|
<br />. r~:i!.rt.
<br />..:\<,
<br />!":','
<br />,".\ ifJ'fl""~_
<br />i:'I,: '
<br />P,! ':~MAR:S'H'
<br />....., ,," ,'-'
<br />~. iPRQDI1~2R' ' :,. .., .
<br />,;,;' '" Mmh USA. lno,
<br />;:~:i' 1!1SSA\el'lLle Of ~I'\e Amerteal
<br />.'.1)1 :,,:, ,~~""'ork; NY 101?36
<br />';' :' AlimN...Y....OOf1ll@M.llIh.com
<br />
<br />;~:t '
<br />:;\.., -.~-4W7..
<br />):" :1KStJ.RU
<br />-"" .
<br />',,' , ' 'DN'KAeU$JNUS SYSTEMS PlC
<br />J: ~ . ",~'mI; Al.I$O!l F. wea~R
<br />,_ i' - fH6f'rlOOSEVEl T BLVD. _ CgOP,,"Y
<br />!Jt i: ST. Pe1"eRSBURG. FL ::13716 C
<br />
<br />":1~ ~ ,. COUPANY
<br />,"ii"', 0
<br />
<br />\I~ ;Co~!iI\~L;>'i"'!;'_'<:;;J'!M6i!rti5~ti.'~iiP~~~_.:~'fil~,*~:a1iy:~rj'io~slY 1..u~a".'iil1iClii~f~,lI-.ei>>il~ il.riilQ,riQ~ ~;,ji1N' --- , 2' ,':
<br />':;r;' ',' '.~ 1& 10: c::enlPY1HI\T POLICIES OF IN5UAMICE CIIi6CR8Ec) HERilH ""Vi liEN IiiISU!:D TO THe IH&URIi!l) fllMt&.l) N5:RllH FOR '!He. I'Ol.ICY P'RIOO 1N00CAn;c.
<br />~~ r ijQYW1YJ:iriNtaHG 1tiJ,'( I\EWI\IMGNT, T&RM Of!: CQNQlTlQHQF ANV OONTRACT DR O'I'H~ft OOCUMENT WITH: ReSPI<QTTO WHIOH lHE cmTI~C4TE w.y II! I$$ueo OIIt.MAY
<br />",-.rl : ,PiRl');IJ4. THE IHSUR.'JlCE ....FRJR~D BY '!"HE. POt.IOlEt o;SCRtam I<I!;'RI;;:IN & &UDJI:CTlO ALL 1HE TEAr.lS. CCWDl11QNS AND UCLUKlNS ~ SuCH POI.ICIES. A(;GRE(~:Te
<br />.f.j':. UUlJi;'SH~to!',""YHA'IIEII!tNRIDUCI!!DIIYIlAlOCLAlMS, ,- ,
<br />
<br />l {~' POUClY EFI'RClTlVE pauc.... .mllA"I'IOFll UMlT.
<br />';t~.~;fl TV'. tI '1IIIURANe! POLI~V Nuygra ,DATI: I."DM'Y1 DATE (MIlIIDDNY)
<br />!f,~ '3~106 '~I
<br />;;~ ~:~, "1tIIW..,UUIL.ITT PMI G22079451 0.;11.;11 Quu:J1 07
<br />. :os ' X CONMERClAL GlNIIW. LJ.l.1UTY
<br />'1' Ivl
<br />:~(': ~s MADE' '~ OCCUR
<br />D'WN".I!:ltSlt ClJN'l'l'CA01'Or'ROT
<br />
<br />r
<br />
<br />'"
<br />"'~:'
<br />If,;,
<br />"'.,
<br />;!j:,
<br />~~: j'
<br />;;~;' ,
<br />,;~!;
<br />'~
<br />.1$-
<br />:.:t.~ ,:,.
<br />jliY'
<br />.~!; ~
<br />.,~;;:
<br />';.!~':,-'
<br />
<br />,-,
<br />)..,'
<br />~r
<br />
<br />.,"
<br />
<br />,}' . ."",:..,. 'l,<'-", :-" ': ~;;'J~~.:t.'_:...C,"i!Y':~;\1:i.';:'.rtiS:i: ",_';r,';'J' "";~l"1'~."',,"i.~';Y!~;;',: :;;.".;."i'-"'~ ~",',J,:.',' -', ' ~. ,. .
<br />. > "'\iO,E.~ml:F,:I'~~!,9:1~E~t~t~PJ~;~~~!?j':' ~~f1m. .......
<br />
<br />'. ' ..' .-' ,~ 1)11$ (;E~'nFr4ATE 1$ JUU&D A$ A MATTER. OF INFOkMATICN C1ll,.Y "NO CDNFERS .
<br />IJO RIl)ltrC UPON TMIt CIRTlflC.o.Ti MOLDER OTHeR THAN TMOn JlItDIIIDID III THf .
