HomeMy WebLinkAbout981494.tiff "'fit ..
DATE(MM/DD/YY)
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
JN iE t WkI TE P i SAF T Y :. t.l i.CIS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
'i T tNN E SS .: , lAt.. ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL 1.
i 14 i� PARK c 0 _ COMPANIES AFFORDING COVERAGE
t..t Vii:E V i L L t r KY 4 t . COMPANY
t9s:' :.44—'134 ..._____... --A 4.M4TI CNT:AL CAS. CD. (CNA.)_......._ . ._
INSURED — COMPANY
8
'areeltery m4d.:c:al• Phycorr Inc. --- ...... .
?n y c u r tot es r 4 e ?y 1 Inc. COMPANY --- - - -
1 .y',...-... 1 :>trt 'tract C
:JJ"c a l...y L" ri t S —164 COMPANY
THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO 1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTA• DATE(MM/DD/YY) DATE(MM1D0/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1X 0000c0
4 , COMMERCIAL GENERAL LIABILITY 1 i-1 j S; / 1 1 �, ,>I.'.1 19 9 PRODUCTS-COMP/OP AGG $ 1 000990
CLAIMS MADE X OCCURAgn PERSONAL&ADV INJURY $ iD 00 003
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 10L400e .^:
FIRE DAMAGE(Any one fire) $ i6003
3 3,1
r---_—._.-_.----.---------... .._.._.— S MED EXP(Any one person) $ )r
5tl: u
AUTOMOBILE LIABILITY
ANY AUTO �,S V COMBINED SINGLE LIMIT $
A k L1 ;.1 ) s:i ) ,_/•., . /'*, 3/ A/94 __ 1 '.'> 0TI0
1 TALL OWNED AUTOS BODILY INJURY $
Y-
: SCHEDULED AUTOS I I(Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS I(Per accident)
— ! PROPERTY DAMAGE $
GARAGE UABIUTY AUTO ONLY-EA ACCIDENT $
ANY AUTOj t I I OTHER THAN AUTO ONLY 'i a. ec`.-'0,,.a,igi*i.:H.RI
EACH ACCIDENT $ .. ..a-1,,xyr !otkt
• --
-- -- -- AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 2 5 tJ U00[:O,
A ,A___UMBRELLAFORM Ll;!"1 279 .' bIU1 di Y i/ 1I99 (AGGREGATE. — .-..........E..__Z5OOOOV
OTHER THAN UMBRELLA FORM $
WORKER'S COMPENSATION AND STATUTORY LIMITS ";q ro:e"g��'„�'� .O.
a. pY
'EMPLOYERS'LIABILITY ,) • q EACH ACCIDENT $
L1r73i �1 : I�..1IyI':1I9 iCJCID.3C
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT i$ 1 1A.'0 O D.7.,
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE I$ 1 �l;1)0 0 0j
OTHER
4 L1 .1 e-s'17.'4 J/t.1 / h ...4A/49
ilikDi wRTY cownI:4=O • ::7j,11 5,494 OCCUK&EN E
icr 1J .t vI •
P CIAL FORM/S1000 D::1).
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
', -: : .i. L1 ..:L). ': he'rift'S ,;.4rt(n-"nt
I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
V aL U e R X P nz r m'Hc Y Y'r✓;u r a itt/ EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
tit.. ( ' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
T 1t, 10-'St. RCI O411 y`a 1 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Ne sr-a L.-y. :. . �.)1 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
091. '"'6„e , e I^ " a4� a '4 1'l iiie A Ig Ie r r 981494
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