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��I�I�Ciir�!l�.i 1J:J.�."i �Fj.��l`�J���1I, <br /> LOP.EN'Ef�l �TEFFEN INS PAGE �1 <br /> ACCyRD, CERTIFIC�TE t�� LIABII�ITY INSURAN�E �sR. K� DAT�(MMIODtYYYY) <br /> A5HT0-1 09 OB 03 <br /> PRObUCER THIS CERT�FtCATE IS 133UED AS A MATTER OF INF�RMATION <br /> T,o�enzen-5teffen Ineua�ance ONLYAND CONF�RS NO RICiHT9 Uf'ON THE CERTIFICATE <br /> kg��icy 2nc. HOLQER.TH13 CERTIFICATE DOES N07 AMEND,EXTEND OR <br /> 621. L• Kim}�er1y Rd. - �pr. 271d ALTER THE�OVERAGE AFFORDEb 9Y THE POI,�CtEB BELOW. <br /> Daveaporh 2Ts 528Q� <br /> Phone: 569-3 91-4 3 8 8 IFI3UREi2S AFFORDWG CaVERA[3E NAIC# <br /> INSURED (13SURERA: IIM.P Inauxance Compan 14257 <br /> INgURERo: �.'AYI,OR INSVI2ANCE SERVxCES <br /> A3HTDD7 EAtGINFERZNC� 'LIQC _— -� <br /> bne River P1aca iNBUkERc: <br /> 122 S E. R3.ver prive Sui te 310 INBUaER O: ~ <br /> DAVENPORT IA 52803 <br /> INSUREREi..�. � .. ..,... . .. . . <br /> COVERAGES ; � �, <br /> THE P�LICIEB OF IIdSURANC6 L13TED 6ELUW HAVE BEEN IS5UE0 Tq TWE IN3URED NAMEp ABOVE FOR THE'PULI�:Y PERIO�INDIGATEP.NOTWITH9TAIJUINIa <br /> {�tJY F2E�JUIREMEMT�TERM OR CrJMDITION UF ANY CONTRACT pR OTIi[R DOGUMENT WI�'hl R[SPEC7 TO WH�CW T1113 CERTIFIGATE MAY BE I35UED Ok <br /> MA•Y PEP,TAIN,TNE INSURANCE AFFO�DED BY TNE POLIG�ES DESCRIRE�NEREIN IS SUBJECT TO Al.�Th�E TERMS,EXCLUSIONs AND Cd�NDITIQNS OF SUCH <br /> FU�_IC,IES.A6GRECaATf LIMITS SHOWY MAY HAVE BEEN REDUCED B`(PAID CLAIM9. . <br /> LTR N9ft TYPE bF IN6URANCE POLIGY N11M9�R DATE MM/DDm DATB MMIDD �_ I.IM�Tg <br /> GENERALL1pBILITY EACFIOCCURREI�ICE $ S OOO�OOQ <br /> ,A }[ COMMERCIALGENffRALLIA61lIN j�CP0�T�271. 09�0�.�03 09/0�./44 PREMISES6.FocturA�C9} $�Q����� <br /> CLAIM&MADE � OGCIlR p,fED EXF(My Of)g pgr:nn) S 5���0 � <br /> — PERsaNn��A�V INdUFv S 1,p 0 0 00 0 <br /> OENERAL qGGRP�',ATE $,a,0 0 0,p 0 0 <br /> GEIJ'LACiOREGATELIMITApFI.i�^aP[R: � �� PRODUCTB-COMPlOPAGG $]. OOO�OOO � <br /> POLICY P�� <br /> JECT LOC <br /> AUTOMoe1tE LIAeILITY <br /> COMBIN�D SINGI.f:L1MIT g x OOO <br /> A �+m'nuTO ACPOJ'�271 09/01/03 09/Ol/04 «Qaecl�Yenq � �O�Q <br /> ALL OWPlED AUTO$ -` <br /> 6oDILY INJURY g <br /> X 9CH��ULED AUT03 (Per per9on) <br /> X NIRED AUT4S <br /> X NOlJ•OWNEUAIITOS BOAILY{NJUP.Y S <br /> (Pe�Bcr,id�n�) <br /> PROPGftYY UAMAGE S . <br /> �(Peracd0ent) <br /> GARAGE LIABI�ITY Al�TO QNIY-Eq pCCIDEIJT 5 <br /> APIY AU70 <br /> pTWER THAN EA ACC $ <br /> AUTO ONLv: q�G S <br /> ElCCE35fUMeRPLLA LIABILtTY EACH OCCURR6NCE S Q�OOO,OOO <br /> � OCCUR �CLAIMSMAD� ACP0�7'027X 09/01/03 09/O1/04 AOORECATE g � <br /> S _� <br /> DFDUCTI9LE <br /> S <br /> RETENTION S $ <br /> WORKERS COMVEN9AT10N AND <br /> �MPLOVERS'LIABlL17Y TORY LIMIT8 ER� � <br /> �'' AP7YPRCIPRIETC7FJPARTNERIEXECUTn/E ACPOJ0271 09/O1/03 09�01�09: E.!„EACHACCIUEIJT SSOO�OOQ � <br /> GFFICER/MEMf3Eff�XCLUDED4 <br /> If yeB,deschhavndu E.L.013�A6E-�A[MP�OYEE $�OO a�0 <br /> SPECIALf'ROVIStfjNSbElow �,L.DISEASE-pOLICY4IMIT SSO� QOO <br /> OTH�R <br /> 8 61X171 O1/02/03 O1/09/04 �&O 1,OOQ,000 <br /> 5000.ded � <br /> p�$CRIPTION OF OP�RATION$/LOCA710NS J VEHfCLE9 f EXCLUSIRNS ADDED BY ENOORSEMENT/9PECiAL PROVISION3 <br /> C�R.T[�ICATE HOl.�ER CANCELI..ATIaN <br /> ALEXA�2 gWOUl.O ANV OF THE ABOVE DE$CRI6ED POLICIES 9E CANCELI.�P BEFORE 7HE EXPIRATION <br /> DATE TI1ER@OF,THE ISSUING IN9URER WILL ENQ@AVOR TO MAIL �O DAYS WRITTEN <br /> Itai th A�.exander NOTICE 70 TN�CERTIFICATE H4L��R NAME�TO TF1E LEFT,BU7 FpILi1RE TO DO S08FiALL <br /> City O� Dacatur <br /> 1 aary 1C. Anderson P1 aza �MP�g�N�OBLIGATION OR LIABIUTY Of ANY KIND UPON 7HE INSURER,ITS AGENT3 OR <br /> Decatur IT� 62523 REPR�SENTATNE3. <br /> ALITHORIZED ftEPRESENTpTIVE <br /> Mark A. st�fPen <br /> ACORp 25(2001/08) C�ACOR�C�RPO .ON�88 <br />