCCURRENCE PERSONAL & AOVERTISING INJURY ~; (:1 ¿ ...
<br />OWNER'S & CONTRACTORS PROTECTIVE EACH OCCURRENCE
<br />
<br />FIRE OAMAGE (ANY ONE FIRE) :t 00
<br />MEDICAL EXPENSE (ANY ONE PERSON)
<br />AUTOMOBILE LIABILITY , , r.:¡ F', ii, ,/ ':;:' ,=' ,/ 9, ,(¡ "I / ":,,,/ ", (1
<br />t,I. ¡,...,..I, ,i., ¡.,.7,0< CSl
<br />ANY AUTO ""¡ Ü 0
<br />ALL O'vVNED AUTOS BODILY ,- '
<br />INJURY
<br />SCHEDULED AUTOS \?E~ ?E~SCI\)
<br />
<br />HIRED AUTOS rN~~~~
<br />NON,OWNED AUTOS rCE~DENn
<br />
<br />GARAGE LIABILITY PRO?ERTY
<br />DAMAGE
<br />
<br />EACH
<br />OCCURRENCE
<br />
<br />OTHER THAN UMBRELLA FORM
<br />i,".(,Ji::;"lJJ'!7/,9 'I'i'/'!'?/}:' J' /'¡".1/9(,< STATUTORY
<br />WORKERS' COMPENSATION ¡ ,J", ¡. \,' " ~ ..; ~, , .., ... f.. '", , .. ,.." ' ,C
<br />Î no
<br />~D ~-..
<br />""¡ Ü Ü (DISEASE-POLICY LIMIT)
<br />EMPLOYERS' LIABILITY .. ,
<br />'.\. () Ü lDISEASHACH EMPLOYEE)
<br />OTHER
<br />
<br />
<br />
<br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS
<br />
<br />
<br />
<br />
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX,
<br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br />C I T Y D F (.!:¡ N i'i í~ Fç C U S MAIL3 () DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br />¡::; ì] ;::; 8 0 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br />(, ::;: ü E HOP 1< I N LIABILITY OF ANY KIND UPON THE COMPANY, IT NTS OR REPRESENTATIVES.
<br />'::;¡:';¡N ¡"j¡,;~¡:;~CUS 'IX F: 6 AUTHORIZED REPRESEN'-'
<br />I;: I ¡,:\ N 1-1 C
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