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rm: l.UIII I I IUIkI.o \ I LUUUUL,.,.,>.rt f ACORO. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJOOIYY) 04/COJ02 PRODUCER 1-41C-248-4711 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Br.ttton-Gallaqher & Assoc.tates, I::1c. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 6240 SOM Center Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Solon, OH 44139 i INSURERS AFFORDING COVERAGE Eric Treend INSURED iNSURER A Granite State Ins'.nance Co. Entertainment Fi re'W'Ocit PER , POLICY i jFf-f X LOC A ! AUTOMOBILt': LIABIL!lY ANY AUTO _ _j All OWNED AUTOS . SCHEDULED AUTOS HIRtD AU!OS - NON-OWNED AUTOS JRAGE LIABILITY ANY AUTO ! EXCESS LIABILITY _j OCCUR D CLAiMS MADE DEDUCOIBLE I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER !4019142 CA938313I:J I 12/15/01 12/15101 - - - Cl/15/03 Cl/15/·::3 - - - ) - - - - - , EACH OCCURRENCE r · F!8E DAMAGE MEO EXP {Any on& pa(SOn\ PE:RSONAL S. ADV INJURY GENERAL AGGREGATE' PRODUCTS· COMP10P AGG i COMBINED SINGLE LIMIT ! (Ea ao:;td$lll) 600 LY INJURY {Per pe,;=J BOO L v INJURY (Per 3CCid9nl\ I PROPERTY DAMAGE , (Per accrdenll i AUTO ONLy. EA ACCIDENT i OTHFR THAN EAACC j AUTO ONLY. -?.Jl:fH__9_@AyRRf_BCD . . - AGGREGATE AGG - 5:)000 I $ l:JOOOO:: $ 2000002 $ 2:100002 $ uoooo:: ' ' ' ' I I - - - - I I ' TWc srATLix- ' y ' ' I iOH;- E.L EACH ACCIO€NT ' I E.L DiSEASE- EA EMPLOYEE $ I, . I - - ' i DESCRIPTION OF OPtRA'I!ONSILOCATIONSIVEHICLESitXCLUS!ONS ADDED BY t:NUOI'tSEMENl/SPECIA.L PROVISIONS Date of D1,:;pJav· Ju1v 4, Addl Insureds:: City of ernplovees when act1-nq l.n CERTIFICATE HOLDER YlOSCO'!l, CitV of ACORD 25v5 (7/97) ENT4CB26 G l S441 ?C 02 ¼o:::at.1.o;; · Gt:v t½ic:.ts Moscow, Moscow Fire ;)ept t.t,etr offic:Lal capac .tty as ! AOOITIONAliNSUR£0. INSURER LETIER.: APR 08 2002 10:34 Field V Un.1vers1 tv of !daC1o Guy Wicks Field, University of Idaho, the:1r officers, aqents, ar:d SUCh CANCELLATION !sHOULD ANY OF THE ABOVE DESCRIBED POUCtES BE CANCELLED BEFORE THE EXPIRATION jDATE THEREOF, THE ISSUING INSURER WILl ENDEAVOR TO MAIL 30 DAYS WRITTEN I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT fAilURE TO 00 SO SHALL iiMPOSf NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER ITS AGENTS OR IRt:PRESENTATIVES. i AUTHORIZEO REPRESENTATIVE i @ACORD CORPORATION 1988 DAGE.02 i I J ---PAGE BREAK--- Fm: ConfirmNet (12088813494) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain po!lcies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s}. DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate ho!der, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25·5 (7197) APR 08 2002 10:35 PAGE.03