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v ,t0/20/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 03 <br />CERTIFICATE OF INSURANCE <br />- (CUNT) <br />ACCOUNT NUPIER <br />49-39070 <br />Coverage Prowided <br />Policy Number <br />All Limits in Thousands <br />Susinessowners Liability <br />49-39070-ti <br />Each Occurrence <br />a <br />0 <br />Sao <br />10 <br />Medical Expanse <br />Includes: Oodily In�i wry <br />Property Oamape <br />Damage to Pramisaa <br />General Apyrepete <br />a <br />4 <br />250 <br />11500 <br />p l injury <br />Products ygreante <br />9 <br />1,500 <br />sons ar <br />Adyertlsiny ln6ury <br />Mired and Non- caned <br />Workers' Compensation and 49-39070-02 Statutory <br />Employer's Liability Each Accident <br />EMCN Disuse/Emplovea <br />Each Di.scas■/Policy <br />Umbrella Liability 49-39070-03 Eech Occurrence <br />Lines Not Include: Generel Ayp9re0ata <br />-Pars/Adv lniury Prcducts Apo re gate <br />if any of ted <br />are c <br />expiration tdate, he sthe insurers called <br />will aandnoticerto the certificatior to their e <br />holder 30 days in advance. <br />!'ROV) i) AS TO FORM <br />--.a.i,u Stilt She y <br />-...,.:.Lint City Attorney <br />BO-CI035 (SFA) <br />ALL 49-39070 31-040414i <br />10-a9-2005 <br />PAGE 2 <br />(0007) <br />t Soo <br />500 <br />0 500 <br />1,000 <br />1,000 <br />a 1,000 <br />