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Atl\ttl-It CERJTIF1CA.'TE OF'INSURANCE ,,'."."....,'......,.... CSR_CD .",'" DATE(MM/DDIYY)
II' · ~ ,. , ,', '.'..' ,".' ,.'...",",...,' ,.' ......'..'...",..'".,.."""""""""" , ", '\ EMERS"-F"'" 06/30/95 '..
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FIRST WEST INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
BOZEMAN MT 59715 COMPANIES AFFORDING COVERAGE
-.. ----
Kevin Winegardner COMPANY
406-587-511],_____________ A Colorado Casualty Insurance _
INSURED COMPANY --
B
Emerson Cultural Center Inc. ~--COMP,A, NY, ---" -----
Ross Bellingham __~____
111 S. Grand COMPANY - -- -
Bozeman MT 59715 D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOlWlTHSTANDlNG 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
f-- ...-.- -.---------..----- ---.- -- n_n.._ ..._______ n...._.. ____ _____.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DDIYY)
':'~~ERAL LIABILITY G~~.':.':l.A~~GGREGATE $ 2,000,000 __
A I X COMMERCIAL GENERAL LIABILITY CPP203014-04 01/01/95 01/01/96 PRODUCTS.COMP/OPAGG $ 2,000,000--
,,', ,--l CLAIMS MADE Ixl OCCUR PERSONAL & ADV INJURY _~ 1,000" 000 --
._--,.,-
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000.000
..,-,--
FIRE DAMAGE (Anyone fi,e) I.~ 50 !.Q!l.~_
MED EXP (Anyone person) $ 5,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
,. ---
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS I (Per person)
n. .._ __
HIRED AUTOS BODILY INJURY
- NON-OWNED AUTOS (Per accident) $
..--"".,. -----. '"
..___u___. PROPERTY DAMAGE $
I I
GARAGE LIABILITY AUTO ONLY - lOA ACCIDENT $
---- ANY AUTO OTHER THAN AUTO ONLY. '.i
EACH ACCIDENT $
- _____..___.___. .__m.. ___.___..___
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
----, -- ----
--J UMBRELLA FORM I I AGGREGATE $
I OTHER THAN UMBRELLA FORM 1-----$
WORKERS COMPENSATION AND j STATUTORY LIMiTS
EMPLOYERS' LIABILITY I EACH ACCIDENT .. ,..- -- 1'$ .--
THE PROPRIETOR/ I jlNCL DI~~";E - POLICY L,~,~T$
PARTNERS/EXECUTIVE I I .-----.---.-------
OFFICERS ARE I EXCL DISEASE - EACH EMPLOYEE I $
OTHER I I
i I
Ii! I I
DESCRIPTION OF OPERATlONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: Beall Park Arts Center. The certificate holder is named as Additional
Insured on the policy as their interest may appear.
CERTIFICATE HOLDER CANCELLATION
CITYBZN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
C . t f B BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1 Y 0 ozeman
PO Box 640 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Bozeman MT 59715 AUTHORIZED REPRESENTATI't' ,1 J ~ iI,' , "',,/.'1 ,1', /I", ',',' I", /I ,I"
Kevin Winegardnerr\UV1IY1 ~V UAJ tl!f1.Aut.tl"A./ '1{j
ACORD 25"S (3/93) , '" ,', @ACORDdoRPORATJON1$$3