CERTIFICATE OF INSURANCE (085)
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COMPANY A
LETTER
COMPANY B
~ETT ER
:OMPAr\ Y C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
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THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED By THE POLICIES LISTED BELOW,
NAME AND ADDRESS OF AGENCY
JOSEPH U. MOORE! INC.
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COMPANIES AFFORDING COVERAGES
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NAME AND ADDRESS OF INSURED
!._:i:NDY BOWEN CONS"fRlJC'fION
CDi"IF'tlN"{! INC"
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This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time, Notwithstanding any "'quirement, term or con.
dition 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 conditions of such policies,
COMPANY
LETTER
TYPE OF INSURANCE
POLICY NUMBER
POL ICY
EXPIRAT:O~ DATE-
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GENERAL LIABILITY
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EACH
OCCURRENCE
AGGREGATE
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COMPREHENSIVE FORM
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PREMISES-OPERATIONS
EXPLOSION AND COLLAPSE
HAZARD
UNDERGROUND HAZARD
PRODUCTS/COMPLETED
OPERATIONS HAZARD
CONTRACTUAL INSURANCE
BROAD FORM PROPERTY
DAMAGE
I NDEPENDENT CONTRACTORS
,lHOPEHTY DAMAGE
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SODIL Y INJUHY AND
Pf~OPEHTY D,A.MAGE
COMBINED
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PERSONAL INJURY
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EMPLOYER'S LIABILITY
OTHER
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BOOI L'-( Ir-':JURY
lEACH PERSONI
BODILY INJURY
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AUTOMOBILE LIABILITY
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PROPERTY DAMAGF
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BODILY I"JJlJ~lY AND
PROPERTY DAMAGE
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EXCESS LIABILITY
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UMBRELLA FORM
OTHER THAN UMBRELLA
FORM
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BOLll '( INJURY AND
pj:H)PERTY OAMAGE
COMBINED
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WORKER'S COMPENSATION
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ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES
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Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the Issuing com.
pany will endeavor to mail 30 days written notice to the below named certificate hoider, but failure to
mail such notice shall impose no obligation or liability of any kmd upon the company,
NAME AND ADDRESS OF CERTI FICATE HOLOER
CI'T"Y OF CLEARWA.fER
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