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AEo8-o GERTiFIGA1'E OF LIABILITY INSURA►NGE OPID .i <br />DATE(17/DDIYYM <br />TSLST-1 <br />05 09 08 <br />PROOUCER <br />THIS CERTIFICATE IS tSSUEO AS A AAATTER OF INFORMATION <br />Robertson Ryan 6 Assoc Ine. <br />ONLY AND CONFERS NO RiGHTS UPON THE CERT7FlCATE <br />Two Plaza East, Suite 650 <br />HOLDER. THM CERTIFICATE DOES NOTAMENO, EXTEND OR <br />330 East Kilbourn Avenue <br />AITER THE COVERAGE AFFORDEO BY THE POUCIES BELOW. <br />Milwaukee WT 53202 <br />Phone : 414-271--3575 Fax: 414-271-0196 <br />- <br />INSURERS AFFORDING COVERAGE . NAIC & <br /> <br />INSURED <br />- _ _ _ - <br />INSURERk Employers ZII3 Of WdllBdll . <br />INSUcrtR B. <br />SL 3taff Leasing Inc <br /> <br /> <br /> <br />iNSUrtER C. <br />i <br />P Q Sox 1648 <br />Rockwall TX 75087 <br />_ <br />iusuae.o- <br />~ INSURER E I <br />l.V YCRNl1CJ <br />TkE POUCIES OF INSUR4NCE lJSTED BEILWV HAVE BEEr, ISSUED TO TNE INSUREO NAIUED ABOVE FOR THE FDUCY P[Rt00INDICATED. N07WITHSTANDING <br />fNY REQUIREMENT, TERM CR CONDI710N OF MfY CONTFIAC i pR OTF1ErZ DCCUMENT LV1TH RESPECT TO WNICN TH!S CERTIFICATE LtAY ISSUED Or2 <br />WAY PERT.an, TMt iustlRAyGe A?=ORDEO 8'r niE POUElES OcSCR13ED HEREIN IS SU6Jc'C7' TU ru.l THE TRMS, EXCLUSi7NS ,iNO MN[:RlilhS OF SUCH <br />?~7UCIES. ACt RtG4i IIMITS SHC'NN M.:Y HAVE BEEN f'[CtUC^ED BY AAfD ClA1M5. <br />1fl5R"MUL - - - <br />I <br />POUCY NUMBER <br />lTR iN5R0 TYPE QF IR(S1IRANCE <br />pOIIC'P~~€~l1VE POL]CYEXPI~A71Ot <br />DATE (A1NUD0 I DATE ltMRS <br />I <br />GENERALIJaBWTY ; <br />. ERCHCUGURRENCE <br />5 <br />! CQUMFRCIAI GFNERAI. UABIIIIY <br />~ <br />UPMAIII: I u RENITED <br />~ PREMISES (fa ocwrence) <br />- - - . <br />5 <br />i GlA1MS A',ADE i O(1CUR <br />~ <br />^MED EXP (MY one pemon) <br />I <br />: S ' <br />PERSONAL E ACN INJURY <br />+ 5 <br />; <br /> <br />_ . <br />I <br />- ~ <br />GfiNERA.LAGGRE <br />~4 <br />c <br />S <br />~ GEN'L AGCREI'»lTt LlAtri AP~ 5 PeR: ; <br />. <br /> <br />. <br />_ <br />PRdOUGTS - COMFIOP A~;G <br /> <br />S <br />~?CRICV ~ JECf I I lC'C ~ <br />' <br />. <br />~AUT <br />OMOIMI-E `IAMm <br />I <br />COM81NE0 SINGI.E L!AliT <br />5 <br />. I <br />M'Y AUTO <br />(Ea acddett) <br />~ <br />t <br />ALL OWNED nUTp$ <br />. <br />. <br />- <br /> <br />- <br />HODILY INJLJRY <br />S <br />SCHEOULEOAUTOS <br />(Perperson) <br />~ <br />HIREDaU7v: <br />~ <br /> <br /> <br />@UDIlY1NJUFY <br />~ S <br />NC)N-0WNEDAUTCIS <br />(Feracodent) <br />i <br /> <br />[IrRll-=R TY D Pfd43F. <br />5 <br />er acddent) <br />~ GARAGE W1BIl.fiY <br />~ <br />AUTOONLY-EAAt;CIDEYT <br />5 <br />( <br />~ ANY AUTO <br />-a <br /> <br />EA ACC ' S <br />. OT11ER THAN <br />AIIEQ MY: AGG <br />5 <br />EXCESS/UNIBRFIIAUA&ILITY ~ <br />- ! <br />ERCN.'k,'CURRENCE <br />- <br />5 <br />I'4l.'C:l!R GLAIAiS MALE ~ <br />( <br />_ <br />AGGREGATE <br /> <br />5, <br /> <br />i <br />S <br />I De6UGT19LE <br />I <br />~ • <br />I <br />~ <br />5 <br />ReTENT10N <br />I S <br />~ <br />. <br />5 - <br />. . <br />WDRKERS COMPENSAiION AND <br />ONF*LOYEftS'IJA9LLtTY <br />x:TO~Y UMITS ER <br />A <br />WAC:49D437085088 <br />FW PFOPRI=70R+FARTNEW_XECUTIVC ~ <br />~ 05/13/08 016f01/09 <br />EI.EaCHAC)CiOErrr <br />- <br /> <br />31000000 <br /> <br />OFfICrRNLMBERFXCUh1ED? I <br />dnarn'x uMer <br />@ yes <br />E.LDISCJut - rA EMPLOYEE <br />_ <br />S ZOOQOOO <br />, <br />SPECI.4L=ROVISt~t~SbU~x <br />£LDISFASE - POUCILIIAtT <br />S 1QQOOQQ <br />OTHER <br />i <br />i <br />~ <br />I <br />OESCRIPTION OP OPERAT►ONS t LOCATIONS I V@iiCLES! EX CLUSIONS ADDED BV ENDORSpHEWT I SPEqAL PRONSIONS <br />Re: Intercan Cantruction Co_, Inc. <br />%.eec i irwA i e nvwtrc CAMGELLATION <br />. . x,i{COTtn`I, <br />SHOULD ANY OF 7HE ABOYE DESCRIBffi i'OUCIES BE CANCEI Lcn 6EFUFE TTiE EXPIRA770N <br />/i <br />s <br />pATE lfiFJtEOF, THE ISSUING WSURERNIU1ETlDEAYOR TO IV6A1L 30 pAYS LHRI7TEN <br />~ <br />t <br />NOTICE TQ THE CERTIFICATE HOLOER NAMED TO THE IEFi, HUT FAILLIRE TO 00 SO SHALL <br />C a Py <br />IMPOSE ND Q6UGAT1014 OR LIABILITY OF ANY K1ND UPON THE IkSURER, RS AGENTS OR <br />aeaaESENTatrvFS. <br />U ACORD CORPQRAT[QN 1988 <br />a OOO1V1 <br />