Laserfiche WebLink
<br />. CERTIFICATE OF INSURANCE <br /> <br />S8l:LtEIl MUTUAL INSURANCE COMPANY <br />A MUTUAL COMPANY <br /> <br />SHELTER. GENERAL INSURANCE COMPANY <br />A STOCK COMPANY <br /> <br />Name & Addrtss To Whom Issued: <br /> <br />Name & Addre.. of tho Insured: <br /> <br />SOUTHERN DISPOAL INC <br />RT J BOX 7250 <br />ANTLERS OKLAHOMA 74SZ3 <br /> <br />CITY OP PARlS <br />PO BOX 9037 <br />P.'\RlS TEXAS 75461 <br /> <br />This is to certify that msunnee policies.. indicated below by policy number have been issued: <br /> <br />CompaIIy Tl'P".f~ PoIlc) Number ExpIrad... Dale I Llmlrs 01 Lla1>II'Y <br /> Shelter a.nen] Uabiljty: P&(~.e I i\ggreplO . <br /> _ PremiselJ &. Operations <br /> Mutual _ !'n)ducWComplet<d <br /> Operations ProvIded? l'rOOuclS/Compl<led Opmtons For; (Des<nbe) <br /> _ Yes __ No <br /> . TIle LimilS t:L Uabitity for any indicaled 13<._al <br /> UabillLy poUey are Ill< limilS .1 the UlIlt lb. poUey is <br /> Issued. The aggregate Umit is. and 0""" limiu may <br />-- - be. It!duced by the amQWU of c1.ai:m paymem.'l. <br /> -. <br /> Shett.r 81PaPmon I Single Limil <br /> Oen....l Oarage Liabllll)' <br /> 81PerAi:cidlllt PO Per AlXidmt <br /> Shelt<:r AUlOOlol,t1e 3S-1-C-4736316-8,6 12.)4-100:5 1,0CfJ,0CQ Singlre limIt <br /> MUIU.1 :;z1U Owned or Lust>:! AUIOS 8lPaPeooD L <br />- Sdleduled Autos .10.16,5 Bl Per .~ PD fu' M\.ii.'ent <br /> Sb<Jte, _ HRd AUl~ <br />- X Qenf'i'4l Non Owned AuUXI <br /> 0__- -- - <br /> Sheller Apartment Owner'~ Per Occumnce <br /> Mut",d Rffit:ll Dwelling l'!r ,~ggregare <br />..- . - .J~., <br /> SheltP.'t' BUSIne53 Pa Occwrcnce <br /> Mutual Per~ <br />---- --- -- l <br /> Sheila Carlo - So:::beduled AutofTrailers I Per Vehicle <br /> MUI""] <br />- - <br /> Shelt", <br />._MutlJal <br /> Sholt", L_. <br />__ Gen<'tO! <br />- <br /> <br />Year Model <br />2lXlS <br />2003 <br />2003 <br />1999 <br /> <br />VEillCLE(S) <br />Tr3dc~ <br />STI'RUNG <br />,11::RUNG <br />MACK <br />MACK <br /> <br />MuIor Suial No. (I.....r 5 DiiJW <br />45A487313 <br />33M72039 <br />3M068219 <br />3M063371 <br /> <br />]99~J:N1ERN itXSW,49571 <br /> <br />1bil; <':"<1111_ of J~ neither affit'toolively nor negldivcly amrnds, altelS 0' cxlmds the Cllv<rtge afloru.d by the jJlllicy. <br /> <br />By :Mt~IivJw <br /> <br />AIlllDl!lod~'" <br /> <br />f)a.. <br /> <br />OIl-29-2005 <br /> <br />M.51.24.M <br />1817 WEST BROADWAY' COLUMBIA, MISSOUIU < 65218-0001< (573) 445.8441 <br />