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CERTIFICATE OF LIABILITY INSURANCE (6) ::I I DAM�MIIMIDMV IIkCQFZiIEZ 11(�'P`111ER rIF111111C)k 1 111E 1011::,:` 11 111,IA 11111 1111 F"If I IIIIIS 111J IRRA 114 i1C, "i') 09119/2014 WS. IIJI:11:)AS A MATTE.JR OF:PINIFORMAT-1011Y 0IN11 11 Y APM CONFEIRS II`Y Iw6 iC.-N-ITS IUP OIN TH11:..:,CEIRTIFICATE.:11401 F,..)EIR.nfl.% CERTHFICATF.:'.IDOES NO"lr'AIFFIIRIMA'I"11,;Ell..:Y OR MIEGATIVE-11 Y ATUPEN11),EXTEND OR ALMIRt THII:.: COVEIRAGAE AFFORDED BY 115011....W N 'S OW. '111HIS C'lEMS."nlFW "M'M IOF INSURANCM:.,:DOES hio-ir ODNs"in-ru"w"E. A C0NTRAG'TBI1i-7VVl1:.:,EN"n-1E ISSILPINIG INS JR11:..:,11:lW.(S),AUTHOPCIZED OR 1::P1R(.)DUCElR,ARIIII)TI-111E. I-11(.M 113ER., nust be endoirsed. IIf SIIJBlRrX.MT1in7N T9P MIMMI 77.is.-Jr.Ot—to lIhe teiryns ancloondkions OF IltMnf aHrq, red'alin 1pohni es may 1requaiilrrm an mindoirsewriewd. A stiM-ement on thdis ceirfificatedops lmot confeir rWgMs lk,:N he rkifffloale Iholldeir in lieu of such Ilarrndoir sernent(s). ....................................................................................... IMAIWIR: ................................................................................................................................. All I Ipy, Relhlbaum it 'Capes Assurance, Inc. m ]F.- C Ifftl1c 712,7.,725.5773 2433 Gwil f I::icu Say WPM. ADDRESS: ...........r......-....................................................................................................................................................................................................................................................................................................................... 11.111. 111ox 4610 NNSUIRER(S)AFFM 01AIG 3101ii 1n1..AJ C V ............... mnity .rins Co 1. Cleimilirwatlier, FIL 33758 111IMPRER A.: IPI�ii"�"Ill,iiiiiiriL�'llphia nde .................. ................................................................................................................................................................................................... INSHIRIED Art? 4 Li fe filicaidem, :l[inc Pirc.)giriess-tive F'xpiress Y UIRER,S:: 10:11L93 11.6016 114. HighlVanicli Ave .1 IMMUIRUIC7 .................................................................................................................................................................................................................................................................................................................................... R.- 3375S fUGUIRER 13 I.N. T.E!J!: ............................. ................ 11WISUIRIER F COVIMAGES li�IER'HFII(;A."rT-.:.,INUIMIBEIR., 1.4/2.5 11 iab and Auto REVIS11011Y MIUMBEIR: I HIS P:5 R.)a:Taff::y rHXFI-I fE:NX 111E INSURED 111AI4flIEDABOVE.P:::01R I11-RY::D.1U NI i,�iof wi mSTAINDING Aiv,, T, FERKA UR,(.'*NCM TtON 01:::r IVY C;01�,Tj]��"RcT or:�,a r[ii::.::R: ::)OCUIVIENT WIP i IRESPEG.I.....r. 0 w IX.N1 THIS "I HE'ri::.nws, IM Y1::..:D0R IMAYI:::IERFAIN, II CAL INSURIkINif..,,I::::Al:::�Fr,-)Rl!:)EOI�Y 1:::'(X ICIES l:::)ES,CRIIB�:..:Dl:tE[:?,E�l�l�S SI.JR.02,'ITOAL[. 1::::: CLUSIONS AjkjN)C0114PI 11.IONS OF SUCI!I K1 ICIES.L111MITS&IMN IWAY I Iffiq::.�!3EEIN I?,EI.:A.JC1::.::D:3y'I:>AIH:)C1 Alms. x LrR, MPE OF 1111951:Ir 11IMMUR wo F-70LOCY 141UPROH."M mcmw Immlopmrin ..... ........ r.Aa�OCCURFTEMCE L,000,M. GEIVE.'RAL 11.1AB1111LITY 113HPIK12.16114 10/0112,011,1111 AUE71T RUM B .................I COMMEERUAL GEHMERAI I tABILIFY F., 3001,O(K F --.-....................................... 01 0iIIMi3-1WA1::,'iE [XI 0(.:,r;UR Ml::::D X1::1(Anycono mirmm) 115 5,100( ...........z.................................................—.1....................................... ME.RSONAI &A13VINJURY s J.,1000,OOC 7.................9..................................................................... .................................................................................................................... GENERAL A03RB::w rE 3,,000,00C S 3,000,000 GENT.A03RECA I-E I ..................[ ...... ...... $ 1 ................................. . ............................ 7 ...................1 17,— .................................................................................... AU TONOPALE UAMU rY 0,19S5228 1 11112,712.013 12,717014 $ J.,10001,01)0 ................................................................. ................ ANYAUTO $ AaNNIFE.) SCHEM.Jq..I:.:.D ......................................................................................................................................................................................... A'1. r is ALIT08 ................ HIREDAUrGS ALIFIDS U111MISHHELI A H-10d; CCX.MR EACH OCCURRENUE B ................ ................. ......................................................................... EiS]Crr;llii :q 1JA13 M A4dS*i4d]E $ ............... ............................................... DED RErEhl 11ON:5 $ H(GIRS MMINEMBAMON JAND Y ................ ................................................................................................... NETRIEXECUMMI L L.-f::: CI i ACX.:;f DEM 11 $ M. RCEPAGEMENIFf EXC11LUDED? Ifil P A ........................................................................................................ (Mandalory If ges dmxbe undev E I ENSEAGE E-AIEHMIFILICNEE S .........................::............................................................................ ....... IMI OF CRERPOICNiAS l:low 1:..:.Il DMEASE 1::xU.nCY 1 M IT ............ ....... . ..... 1;" 'ONS t LOCAMONS VVEHICILES,(Attach AMPID101,AddidonA )Fmays umpa ce!is mufted) eirt-H:: catie Holidir,.,,r Is ifliddildoina"I .rinsuir-aince inciall:"10n: :111.75:111. Kingri; Hiighway, Cleanvater,, IFM 3• 755 ....... CElRT1lFlI111::M,T'lE 114011.01E�.11k CANCEII LA.noiiii SHOUILID ANY DIF THE.PMOVE DESCRIBED 1:001LOCH.-M IBE rAVICHTLILED BIEFrORE THE EXPHRAVIOIRP nAPIETHERE.-DF,NOMCE MILL HE DELIVERED IN PCXORDAIPICE'WWI D-6 1114E 1:31OLMY PROVISONG. C"PI.:y of ClearifflatiIii!dr AU'nPOMMEID REPPLIESIRINTAME :1..1001 S. 114yrt"le Avenue ................................ C 11988 2010 ACORD ICORPOlRl m"MWION. 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