|
. - `� ;'�i,�.�m_-,- , -_
<br /> .-,� _. _� _ ' _ _,. �, �s. ;��;�.,;��;.,.;-�.,_tt�°:�:�...�.,.
<br /> ,� .:� 4MIS:�Ur. :��,?C ;n:ti.�,':�;J,.,. ,
<br /> ��t�'� �-• � ; � � �` ` 12/18/8 4
<br /> r>Noouc[_F , ---
<br /> � TH1E'.GEF;TI�IGE�.TE �: lSSUGC k;'E. 11hk,TTER O�IN�-i?f�1V��•:71UR�NL1`ANC ;'ONcER4
<br /> � NC�R�GHTS JPON THE C=RTIF�CFiTE HOLDER.THIS i:ERTIFlCF,TE pOE:;NO' NMENG,
<br /> E�TENU OF,ALTEF� TH� .^.OVERAGE F�FFORDEC}BY THE Pc?LIC;IES B'cL0�4'.
<br /> Alexander � Alexander of NY, Inc . �ary���,�0�c� ,,ciFFf?�ialhlCi C��EE���;E
<br /> One Huntington Quadrangle ______________ _________ __ _ ___
<br /> Melville, New York 11747 ;coMPP,r�� �
<br /> �EnEF� Home Indemnit�nsurance Co.
<br /> ------- ---- – –
<br /> - ---
<br /> — --- ------ I COMPAN`r �.
<br /> INSURCD ----------' LETTEP,
<br /> � COMPANY �
<br /> � LETTEF
<br /> UACC Midwes t, Inc. COMPAN�' �
<br /> 14 3 0 Bal1 town Road � �ETTER
<br /> Schenectad New York 12309 �— --v _ '
<br /> Y r j COMPANY �
<br /> LETTER
<br /> r;y�r ir-7r.rc.�Ifi•ryt= dns�^���f}P IhSllRllA�``C c oC'�'F�'�[{CI ntX/�/�VF[�tGFAi(CSIlFt'+T,r�THG IR�S�IRcr�NhMC€-, AB.`I\i:Ftl�T6-!r P!'s'..Ir4'Ac�li�i't IM`7t.^.1_TGf;
<br /> tdil�1�d37FiS i HtdDft+it� X.it�° R�:�:1iA=h5cPJ;'.';c�iA-JF<:rJPdD;`s EJf��±= L�hlt`C.'�i��t°RT�..'. UF::.�I-I�F U�3.,aJNR�PS:'iK�Ttt fd�Sn_.': 7 C' N�HI;�F. ,Nla� ::e6"n i'IP9ut.l'C n/ic,�
<br /> B� 1$;iUc��f7K.�NNR�"PvR i qfR '?N�iNSUFiRN:;E ti�f=t7FiUEL��:'1 N� t��LtCI"e: U�St:FllBci�H�Fi_ir, t;:�Usi,P��`� '�C;k:.L."i FEt �i cRWI;., thi;:.43SIJhC.�..HiVi�:;iJNi3•-
<br /> TIOhld OF SUCH oqLIi,IFS.
<br /> ' ! i �'0_i;"Er'FECTIV_ i POLiP'FX�IRAliON � LIfiBILITl" LIMIT" !k TH7USANp�
<br /> �CO' -r��pc �` IIdS�RANGE P'J!J�Y NUM�EF{ r ��� r,_ � m G �
<br /> , . r���- �r�i'�^.D�r � L:,r: ,M'OD.:, :. :� � _N.�.r
<br /> �• i , ; ._.' . , G.: . .-.;-._. � ' huur'iECuATE
<br /> �TF'i � i ( .,..� - �-i O�CUAREN^e '
<br /> � --- ---� t --'�—`---� � --- � ti—�--=—'r---
<br /> (�GENEFiA� LIHBILi.T`. - -I- ------� ----------- � BODI;_1 i c� i�
<br /> �A i� i i:nMPr��Htr!;iv� Fnar� i GL994259 11/30/84 �8/31/85 i"''""' i '''1, 000 ;' 1 , 000
<br /> ifX; PREMISESIOPERRTIONS � I ! rPROP��Tv
<br /> �---------j--------
<br /> �� UNDERGROUNC ' �AMa�E ' � 1 O O ' �� 1 O O
<br /> �.__� EXPLOSIO�' G COLLAPS� H/.Zl�R(' � t � �
<br /> �x PkODU�I S/COMPLETEL'�OFtR1�.TI0N5 j � ! I �
<br /> ; � j BIkPD �
<br /> �X � CONTRAi,lUii:- i � iCOMHW'tD i S% I 4
<br /> X i WOFPtNDEN-COtJTRACTOR; i � � i
<br /> i � --�--
<br /> X j PROAD FORP,+ PROPeRTI DAh1AGf � ! ; � i
<br /> �X ' PERSONA_ If�JUR` ; � � j PERSJNAL IPJJi)Fll" ; S;1 ���
<br /> t� i � � '
<br /> .;..__._....�..��,�_.____,_-_,__.,.a.�..._.�_.-.�_.__.a.,.�.._-_�.._._._.�.---_._. �._.._-_-�.
