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<br />--- <br /> <br />"-- <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />'r <br />I <br />I <br /> <br />Jul-29-02 14:14 MAGEE SIGN SVC INC. <br />. .u / ~ ~;)~.U~ un.' UO:~::lU t"AA <br /> <br />941-722-6020 <br /> <br />P.06 <br />I,h~i <br /> <br />- <br />... <br />BRIDGEFIELD <br /> <br />ce,rlflc.re of /nsura"c. <br /> <br />EMI'LOYERS INSURANCE <br /> <br />COMP~ 1-1 () [}flfC/J <br />I }'J:; V /LA /0 CJc- <br /> <br />Rf; OB)O;;.~50 <br />ISSUEO TO: . <br />CitV-~ Zcphyrt!flls <br />5335 8th Street <br />ZeP"vrntlts, ft n54i- <br /> <br />ThiS i~ to certify that Magee Sign Service. Inc. 1604 18th Ave. Dr!Y_~ EltstPtt..mJ:.Uo. I'L 342!l Mlng ~"bitct <br />to the .provision5"otthe-Ftonde-Workers' Co~ .Ac:t, secured-the-peyrnent of.itftywortEef'S'. <br />compensation benefits due bV insuring their riSk with the 8ridvefield Employers In5ur.n~ Compllny. <br /> <br />POUCYNUM8ER: . <br />UFEcrIVfOAl'!~ <br /> <br />OB3<r-290S0 <br /> <br />StatutoryUmlts"..SbIte"" of-~eta <br />Emplove~ Liability <br />$-100,900- ~ (Ead\kddetlt) <br />$100,000 (Olsease.e.ch Employee) <br />$500.000 (Disease-POliCY limit) <br /> <br />April.i5; 2002 <br /> <br />EXPIRATION OATE: <br /> <br />April 15. 2003 <br /> <br />RE~RKS: <br /> <br />Thi'sce~ic&ltl!-i5- nota-poticyand-Ofltself don.~ afford-.ny-iMttntncle;- Nothing conl".ined in this-. <br />certific;ate 5nall be construed as exteftdlng cover~e not afforded by the poliCy Shown above or affording <br />inSurance- to. anY-Insured.. not~naml!d abmle... <br />Ti\1!! polley of In-:urance listed above hIS been issued to the namec:J insur@lt tor the oollcy Pf!IIOd Indic.ated. <br />NotwitMfandi"9 any requirement, term Qr condklon of any contract or other dOcum.nt to whIch thIS certificate <br />may pertain, the j"'5UriJnCe made Ivau.ble by [hI!! d~ritiecf in ttrl5 ~ is subJect t6 on.y the tetms;- <br />elCclusions .net conditions Of ~h policy. Paid claims may tle"e reduced the shown limits. <br />If th..Pufky-deSCribed--iWove-.s-(;.~~ the-expiratIoA-d8te-lndic.ilted..thc Is_uing c;Ompany~will <br />attempt to mail 30 days' wntten notice to ~e cel'tttic:.te "OIGer N1med above. Howev~r, the iatulng companv, <br />it$.agents or repu!sent~accept...IUU)bUgationor Jiabllltyof my. kind for ~to.mail web nabce. <br /> <br />0._ 07/25/2002 <br /> <br />-~~ <br />. .- <br /> <br />-=- <br /> <br />, <br /> <br />.\y/ltor.",d str.J'lt....o; <br /> <br />.... "'.#oH-{t" ~t""'+('E+ .........~~-w.M_~"O..~\n T'''(..,..llotC <br />