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123467 07:46:12 a.m. 11-10-2011 3l5�
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<br /> '`�� CERTIFlCATE OF LIABILITY iNSURANCE °";; �„°; ""'
<br /> THi3 CER7IFICATE IS ISSUED AS A MAITER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLbER. THIS
<br /> CERTiFICAiE DOES NOT AFFlRMATyVELY OR NEGATIVELY AMEND, EXTENO OR ALTER TNE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOIN. THIS CERTIFICATE OF IN8UR/WCE DOE8 NOT CONSTITUTE A CONTRACT BEIWEEN THE IS9UING INSURER(S�, AUTHORfZED
<br /> REPRESENTATIVE Ott PROdUCER, AND THE CERTIFICA7E HOLDER.
<br /> IMPORT/WT: If the wAHlcate holder Is sn ADDITIONAL INSURED, the poiieypes) must De endoned. N SUBROGATION IS WM/HD, subj�et to
<br /> M� tstms and conditlont of !h� policy, c�riain polides may roquiro an sndors�ment A stabmerN on tMs ceAMcats dots not confer ri
<br /> phb to the
<br /> osrtlfleab holdsr in Ilw o( such endonem s.
<br /> r�aoucea 610-2T9-855Q
<br /> The Addis Group. inc. � F
<br /> 2500 Rsnaissanoe Blvd. Sts 100 610-�79-8 ,� �:
<br /> Kiny ot Prussla, PA 19408-2772 � ss:
<br /> Gary W. Warron, CPCU, ARM NWSIG-1
<br /> s �FOao�we carenr►ce wuc r
<br /> ��� NW Sign Industries, lnc iNSUaER�:Zurich American Insurance Co. 16535
<br /> 360 Crider Avenue �awees e. Travelers Pro Casual �g�4
<br /> Moorestown, NJ 08057
<br /> wsu�a c :
<br /> INBURER D :
<br /> INSURER E :
<br /> URER F :
<br /> COYERAGES CERTIFICATE NUIiABER: REVI410N NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE lNSUREO NAMEb A80VE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REpUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR �THER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN tS SUBJECT TO ALL THE TERMS,
<br /> EXCWSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> � TYPE OFIN6URANCE
<br /> POUCY NUNBER LIMIT6
<br /> GENERAL IIABIUTY
<br /> EI1CH OCCIlRRENCE S 1,000.00
<br /> A X co��cuw��qn�uneiuTV L08196415 03101H1 03/01112 M� Fq a nen s SOQ,O
<br /> cwMS-wuoe QX occuR �o exr �a�r a+e oana+l s 10.00
<br /> r�HSOwu a nov in�xrar a 1,000.00
<br /> GENERAL AGGIiEGpTE S Z,OOO,OO
<br /> c,�►r�. Acc�care uMrr AaPUES a�: �aooucrs • cotiwroP Acc S 2�000,00
<br /> aoucv X P R 0 ' �q� _
<br /> AUTOMOBILE LIA8ILITY COA�INEO SINGLE 11M17 s �,OOO,OO
<br /> A X e,NVquio BAP6198415 031fl1h1 p3fO1H2 (E'accid�n�
<br /> X AI.LOWNEDAUT0.S
<br /> BoDtt.r �wuRY (ax Peraanl S
<br /> SCHEOULED AUTOS
<br /> BOOILYIWURY(PeraxideM) S
<br /> X HIRED AUTOS ��� ��'� s
<br /> {Pbr ictiOsM)
<br /> X NON-0WNEDAUTOS =
<br /> j( :250 Comp 500 COLLISION s
<br /> UMBRELLA LU8 X��R �cH occu� s 25,000,
<br /> EXCEE8lU18
<br /> B 01UN Ko64o�s66 oarou�� o�ov,s "��`TE s ss,000,00
<br /> oeoucne�
<br /> a
<br /> EM1
<br /> S
<br /> WONIIER6 COMPENBATqN WC STA7U. OTi+
<br /> ANO EMPLOYER3' LIA6ILT' X ,
<br /> A � � CEWMEb6EREX�CLUp E p?�� VE Y �N N1A C8196497 03J01H1 03/01H2 �.�.�,�� a 1,000,00
<br /> �� °a°D1r rn �� E.�. asFwse - en �ore s 1,000.00
<br /> H dasaiba under
<br /> Po �� °��_'"� " °M' el.asEwse.apucvw,rr s 1,000,00
<br /> q P�operty 12776 01l09N1 01101l12 elank�t
<br /> /� onbacWn Eqpbnt 12776 z7,1S8�18
<br /> o1ro1H1 o1ro1H2 uwucc. zs,00
<br /> DESCRIP7qN OF OiERATIONS I LOCATIONS! VEHICLES (Atucn ACORD 101, AdWtlond Ramrks SeAWW�, H mon �c� Is raqulnd)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> COFZEPH
<br /> 8HOULD ANY OF T1iE ABOVE DESCRlBED pOLICIES BE CANCELIED BEFORE
<br /> City of Zepbyrhillg THE EXPIRA71pN DA?E 7NEREOF, NOTICE WiLL BE OELIVERED IN
<br /> 5335 Btl1 Subet, ACCORDANCE WITM THE POLICY pROVISIONS.
<br /> Z�phyrAQls, FL 33'342
<br /> AUTHORIZED REPRE9ENTATNE
<br /> �t� o.."' �,/ • C../ �.,s.,1�
<br /> � 1988-2009 ACORD CORPORATION. All rigf►ts reserved.
<br /> ACORD 23 (2069/09) The ACORD name and logo are registered marks of ACORD
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