Vous êtes sur la page 1sur 1
TROT AgeRIY CERTIFICATE OF LIABILITY INSURANCE farms THIS CERTIFICATE TS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FOLDER. THis CERMIFIGATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE APFORQED EY THE POLICIES SSELOW, THis CERTIMCATE’ OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. on TRPORTANTC- the cenit Rote ea ADDITIONAL TWSURED, thé FOTCWIGE HON Ge ONTORTI_ SUBROGATION S WANED, TIO] the tara and condions ofthe poy, corain pols may rogue an endorsement A sateen on tis crate fob not canter ght tothe | oticate Holder in lu of such endorsements, ' ltr Risk services central, anc. a me ertcago at office een G i : stot kane ce aes 3 eee CP EREE usa Eis = Sa oe aa aR Aas earape CT passa er, pseran cowany United reine 32°9; na Road’ rea” Neuse nsER Ay fare a as ‘COVERAGES ‘CERTIFCATE NUMBER: STOOSS7aDI09 “77 REVISION NUMBER: SS Ts TO CERTEY TERT TIE POUGES OF NURANCE ISTED SeLOW lave DEEN ERED TOUTE REURED NAWED ABOVE FOR TE POUCY PERIOD TROLGATED NOTWMTAS TUNG SA EGUMNENT TEM OR CONSIGN OF Any CoMvaAcToy Ofek DOCUMENT Vit RESPECT 0 WRG TMS SenrPiene an” Be Sued Ok May DMTARE Me REVENGE wrrorbeD BY rie PCUGES GecchipeD NEREWIS SUORCT TOAL We Teas, SEELUSIONS ANS CEOS CF SCH POLICES TARTS SHON RON HA0E BEDN RED EDI PAID CLAD Lin own ares request ke Teor name ener os 4, pouey [lize Luce PRODUETS-COMIOPAGE 5 re a eer 5 yee wy avant A THitcmes —eotmeco io FRY Pe 3 Fischers [lene As) ae i r atl ; rr nary TAN ROR TTPO EROS Tara S folate ells eae oe ro FEAST (| _feremnon es - “ ten we & ae ater 1ret7 ce8 cequvatanc to Si GONGHD cor). Rey beldieg Congmables. Chenlcaly ed tubricans, Toots and equipnents ror Endust?val'sppitcations only braigegiunder thé none of Corian. "al tims are iw 0S Soars > sa CERTIFICATE HOLDER ‘CANCELLATION ee ede nts See Sapa TWe eprati tat Sn Ao Boark Servsoes Central’ Inna (©1986-2014 ACORD CORPORATION. All rights reserved. ‘ACORD 25 (2014/01) ‘The ACORD name and logo are registered marks of ACORD

Vous aimerez peut-être aussi