← Back to Moscow

Document Moscow_doc_71fe75bac8

Jurisdiction Moscow
Document Type Document
Discovered
Original File Download PDF

Full Text

• SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT WISCONSIN A MEMBER OF Tnt SENTRY FAMILY OF INSURANCE COMrANIES CERTIFICATE OF INSURANCE ACCOUNT NUMBER 90-00477 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amendf extend or alter the coverage afforded by the policies below. Name and Address of Certificate Holder CITY OF MOSCOW ATTN: CITY CLERK P 0 BOX 2903 MOSCOW, ID 83843 Name and Address of the Insured PULLMAN TV CABLE CO INC. 205 E 5TH ST MOSCOW, ID 83843 This certificate is issued on 07-16-98 and is effective until 07-16-99. It certifies that policies of insurance listed below have been issued to the insured named above. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertaing the insurance afforded by the policies described herein is subject to all the terms} exclusions, and conditions of such policies. limits shown may have been reduced by paid claims. Coverage Provided GENERAL LIABILITY BODILY INJURY AND PROPERTY DAMAGE COMBINED Policy Number 90-00477-38 OCCURRENCE NOTE: MEDICAL EXPENSE LIMIT IS NOT IN THOUSANDS AUTOMOBILE LIABILITY INCLUDES: BODILY INJURY PROPERTY DAMAGE COMBINED -ANY AUTO -INCLUDING OWNED AND NON-OWNED 90-00477-36 90-0D477-37TX 90-00477-24MA Should any of the above described policies be ca expiration date thereof, the issuing company wil notice to the certificate holder named above. All limits in Thousands GENERAL AGGREGATE PRODUCTS AGGREGATE PERS/ADV INJURY EACH OCCURRENCE FIRE DAMAGE MEDICAL EXPENSE EACH ACCIDENT $ $ $ $ $ $ $ Authorized Representative CEN 90-00477 07-27-98 PAGE 001 BO-Cl035 !101 0\ llllORC 3,000 1 ,000 1 ,000 1 ,000 50 250 1 ,000 98-30 ---PAGE BREAK--- • SENTRY INSURANCE A MUTUAl COMPANY STEVENS POINT WISCONSIN CA PARTICIPA ,G MUTUAl COMPANY> A MEMBER OF THE SENTRY FAMilY OF INSURANCE COMPANIES CERTIFICATE OF INSURANCE ACCOUNT NUMBER 90-00477 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below, WORKERS' COMPENSATION AND EMPlOYER'S liABILITY 90-00477-03 90-00477-31 90-00477-39 Should any of the above described policies be ca expiration date thereof, the issuing company wil notice to the certificate holder named above. STATUTORY EACH ACCIDENT $ EACH DISEASE/ACCIDENT $ EACH DISEASE/POliCY $ Authorized Representative CEN 90-00477 07-27-98 PAGE 002 80-Cl035 #01 500 500 500 •