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10/28/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 03 <br />CERTIFICATE OF INSURANCE <br />- (CONT) <br />ACCOUNT NUMNER <br />49-39070 <br />Coverage Provided <br />Policy Number <br />All Limits in Thousands <br />Businessowners Liability <br />49-59070-01 <br />Each Occurrence <br />a <br />500 <br />Medical Expense <br />4 <br />IO <br />Includes: Modlly Injury <br />Damage to Premllas <br />a <br />250 <br />Property amage <br />Parsonal <br />General Aggregate <br />t <br />1.500 <br />Injury <br />Products Aggregate <br />D <br />1.500 <br />Advertisingy Inj)ury <br />Hired <br />and NDn-Owned <br />Workers' Compensation and <br />49-39070-02 <br />Statutory <br />Employer's Liability <br />Each Accident <br />4 <br />500 <br />ENCh Olsu se/Emp]oyee <br />f <br />Sao <br />Each Oiseass/Policy <br />i <br />Sao <br />Umbralla Liability <br />49-59010-03 <br />Each Occurrence <br />8 <br />1.000 <br />Does Not Irclude: <br />General Agygregate <br />11000 <br />-Pars/Adv Injury <br />Products Aggragate <br />i <br />1,000 <br />If any of the listed policies are cancelled prior to their normal <br />expiration date, the insurer will sand notice to the cortific.ate <br />holder 30 days in advance. <br />.. "k ovEtj AS TO FORM <br />� Stiit She y <br />„ant City Attornev <br />00-C1035 [SFA) <br />ALL 49-39070 31-040416 <br />10-�:e-2005 <br />PAGE 2 <br />(0007) <br />