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DATE (M Mili
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<br />CERTIFICATE OF LIABILITY INSURANCE 09/0712020
<br />THIS CERTIFICATE IS ISSUED AS A MAT'rER OF INFORMATION ONLY AND CONIFER'S NO RIi UPON THIECERTWICATE
<br />HOLDER. THIS GERTIFICA r,E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TH:F, COVERAGE
<br />AFFORDED BY THE POLICIES BELOW. THIS CEIRTWICA78 OF INSURANtE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
<br />ISSUING INSURIER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CFRTIFI(,ATF HOLDER,
<br />. . ... ... ...... . . ... . ... ......... . .
<br />IMP OR rAN F, if If, tmificta holi is an, ADDITIONAL IN$Uii the poficy(iiess) i be endlor5ed. If $LIBIROGATIGNIS WAIVED,
<br />subioct to tho turi aui coillffition$ of the pi certain policii i require an eridor-51pirri A 9taternem on this cerfificato duos
<br />not 4onler rights to the certificate holder in lieu Of ei ell d0jr!ie _nt(.�L
<br />PROIDUCER CONTACT NAME:
<br />AP INTEi IW3URANGE GAROUP L.I..:C PHO— -- — - ---- 8. . .... .8 . . ............ . .................. .
<br />NE (888) 289-2939 FAX �888) 289�2�3
<br />713250846 JA4, kxl): i
<br />375 WCIDDi DRIVE STE $0 1-1---,,--- . ..... ............ ............. .. ... - ----- --
<br />i ADI)i
<br />FAIRPORT NY 14450 . ..... .. . . . . .......... .... .. ..... . . . . . ....... .................
<br />INSi AFFORPIN6, COVti NAICIII
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<br />INSi PrOl'N"I i 'M lid Cz-iskjal ly I I mi uar ic4.,i Oni npany C41 HIji ford
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<br />1',C158 FIRF,'.1iT )NF B1,W)
<br />INS
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<br />C E R T I F I CA T E REVISION NUMBEfli
<br />THIS IS TO CERTII,=Y 71-Wrl HE FIOLVCIES OF INSURANCE LIS7,,D i HAV�2EEIN �SEAA"DTO I HE INSUi N.Ai Ar6i i i PF'RKID
<br />ANY 014 1]("'9eiu I ii (>7 ANY (:,()ii ()II OTHER `,)O,.'IJVENr I RESP�_-CT TO 'NIqJ41CId 711�E-'�
<br />CEI37FICATE 4MY BE 13,GIJED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE3CRI21113 i IS Si TO ALL. rHL
<br />TERKIS, EXCLUSIONSAND CONDITIONS OF SUCH POL,'i LlklffS S'Hi MAY HAVE BY PAID
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<br />TYPE DIF INSURANCE Ai SURR POLICY i POLICY EFF Pi
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<br />GIJ-4V- i I, IAIJ� J 7 Y i I CCCURFIENCE
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<br />Gi L AGGi LI&C I Ai Pi �0-'NEKAL AGCREGA I E
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<br />EXCESS LIAII Ci E
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<br />AND EMP LOYERS'LIABILTV TAI,I EF--
<br />ANIF WIN P� 19 0 0
<br />A PROPRIETOWPARTNE 1710117 NJA .. .. .. . .. .... ... . . .... .............
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<br />DeSCRWRON i OPERA ri i t,W,,Arji i I p 1. Arldii 11 Rmirkski may be, ai 4 rardea *qm CA Is requirem
<br />ThOG-j UGUY, tO IhO hlGi Opi No1A�o of Gani wfll bo pi in accordAlli;ii vvilh I"i W09W,11,3144,, attwhed to tbts Poli7�
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<br />CERTIFICATE HOLDER CANCELLATION
<br />. ......... ', ................... . . . ..................
<br />Cityi So PbAna $HOULD ANY OF THE ABOVE: DESCRIBED POLICIES BE CANCELL
<br />Risk Manchgomcn�, Div'rsion BEFORE THE EXPIRATION DATE THEREOF, N011i BE DELIVERED
<br />2 C1 C ,V C C E NTE R PLZ 1:1- 4 IN ACCORDANCE WITH THE PO I -MY i I-SIi
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<br />SAN I ANA ii �J210 I - 4 �)58 AijlHoi ftrF1RE$ENrAjfVi
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<br />CL) 11988-2015 Ai CORPORATIGN. All rights vorwirvi
<br />AC 0 RD 2 5 � 2,016103) The ACORD narne and logo are registered rnarks of AGORD
<br />cF RAMwwgemedDMsi[un
<br />Jy? �k�q REVIEWED & Api BY.-
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<br />i Management Ai
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