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ALIg 27 1401 47p Ted Bowei sox Stale Farim <br />9496614119 p 8 <br />DATC(MMOONYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />lrv(,Ll ONLY AND C014FERS NO RIGHTS UPON THE CERTIFICATE <br />SlAlp, FARM HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PA"'TFTC COAST W -TY, STY, 201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />�-�,4NA '0 r, �7, CT, �2 6 'w i ! <br />INSURED <br />I <br />1503'PA7�'-lw-zky -001�11 SUT7-F �-il <br />'7A �2-lao <br />INSURERS AFFORDING COVERAGE. <br />INSLIRFRA:Sta--e- Far' , Mutual <br />!NS,LRt:� 11 <br />INSURER E: <br />NAIL 9 <br />THE POLICIES OF INSURANCE LISTED SFLOW HAVC FIMN SSUEDTOTH--- INSURED NAMED ABOVE FOR THE POLICY PERIOD MOICA-EQ. NOTWIll-ISTANDING <br />ANY RIZOAAREMENT TERM OR CONDITION OF ANY CONTRACT OR al -HER DOCUMENT WITH RESPECT 1-0 WHICH THIS CERTIFICATE MAY BE ISSUED OR ri <br />MAY PERTAIN, THE INSURANCE AFFORDED SYTHE POUCIES DESCRIBED HEREIN If SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />DOUGIES. AGGREGATE LIMITS SHOM MAY HAVE BEEN REDUCED BY PAID CLAIM& <br />bourc <br />L'm NSROI TYPE OF INSURANCE POLICY NUMBER DATE IMMUDDIM DA7E(lAMl0QN'Y) LINItS <br />GENERAL LA6AJTP <br />CONMERICIAL GENERAL UARkITY <br />DIOCCUR <br />5 <br />PE�RSONA 9,&�QV 143LIRY <br />GENERALAGGREGATE 3 <br />PER <br />A5G— <br />'Ra - <br />E JL -CT [70, <br />t. <br />IAUTOMOSILELIASIUTY <br />kAl�X <br />1-.+0 913I -H15 r <br />c9CBCT5581, L3 -- 75 <br />ANY AU 059 5 4 , 19 -.z 15 -7 5 <br />02,12.2/14 <br />021 <br />01 -11 SINGLE <br />ALL OWNED AUTOS 066 7 14 3 - 8 1.3 - 7 - <br />$ 00) <br />SCHEDULM AL ros 2�5 <br />X <br />rMED AUTOS t781-81---75 <br />a00ILY IWURY <br />'mN.0wNF0 AUTOS <br />jPar accidemI) <br />x <br />!=9?/ll0LL LEDs C.,. <br />I <br />PROPER77YOAMAGE <br />x <br />llwa.'ve:f <br />(Par V-6dorA) <br />AGE LIABILITY <br />ANY ALTO <br />0'"HEl rHAN <br />AUTO <br />AGG' $ <br />{,.A.... -.I0 -,CUR. 1-D CLA;mS mAD-- <br />ACGREGA-r. S. <br />OEDUCTMLE <br />WO RKE RS CO MPEN SAT ION A NOOTH <br />ER <br />EWILOYERS! LJAWLrTY <br />t <br />ANYROPRIEl0RiPAPTN=fbr:xEOlrlvE <br />OFF 1-UMMEMSIER EXCLUBED; <br />EI.VI5EASF-rAEL4P1.,41�"f <br />l!"111dewlte,nder <br />Lc IALPROVSIONStm'w <br />EL-DISEASE-POIJGYUMM 5 <br />A <br />OTHER <br />293 94?9-F'G,6-T5 <br />D 6 61 4 <br />0 <br />I %im <br />'0 <br />I T,.7-A3l--."TY PDL-�:Y <br />. <br />"ll APPROVEWf�S <br />I FORM <br />DESCRIP11ON OrOPERATIONS? LOCATIONS sVEHICLES f EXCLUSIONS ADDEO BY ENDORSEMIEN71 SPEC.El PRO IONS <br />ALL DPEF.&I`T-ONS j (o) s e, pndov,,-,il <br />"'ey <br />nior AssistN bt ity Attorn <br />QI-Kl�HL;AII--HQLUI:K UANII.; tLLA i IQN <br />VFS CtTY 07 SA14TA MA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCZLLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHA4L <br />IMPOSE NO OISOCIATION OR LIABILWY OF ANY WIND UPON THE rNSURER, ITS AGeNTS OR <br />REPRESENTATIVE$. <br />ACORD 25 (2001108) The registration notices irdicate, cwresNp of the ra,*s by their respective mvn-- s fDACORD CORPORATION 1988, 2007 <br />i3284r 03-13-2007 Aft rights reserved <br />