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2903 PACIFIC AVE 2016-01-01 MF Import
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2903 PACIFIC AVE 2016-01-01 MF Import
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Last modified
2/25/2017 7:28:21 AM
Creation date
2/25/2017 7:27:46 AM
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Address Document
Street Name
PACIFIC AVE
Street Number
2903
Imported From Microfiche
Yes
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�R � ST. PAUL FIRE AND MARINE INSURANCE COMPANY <br /> ����ii� ❑ ST. PAUL MFRCURY INSURANCE COMPANY <br /> Ihn:n�i,Al.n.l.q ❑ — <br /> CERTIFICATE OF INSURANCE <br /> Tltis is to rcrtity that thc :ollowing policics,sub;cct to thc tcrms.conditions ;�nd c�rlusions h;nc bcen issued <br /> by this Cump:iny. <br /> Tl�c Company �eill mail to thc parly to ��•liom this Ccr�ificatc is issucd a rccord of any matcrial clianec m or <br /> canccllation o(said policy or policies but takrs no rcsponsibility for foilurr to do so. <br /> NAME AND ADDFiE55 OF PARTV 70 WHOM CERTIFICATE IS ISSUEO: <br /> • Inspection Department • <br /> . 3002 Wetmore Applicable to all <br /> Everett, Washington 96201 Elsters Jobs <br /> • -- —_-- _ — -- — <br /> NAME AND ADDRESS OF INSUREO <br /> E13tere Inc. <br /> 915 North Citn�c Avernie <br /> Ro]]ywood, CaliSornia 9��3s <br /> YPE OF <br /> INSURANCE B� DATE LIMITS OF LIABILITV � <br /> POLICY NO. � _ <br /> WORKMEIV'S EFPECTIVE EXPIRATION <br /> COMPENSATION STATUTORV— In conlormance wnh the Compensation Law ot the State of: <br /> 79oNA13o7 2/i/78 2 1 79 <br /> PUBLIC BODII.V INJURV PROPERTV DAMAGE Lunii�0 Itl&P�e <br /> LIABILITV <br /> Each Occurrence Aggrrgate Each Occurrence Aggre9ate <br /> 690NA1902 2/i/78 2 1/79 $5� C00. .$500,000. GO OJo. �7J,C0�7. _ <br /> AUTOMOBILE Eor.h Person Eech Occurrence Each Ocwnence <br /> LIA�IL�TY <br /> 090.TA2851 2�1�78 2 1�79 �5'JO 000. d'1 000 000. ''OJ 000. <br /> UMO(7ELLA $ Each Occurrence and Annual Aggregate(where applicablel. <br /> LIABILITY <br /> Ezcess of Primary Insurance or a S Rewined Limit. <br /> REMARKS: <br /> This CL'Rl'IPIGiTB OP INSURAtiCI', ncilhcr affinnativcly nor negati��ely amcnds, extcnds or allcrs the <br /> coverage affordeel by tlicse politics. <br /> � <br /> uated�/1/78 ev� — <br /> 74842 COI Rrv,3�76 Rlnrcd in U.S�. <br />
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