<br /> i hUT�M087LE LIABILIT!' - i BODI�v ;
<br /> t— i ir,�uR�, g
<br /> A ;X ; a��� ti�.�1�� BA991442 11/30/84 �8/31/85 i!������h����� I l, 000
<br /> /,'_! 04'v'NFL NLTQ: (PRI'. PP,�S� � ' Gr�. -- - �....
<br /> i �ir;�ud: ��:
<br /> i^; F��L OVJNED AUTO� f vRi1'�P4SSt�' � � �(P�t;lwCIDEM1�'i� `�1 ���
<br /> �---' I t-----*—L--- r. `,:-' �
<br /> iX ' HIRED AUTO� I ' PHOPEr�rri �n 's:;�
<br /> ix ' � � I UAMAG� V� �,�:,'�
<br /> �; Nor�-owN�n tiuTo� j ; � � 10 0
<br /> I � anRae= �i�,�iur � � i 'e�� Pr, I �.;�;`-
<br /> �'� � � COMBINED j� "
<br /> ' i
<br /> ' EXi.ESS LIABI!iT}' � �
<br /> ~ UMBRELLt; FORN I I i connatNED � � �
<br /> �{ � I , I
<br /> I OTHEfi THAh� UMBRELLf� FOFlh4 � i
<br /> � STATUIOR`i �' �..`:.�,'. :.F... .. ��.�,"
<br /> -.,t:�a^s.:.
<br /> WnRKcRS' COMpENSP.TION I ,�;�
<br /> A + I WCP999100 ],1/30/£i4 8/31/85 :�:;;, �g; ��----�Eachacci�Er�T�
<br /> i �r�c � ��o�.��- ---------
<br /> � GWSFLUYt1iS LIHBILII� i ��-,�?;.�,a���i�� (DISEASF-PO�ICY LIMITI
<br /> i .`�`��„��y�,1 O O (DISEASE-f.A�H EMPLOYEF�
<br /> �.��., ' � I
<br /> DESCRIPTION OF OPERATIONS/LOCRTIONSNEHICLES/SPECIAL ITEME
<br /> �:R»: 'iR:,- �E=� �'_," O;:i ' f'i
<br /> C 1 ty o f D e c atur SHUU�G APv'�' QF THE kEt�VE PES^RlBEG P'J�IG1E:' BE G.�,N�E�LEC+ BE��Rr TME EY,-
<br /> Decatur IL PIR&.T!nN UF:TE THcRcOf r�lE ISSUIhC: CC��l9F&NY Vt`iLL FNE�E<vC�F TCs
<br /> f N9AIL6�___ U<.!'� 1!JFi!'Tch WC�TI.�E 1'G T.H�i.cRTlFI:G:TE FiiP�F3vF tJtaMiED€f..'TFlE
<br /> L.EF?.BUT F!-,i!.UR�F�>fWRI`_ SiiCh:NnTiC�SHteL.!_iM�`tTSE NC��LIS;�S'1;3P�OF'LI�Blt.tTY
<br /> Or'kN;S` ttINC; J�'QF' ?ME C�14q•�.4f��". I3Tfi�GEtd?.fi.,/.:SF FEEPFiFSE[+tTG:T€NEB.
<br /> f4L�i NiJf'iIZEG r�CF!-IC;CI��'!1'1 I\'[' , j �
<br /> ` _ n .,.,.,-i��_' ...-- '
<br /> ;R.vF�`Y'R-�.���`-',' �=''�C� "`��"'-- :.�.''.-�'�' '1'�.�a "��F# _ .� - - - _ -z"'ffi*'+r-y� ��x'�'r.y^.v.='.s:e�z-.Rt'.
<br /> _1°':t a�1� -y,i'q;�..�«:�.L:.��.aW���: .�'S'- - .�����`�.ax'e.a.: _ - 't�? ,F l'�'.;� � t'z'i.i.ti:'...:,,�,�..t.���..,-;.�:1
<br />
|