HomeMy WebLinkAboutCertificate of Insurance (8)
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. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
IMA of WICHITA, INC. , POLICIES BELOW.
600 IMA PlaU/"""""""u"",u, .,
250 North Water Street COMPANIES AFFORDING COVERAGE
Wichita KS 67202-1279 "" ""'" '" """" """""""""""""""""'" """"" """"""'"'''''''''''''' """"" ""'" """ """"
COMPANY A 51 D 1 Fir &... .
LETTER . I au e marine
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COMPANY B
INSURED LETTER
COMPANY C
RESTAURANT MANAGEMENT COMPANY LETTER
555 North Woodlawn, Suite 3102 """""""""" """" .
COMPANY D
Wichita KS 67208 LETTER
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: COMPANY E
LETlER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS,
POUCY EFFECTIVE EXPIRATION
TYPE OF INSURANCE POUCY NUMBER DATE (MMIDDiYY) DATE(MMIDDiYY) UMITS
RR06611079 06/30/95 06/30/96 GENERAL AGGREGATE 2000000
PRODUCTS-COMPIOP AGG. 2000000
CLAIMS MADE X OCCUR, PERSONAL & ADV, INJURY 1000000
OWNER'S & CONTRACTOR'S PROT, EACH OCCURRENCE 1000000
FIRE DAMAGE (Anyone fire) 100(J(J(JO
MED. EXPENSE (Anyone 1000
AUTOMOBILE UABILITY COMBINED SINGLE
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per .ccident)
GARAGE LIABILITY
PROPERTY DAMAGE
EXCESS UABILITV EACH OCCURRENCE
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S CDMPENSATION
AND
DISEASE - POLICY LIMIT
EMPLOYERS' UABIUTY
DISEASE" EACH EMPLOYEE
OTHER
A Blanket Building RR06611079 06/30/95 06/30/96 Blanket limit 49230000
and Personal Property Deductible 2500
DESCRIPTION DF OPERAT1ON8JLOCATION~ICLESlSPECIAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED REFARDING PUBLIC LIABILITY COVERAGE
FOR STORE #1704, AS RESPECTS WEST MAIN PARK ADJ TO PIZZA HUT AT 2300 W. MAIN
BOZEMAN, MT. AMERICAN PIZZA PARTNERS, L.P.
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Vi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
nn EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
::~:i::: MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
THE CITY OF BOZEMAN"", -
P.O. BOX 640 /\ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
':'" LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES,
BOZEMAN MT 59711-0640 :,:::::
}}AUTHORIZED REPREllENTA~. ~
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