Laserfiche WebLink
ACOR1.). CERTIF1GA1 E OF I J11ABILITY' INSURANCE <br />ONLY AND CONFERS NO RKWTS UIKM THE CERVIRCATE <br />ROIDEM THM CEFrr1F1CXW'E DOES NOT AMEND, EXTEND C41 <br />THE coverzAGEAF-FORDE-0 SY THE P0GLUES fIELOW, <br />��.',fORTXNGCOVERAGE NAWC # <br />. . ................. <br />DOOMED L, <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MR.WN Ri 41WbUt IWI-LlAtlt,11% <br />POLICIES AGGREGATE LIMITS SHOVVN MAY KANE BEEN REDUCED BY PAID CLAWS <br />ive r, C <br />Few', N-1 <br />U114IN6 <br />toc <br />11 l <br />VkVrt N'TION <br />WoWtlm PAS 4111KO, <br />InstallatIon Floater <br />:Builder's Risk (K applicable) <br />Owner's name <br />Project name <br />Project number <br />CERTIFICATE HOLDER <br />Engineet's Name <br />i6dk& 25 (2001j . —­ --- 1111— <br />Certificate of Insurance Example <br />15 <br />E= <br />SHOULDANY OF TKA&M 099CMWO POLXX9 I&ECANCILL10 WFORE THE tOWADON <br />DATE TWPtWOF. DW SIUW N&URN VALL ENDEAVOR TO MAL —22— DAY11 WRITWH <br />NOT= To THE CgRtWoCAyt HOLDER K%MW rO TK !.[FT, Kn VAKAW TO 00 $0 SHALL <br />"VK Mr, OWUnW OR LEWHUTV OF ANY KOO UPON THE WKWA 41% AOEM OR <br />Pa <br />E= <br />SHOULDANY OF TKA&M 099CMWO POLXX9 I&ECANCILL10 WFORE THE tOWADON <br />DATE TWPtWOF. DW SIUW N&URN VALL ENDEAVOR TO MAL —22— DAY11 WRITWH <br />NOT= To THE CgRtWoCAyt HOLDER K%MW rO TK !.[FT, Kn VAKAW TO 00 $0 SHALL <br />"VK Mr, OWUnW OR LEWHUTV OF ANY KOO UPON THE WKWA 41% AOEM OR <br />