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1.24g Workers' Compensation Certificate <br />ACERTIFICATE OF (LIABILITY INSURANCE -G <br />THIS CERTIFICATE IS ISSMJED AS Al, MATTER Of INNFORIMAATIONN ONLY AMD, CONFERS NO RIGHTS (UPON THE CERTIFICATE IHOLDEFL THUS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE (POLICIES <br />BELOW. THUS CERTIFICATE Of INNSURANNCE, DYNES NOT CONSTIITUTE, A. CONTRACTBETWEEN THIS ISSUING INNSURERfg), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: IFI Mw eMnealleIINV , ha an ADDITIONAL, INSURED, the pofty(II must Iluv a ADDITIONAL INSURED proWelons Or Ida <br />1 II SIUBROGATIIONN IS WAIVED, SUbjed to, the torma and cmMIMSIIDIM'a DI the plsNley, coftalrl polid s may Iracp pre SO aroilonamant A <br />NIMdOCeockk <br />,0-Awk ... li 4Fes,: <br />WMwmY, FL S.tl° iSN <br />1 6AadIr A r #Pb*NMkd d&WERA&E I Wit M <br />THIS IS TCA CEIRTIIFY 7IILk7 THE PCL 10ES OF IHSLRWCE LI57E5 BELOW HAVE BEEN II T6 THE HIIMIYRED WJAIED ABOVE FOR THE POLICY (PERIOD <br />INDICATED. 407WI MIH97ANDM.NG ANY RECLIREMENT, 7ERIIAI CAFIi COMMON OF ANY CCCWIATRACT' OR CTHER'. DOCUMEMkfT' "WrrHI RE'.El'FEC7 TD WFOCH 7HMIM9 <br />CERTIIFTGATE PJAY ISLE IOR MAY PERTAAM, THE INSURANCS.AFFORDED 97' THEPOL <br />ICIES LICIES DESCRIBED HEREIN IIS SUBJECT TO ALL THIS TERM,, EXCLUSIONSS OF SUCH POLICIES LaAL M EH WH IMMy` HAVE SEEN Ifl Qi1.IDr"..ECI EV PA M CLr+dNA'9., I.,VMAM'. SH ITA W ,NRE rM;":S; REVJESTEIDIMM <br />.. <br />L'M'R <br />T'MIeE d7I! hM I1MAWMC'.E <br />Abb. <br />". <br />6MhrMb. <br />POLICY Y�IMIiIS'II <br />" <br />' ` I i <br />NJIWI", <br />COiMMMMfklMNWIMrL Dt.. '" ". LLkEMI.IYrV <br />71 Ll"a4AADE ❑ NkS 0 <br />KAIII MAaVI WJNM <br />clatt. AU;rifliI UW'V APFUES HN:.IM,, <br />ONEYk <br />OEM" .A AAff <br />;I <br />a plA'tlYr6Ww:vMI#.h'. <br />Liket M"°a' <br />A W MLCTC <br />OWNED SA'WhI90 ED <br />hlilY'OO& C:rWVd.V' ALItl'.'LPoS <br />HAM, MW:Suk+'."WAWWM O <br />AW.MOS m'ALY ALE"f�S L`NM.'Y <br />I4 <br />I `LWLYC OMtiM.MI'NY fM+reO.. idiaw, <br />I Te E, <br />m goe . maid. <br />S <br />diMIMILLA I" <br />LrGk'.im <br />10r.'M: I I MIE'�TE,"Nu MrO <br />A <br />MIda XI M CM'OOMWEMSMAI'IM.MI <br />AM EMIPLOVE `M'ItlM <br />MMNYLE1M EMKI MwdAaaaR'�.rA�Jp�iMJ"nAaiN002 <br />raP-7NNL°SVfS.MI:YM E.wCLruLMJ&V � <br />NMMwulw.6 y W K64I <br />ran, �x,e <br />R++wL <br />WC034274995GA <br />101.rGASu":0iZA <br />07MlrM0, <br />x Ma EMI; M141 <br />SMAMLI'GE ER <br />: 330 <br />iI L CIMTJI•,SL - E A EMMIiwLLTa <br />S x,000, <br />r <br />I*W#JlrtlIIM.OMI CW NVAMMW l X)CASI OMNS d'AMKI L "ESIiML`i;«MIN 401:, AddrAbaiii PANAA* Seliw w o, u . Im m .. IF MM.* 4wk* it r N hwiI, <br />dYM wwe�OMaazry�leMa.aeuwmtO.VWL YM iA MVLM'rY WWxMS'MES LLB:MrdSt.l4LA'�"'I'i'.+7Std�4u4b'mC,fllaZ'�.^silPrd rd avmae[x9.. rrt�44vae Sen nr5 9.p.cMry RrL1E«;'4U4bIV7 N"fILVTM'47I:�L6'' L4.t; <br />ke . wueauwo atwkair.erc ma r 1h. Pd.1'. <br />LMIa�N1V�LIN.AN�NaiN aN a-CMI Lot4INIFav1IIt"' <br />EMk <br />SH MLD AN19tl OF THE ABOVE DFACRISED POLMIES BE CANCELLED BEFORE <br />v Sd iAaraaon l", 'Ma .,.w WMM"i <br />SHE EXPIRATION DATE THEREOF, NOTICE. MILL BE DE.IIJMIERED IN <br />EIk MWlw�w, I MM AAM <br />ACCORDANCE WITHI THE. POLICY PRCOW'IIMIDHIS.. <br />W.d MMYMANTIIAE <br />236 <br />