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1070~/~00~ 1~ ~× ~ ~714~?~04 NO~?O~ ~0~
<br />
<br /> , Liberty..
<br />las COMM~RC:t, DRP,,'E
<br /> Mutual
<br />
<br />i Continuous* 10/0112004 WCl4 31a18S670-02] Coverage afforde~ #odor WC Iow of Employers LlaMllty
<br />--1 Ex~d~d 10/01t2004 WC1.131-48867G-113 II~e rnllowlu$ ,istGm: flodily InJ#ry By Aeddent
<br />,Policy Term ,%g, Al-, Aa, A2, ~,, co, ~r, D~., GA, $5fl0,006 Each Accident
<br />-- ~. IA. ID, IL. IN, KS, nY, 1~, MD, NfE. nndlly [nj #r~'By Disease
<br /> M], MN, ~0, M~{, MT, Nd, {'Tn, ~, nH, S~i00,O00 Policy Limit
<br /> NL NM, NY, OH, 0:*;, Om,~'A, ~u. sc, GO, flodRy {n~ury By
<br /> $$00,000 Each perst)t~
<br /> 10/01/200a ....... T1~2-131-4S8670-053 ' GeneralAggreli~t~-Other,tl~n Prod/Completed Operations
<br /> General ]Liability SZ O00~O00
<br /> Praduc~m/gempleted Operations
<br /> { $2,000,000,
<br /> }
<br /> Bodily [nJu~ and {'rupert,/l)mmage Liability
<br /> $ i,000.000 , ,OccurrenCe
<br /> ..... Retro Oa{C ] Fei'st)nmi mod Advertising ]ia.~ury Per Person I
<br /> _{ $1.p00,0O0 O~Tsuintiop, ,
<br /> Other Llablllt,/ ' Other LImblil~
<br /> , $300,000 Fire Lo~,I $ l 0,,000 Mad{cAI
<br /> lO/01/2004 A52.131.48867(}-123 ~gach Accident - ~{Ingle L{mit - B, I. and P. D, Combined
<br /> Autumohile LJabilJ ty I 0/0 l/Z004 AS2-{31-488670-13} ShO00,0O0 ,,.
<br /> Each Pcrean
<br /> Owned
<br /> X NarrOw,cfi Each Accident or Oceurrene~
<br /> ~, I-lirod
<br />
<br /> A~:PROVED AS TO
<br /> Deputy £~t~ \t, , ,~,~
<br />
<br />
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