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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CERTIFICATE HOLDER 1988-2010 ACORD CORPORATION. All rights 25 (2010/05)AUTHORIZED REPRESENTATIVECANCELLATIONDATE (MM/DD/ yyyy ) CERTIFICATE OF LIABILITY INSURANCELOCJECTPRO-POLICYGEN'L AGGREGATE LIMIT APPLIES PER:OCCURCLAIMS-MADECOMMERCIAL GENERAL LIABILITYGENERAL LIABILITYPREMISES (Ea occurrence)$DAMAGE TO RENTEDEACH OCCURRENCE$MED EXP (Any one person)$PERSONAL & ADV INJURY$GENERAL AGGREGATE$PRODUCTS - COMP/OP AGG$$RETENTIONDEDCLAIMS-MADEOCCUR$AGGREG ATE$EACH OCCURRENCE$UMBRELLA LIABEXCESS LIABDESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)INSRLTRTYPE OF INSURANCEPOLICY NUMBERPOLICY EFF (MM/DD/YYYY) POLICY EXP(MM/DD/ yyyy )

certificate of liability insurance date (mm/dd/yyyy) ject loc pro-policy gen'l aggregate limit applies per: claims-made occur commercial general liability general liability ... (mm/dd/yyyy) policy exp (mm/dd/yyyy) limits wc statu-tory limits oth-er e.l. each accident e.l. disease - ea employee

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