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OAi15iU0 15:17 FA% 217 8T7 4818 SKS ENGINEERS i1+ CHASTAIN �U9 <br /> � •, ��.y. <�:i�v� '�•�r:..ri�."u'� 113UEOA7EfMWODl��/) ` � <br /> �� ��FIC`A. Et�O�F��CC �ERAG ���'�;;��;- ����' T�'�� = <br /> E ,,��� r � ��'148�::=���, 08111/2000 ;; E <br /> +:+1`�.�etl�., �:y.�_ . . . ,}•;,,,,,���4 k�� �;t>r�. :�N���:�.e ' <br /> �1..�' ri'Ji: nF'�a� '�- 1 <br /> .. -w �. .: TMIS CLR?iI�G��E�IErl�n8 A MATTBi OF!FO(iA►T�OI OKY AND COIiBffi NO AldilE � <br /> CONSOLIDATED CONSTRUCTION SAFETY "°O}11RCQ1K"""�"OL06""�`�'�1EDOBi"°T.�a+°'Q'a°°A�`� ` <br /> n�E�v�nwaEMraAu�OrT►��ca��Teno+v. <br /> FUND Oi ILLINOIS COVERAGE PROVIDED BY <br /> cJo Cannon Cochran Managemenl Services, Inc. ��E A Consolidated Construction Safaty Fund a(Illinois <br /> Towne Centr�e Building <br /> 2 East Main SUeet Pa�RE B L <br /> Danville, IL 61832 f <br /> covEAEc YdeEA CO�� C _ µ <br /> PROvIDER � <br /> r. <br /> SKS ENGINEERS INC I c�� p i <br /> PROVIDER I <br /> I 2900 N MARTIN LUTHER K1NG ' <br /> ''I DECATUR IL 62526 I ��o�„�� E <br /> � . .�- ._.....•r• • r.. <br /> .9� "� .t�•rr.ir0� �•+t,'���^� 'r�l� �b' .:ti � y, 3 � ",r .jn �t��l. ,� .�.. : .:l'Xi .�'�'4��• <br /> ♦ 1 L� :� '�i.�...::�4�,.:� <br /> 1Hs�sTOtTeRnFY7t+ATT1�Ep0.1LIESOFw9llUwcEUST�BQAww�vEBEENI55u�TOTHEMSIJl�DwwID�+BOVEFOaT}EPolIc1�PESiloD•rOR'J►TiD.1oTw�RIS�AWI�+G : <br /> �'FORDED 9�TT�E PO��ip�ES OES��MHtEfl1 S bU�T��7t1E t'ER►r6.E�C1u910 B�D CONdTq1�0 F SUC�AVOlICE9.�LMRS SNOwJ WY 1avE D�R�UCm 9N � <br /> P/1D CWh6. <br /> iW T7PE OF INSYMNGB � POLICr MUYSE]! I DA1E(IMVOOf�) OA7E 11M�OD�) I UMITS 11��Mr�1 <br /> i � • . <br /> �o�+�w►eiun I " I � ce+�.rca�o�,E .+ <br /> I , m.�+e,.�oe,�.�wo►mr � . , re�ooixrseo�a.wce, i� <br /> � uJ�11!WiOE � ocCUR i � '@100�Mla�ov.ruU1M �t <br /> owo�s i ooKrn�c�vrrs r�or. e�omupo� `• <br /> P�A!DMMGE tMli ati sq f . <br /> �, Yg�.E]PD1SE IMqr e�w rM+eN � <br /> MtTOY0�1V!W►Su.ITtl -r.^ CO►�wEDeNaF � ! <br /> UMR � <br /> i rn�uro i , <br /> �� �LL o+Mm�tffOB �OOILY N1JRY I= . . <br /> ��rOw�eA <br /> I I 90lOutlC KJiOa � <br /> �� tiFD/LLlTDB O��rNilRr f . <br /> � NO��OWIED AllT'OB ���' I { <br /> 1 <br /> Gf4C.E WB�tJ�Y . PNO/!R'f�I D�C� I <br />� E]tCE4�LMBILJTV PXJ1 OCCWEMCE _ <br /> F�oCC11(!NC! � - <br /> � t1�tkLI�.fOls/ • �. <br /> � OT1Q�T11�N ti�tld���� �� <br />, , STAMORY UMITS X � <br /> WOl1KER'S�•ONiF?1SA?10N f ay � <br /> All �o POL� 12J3'1/1999 1 Z/30/2000 �'� *: k , <br /> EWS281275401 01°�'v0"�"O"T � , <br /> o.awers w►eiun ose.ae•e.a�o�nv� : '• I I <br /> o� , <br /> �Coverage for accupaCorel injury and disease provided fhrough group sel�insurance Woricers Compensation Trust The IimRs are I <br /> $5,450,000 pet occurence for Employers Liabiiry and Statutory Workers Corrpensation. Excess insurance is provided by , <br /> Zunch-AmericaR I <br /> oeacamon oF o►Ew►now��ocr►t�oNsnrt�naessvEa�rtErs <br /> � St+OULD ANY OF TNE�BONE 06CRI8E0 POUGES BE GNCELLED 860RE TNE FXPFiAT10N <br /> DATETMEREOi.THEISSU{NG CAMPIWYIN4L ENDEAvOa 70 M/VL �0 0�►�5�1TTENNOl10E I <br /> � ' TO T}�E CERTIFICATE NOlOER NMr�TO T?�E LEfT.BUT FAILUfZETO MAL SUCN NOTCE 9M�L� <br /> 111AP�3E NOOBUGAl10N OR L4�BIUTY OFANY IaNO UPON THE CAMPA►rY,RSIrGEN1S OR �- <br /> REpRESENTATNES. f <br /> . � <br /> wuTnOFm�D s�6Nw1uAE , . <br /> ���. �n <br /> � <br /> � <br /> f <br />