CERTIFICATE OF INSURANCE
....
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE !MMIDDIYY)
POLICY EXPIRATIO~
DATE (MM/DD/YY)
ALL LIMITS IN THOUSANDS
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED .AUTOS
NON.OWNED AUTOS
GARAGE LIABILITY
GE~ERAL AGGREGATE
PRODUCTS, COMPIOPS AGGREGATE
PERSONAL & ADVERTISING INJURY
EACH OCCuRRENCE
FIRE DAMAGE IA~Y ONE FIRE)
MEDICAL EXPE%E (ANY ONE PERSON)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
o OCCURRENCE
OWNER'S & CONTRACTORS PROTECTIVE
CSL
$
BOOIL Y
INJURY
(PER PERSON) $
BODILY
INJURY
tlc~DENn $
PROPERTY
DAMAGE
$
OTHER THAN UMBRELLA FORM
EACH
OCCURRENCE
$
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
(DISEASE,POllCY LIMIT)
(DISEASE-EACH EMPLOYEE)
DESCRIPTION OF OPERATIONS I LOCA T10NSIVEHICLES I RESTRICTIONS I SPECIAL ITEMS
1986 DODGE VAN 2B5WB31W6QK599285