CERTIFICATE OF INSURANCE (4)
~ NAME AND ADOHtSS OF- ,.'\e;/. N~',.:'
I COMPANIES AFFOHD!NG COVERAGES
f', 1['f,: SA St_--PallLEire..-&-Mar..ine--I.ns..- Co.
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Quality Insurance Services, Inc.
119 E. Ogden Avenue
Hinsdale, Ill. 60521
u. S. Home Corporation
One Countryside Office Park
P. O. Box 5000
Clearwater, Florida 33518
: This is to certify that policies of insurance listed below have been Is<,upd to 'Iv
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I AUTOMOBILE LIABiliTY
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IWORK.ERS' COMPENSA TIONi
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'OESCRIPTION Of OPERATION5'LOCA11{)r.~VHI!Cl.c~;
rNAME. AND-ADDRESS Of INSURED
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Insured r1.lInec1 ;]bovE' Jnd ale in force at this time,
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x:xxxxxxxxx
, 10}27/79_
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Per Schedule
$5,000,000 Per
Coverage and Deductible as per M.O.P. policy
CanceHation:
Should any CJj U.,; e'::C"i\' lh'slJ&eiJ r, , l
pdny will ("":",11'.'1' I'i,"'.._.__ d"y'; "
rn a i! s u c. ~ I ;"~) t i .'-: e ~j " J; j n , !.:,J\} :) t' i1 u cd) i ~ f'; ~J t 1 , -J:) I
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(":r;::' U,;(. F)"pir~Hiun da:e thereof, the ;s~:,uir:g cOIn
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I NMH 1',;'li February 9, 1979
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i The Federal National l\brtgage Association
I,' and Governrrent National furtgage Assn.
100 Peachtree St., N. W .
I Atlanta, GA. 30303
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....CORD ?~) (Ed 1 j .77)
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