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,LINDE INSURANCE 3603365787 03/02 '07 13:05 N0.969 01/03 1 0 <br /> ACORD CERTIFICATE OF F LIABILITY INSURANCEOlio noa roONI <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Linde Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P,O. ..0)c A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND_OR <br /> AL`ltik 1 Ht CDVC RAGE Al iORI)ED EIY 'THE POLICIES .ELOW. <br /> Mt Ve on WA 982 73- <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Ma Hitchcock OBA� .INa;F'tERA:MUTUAL OF ENUMCLAW INSURANCE_CO <br /> Fai -ether Forestry INSURER 3: _--- _ <br /> 9621 San-fish island Rd INEIJRfiRc: <br /> B. WA 98232 1Ns)ICERo- <br /> I IN9URERE <br /> COVERAGES <br /> THE POLICIES O-INSURANCE LISTED I3FJt)W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE_FOR THE POLICY PERIOD INDICATE().NOTWITHSTANDING <br /> ANY REQUIREME T,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,I E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S JB.)FCT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGR;GATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 'IUGR F 10T POLICY EFFECTIVE {OLICT EAPIRAT ON '�^ <br /> LTR IV6IBtt Of INSuRnpC,f POLICY NVMEER O I E1LLAll1Tp/YYI. DATE(V. /D00YtLIMITS <br /> GENERAL ABILITY EACWOCCLIRRFNCI= $ 1,1100,000 <br /> X CO •RalAL GFSI[RALL(AR11.11Y DAMAGt TOt RENTED <br /> 1_11.TIv10.IFe_pccv/•0..)_, S .00,000 <br /> A I IMS MADE 1 X OCCUR MED EXP IA gone peleon) _$ 10,000 <br /> NC19701 04/18/2007 04118/2008 ttR olv 1.is,AiivINJURY $ exclUooa <br /> _ GENE-I /AGGR UATC A 2.000,000 <br /> 1 On'1'L AGG' GATE LIRMIIT.APPLIES PER: PROLNJCr3-cOMP)OP NOG S excluded • <br /> II ,:I POL.IC yo Ti IOC L Vire PEmAge <br /> AUrOMQLTT E LIABILITY <br /> CONI SPIED SINGLE LIMIT $ 1,000,000 <br /> �ANYAI TO ( aCckATrn) <br /> it ALL I ED AUTOS <br /> BODILY INJURY $ <br /> A X 50H ULEO AUTOS (Parpprlgn) <br /> /'1 x HIRF17 (TOR CP00030982 04/18/2007 04/18/2008 <br /> BQOILYINJURY $ <br /> X Nom•NNE)AUTOS IPeretxldentl <br /> III <br /> PROPERTY DAMAGE $ <br /> (Par wridAPI I <br /> OARAOEL BILfTY AUTO ONLY-EA ACCIDENT $ <br /> ANY ATO OTHER THAN EA ACC $ ..`� <br /> AUTO O)JI_Y: AOC S <br /> EXCESS/U BRELLA LIABILITY EAAN QCr.URRENCL $ <br /> jOGCU' �....OA)MS MADE AGGREGATE yJ $ <br /> 01101.1 e TIOLE $ <br /> _ RET5 ON $ $ <br /> WORKERS COMP:NSATION AND WCSTATU. l Ca H- �' <br /> .EMPLOYERS'LIAe ILtTY 1�s>tt Y!-MZII.SL tR <br /> ANY PROPRIET0.7 ARTIIER/ExEGUTIVE F_1.EACH ACCIDENY $ <br /> OFPtC.LR/MEM(3E'EXCLUDED( El.OISPlSE•SA EMPLOYEE S- <br /> IT ye•+donne und.r <br /> sr' TA(,PRCv i^ ihe)vw .. f EL.DISEAf3E-POI.=CY LIMIT S _ <br /> OTHER <br /> OBBC R/PTION OF OPER-TIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED NY ENDCNIBE1A ENT/SPECIAL PROVISIONS <br /> ADDITIONA INSURED:. <br /> CITY OF EV; RETT ITS OFFICERS, EMPLOYEES AND AGENTS PER CG 20 26 AND BUSINESS AUTO <br /> AODL INSU"ED ENDORSEMENT PER CA2048 <br /> CERTIFICATEHO DERCANCELLATION w <br /> SHOIJLO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EPI RATION <br /> C' OF E' ERETT <br /> DATE THEREOF,THE ISSUING INSURER WILL EMULATOR TO MAIL 30 DAYS will)l>-N <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO PO 30 SHALL <br /> Ai 1 N: JAMES W MILLER <br /> noose NO OBLIGATION OR LIABILITY OF ANY KIND UPON T(4E INSURER.ITS AGENTS OR <br /> 32011 CEDAR STREET RpREBDNTATIV1S, , <br /> EV".RETT WA 98201 ADT RILE IPO• G . Al) <br /> ACORD 25(2001118) ©ACORD CORPOPATION 1988 <br /> 7 <br />