<br />,rOLIGY. 1ttl/:j Gfllnrl;ATI.IilIilC3 NGT N1CND,li/lTUP RfI. ALT.iR Trl& O~VCM;:I
<br />AFflJRDEIlI aT 'tHE POI.l(:ln-ouo~'JI'ft UIOIm",
<br />
<br />COMPANIES APFOROlNG C Vi - lli
<br />
<br />"('-',.; :.;~'<, .'~'
<br />
<br />'"
<br />
<br />.";"
<br />
<br />,,'"
<br />
<br />Fox 21 Z-8""'-O:;OO
<br />
<br />CCWIIJANY
<br />A ILLINOIS UNION INSUFlANCE COMPANY
<br />
<br />~OMPAN't
<br />e H/A
<br />
<br />.X
<br />
<br />otNE~.A~..Q<"
<br />PROOUCTS.CQMP A
<br />PiRSONAL.il lorN l/IIJUAY
<br />"^CtJ OCCU~~ENCE
<br />FRIO ""MAGI! All elM In
<br />MEOEXP 0I'Ifl an
<br />
<br />$
<br />$
<br />$
<br />S
<br />$
<br />$
<br />S
<br />
<br />2.000.000
<br />2.000.000
<br />1,000.000
<br />1.000.000
<br />
<br />A1l101I08IL! l.:W1UtY
<br />
<br />NN AIITO
<br />AiLoWNEDAUTOS
<br />':SCHEDLJL.i::DAlJ1OS
<br />"-~
<br />'NQN:OWNED AU~
<br />
<br />COMbiNED SINGLE LIMIT
<br />
<br />6C~"'INJUR'"
<br />IP.rf~!l'!)
<br />
<br />GODtL.'1I~JtJR.V
<br />(FIlrlCCld8ll0
<br />
<br />s
<br />
<br />s
<br />
<br />s
<br />
<br />$
<br />
<br />,~"i:fl:','~\~~:~'~~7~:')~;:'-~::"~;~ :~':;' -:
<br />
<br />.,'Pf\(lf'.,1I'CAi
<br />PAA.lNE~lITNE
<br />omCERs: AIU!:
<br />
<br />TOO'( uP! mI CF< ~:ti~:';~';~:~~~?}..;':~Ui;,:~~
<br />E,L EACM -'CCIDIlNT $
<br />El. OISi!/.I5coPOLlCY L.IMIT $I
<br />EL ,DI9EA!1E-EAOH EMPLO'rIl!! I
<br />
<br />INC'
<br />EXC.
<br />
<br />GO'd
<br />
<br />6~:91
<br />
<br />La, 6G J'eW
<br />
<br />171769L17917U:X'e.:1
<br />
<br />~N~ ~lN~S .:10 AllJ
<br />
<br />
<br />l
<br />
<br />,'c
<br />:fi;::'
<br />..,;,
<br />',..:
<br />$r;l":
<br />:,;W".,: ,',. ...
<br />.9~, '&,ue~~Of'o:,.mu..'tIa..SJLO :TIONSJWlMle:Lltl"RCI"L~g8 . , . ',' .'
<br />'~~ ": :cn::imr SANTA ANA,-ns OFFICERS. EMPLOYEES. AGENifSANOREPRESeNTATI\IESARi NAMED AS ADDITIONAL INSURED WfTH RES~~CT
<br />;'<-l'" - ilHE.GENERAL LIASILITY COYeAAGE AS REQUIRED BV WRITTEN CONTRACT BUT LIMI~O TO THE OPERATIONS OF THE INSURED UNDER'
<br />;il\! .~lfliC~~. ANO fJJ:.WAYS SUBJI!CTlOTHE POLICY TERMS. CONDIllONS AND EXCLUSIONS. '
<br />
<br />~~ ~~~;~~~!l!3l~~;;;W':'~t'!.:",:,-,? "':-';j,:l:':ff~';'lF::ll';,s~ijtj'ytjlii,~~~~~~,~~~e.~l':~;i;;:?;,r' -. ""., -,:>S:""" "
<br />_,_,__~.~_-~;.._j-' 1H01.\DM'ft;lTlC.f'OI.ICIiZI~l!QrtIft!n DIi~f!IE'f"OfU:,TI'Il!!l1Ii"lfllI./l,~~IE~,
<br />-oj ,f) -.,.el\ ~ CCOJII'\II4& WILL ~V(lR 1D MAlL --3Q. DAYS WMTE~ NOTlCIi_ TO lM&
<br />.t1l; :CliyjafSflniaAn& . oyEJ:) AS 10' , t:&RTFtC&Tt"CUelUIAMElHIEREIN.BUTFALIAl:ETQMM$UQHHQ1ICE.aw.LMPWENOClllolMi'llOrfiWlft
<br />
<br />I, ~~~,,,...,, ..:~, ;~=--:=-~.=..~...
<br />~k~;~7~t,~;~f;~~j0; i!J~~T:~;~ii~~tit:i?;'~:;; _:~fp.~;'~~~',631DeJo7
<br />
<br />"RoPE~ DAMAGE
<br />
<br />:;''9,~MHu.....1tt!
<br />AN"I"Aum
<br />
<br />AUTO ONLY. ~ACOIDfNT
<br />O'ttIEA '!'Wi AU'fl>~"~"
<br />
<br />
<br />:-.,u:~t.IA'IU1l'
<br />
<br />"'.Ai DINT S
<br />$
<br />s
<br />I
<br />S
<br />
<br />EACH oeeUItM~CIl
<br />
<br />.....~IWI___
<br />~'nWi UU8~L1A ~M
<br />MCO IIU NAN
<br />~:rGR$"UAIILITt, '
<br />
<br />AGmt;GATl!
<br />
|