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HomeMy WebLinkAboutInsurance Certificate: LB Brabham Inc ® CERTIFICATE OF LIABILITY INSURANCE DA 77/2012 Y) A`�O THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Beecher Carlson Insurance A ency, LLC CONTACT NAME: $Us Noakes 2911 Tennyson Ave., Suite 304 PHONE AIC No: 541-284-3196 Eugene, OR 97408 E-MAIL ADDRESS' INSURER(S) AFFORDING COVERAGE NAIC 0 www.beechercadson.com INSURER A: AMQ[i an Hallmark Ins CO Of TOXAS 43494 INSURED INSURER B LR Brabharn, Inc. fib West 0 St INSURERC: Springfield OR 97477 NSURER O: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 13/45540 REVISION NUMBER: 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INER TYPE OF INSURANCE POLICY NUMBER MMMDYIYYYY MMMD1YYYY LIMITS L R A GENERAL LIABILITY ,/ ,/ 44CL471170 9/1/2012 9/1/2013 EACH OCCURRENCE E 1,000,000 COMMERCIAL GENERAL LIABILITY oAMAGE TO RENTED 100,000 PREMISES Ea ouvrrence E CLAIMS-MADE 10 OCCUR MED EXP(An pne parson) $ 5,000 PERSONAL 6 ADV INJURY E 1,000.000 GENERAL AGGREGATE E 2,000,000 GENIL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2,000,000 POLICY JVC-CT n LOC E A AUTOMOBILE LIABILITY 44CL471170 9/1/2012 9/1/2013 COMBINE DI SINGLE LIMIT E 1000000 ANYAUTO BODILY INJURY(Per person) E ALLOWNED SCHEDULED BODILY INJURY(Per accident) E AUTOS AUTOS NON-OWNED PROPERTY DAMAGE E J HIRED AUTOS ,/ AUTOS E E A J UMBRELLA LIAR N OCCUR 44CU471839 911/2012 911/2013 EACH OCCURRENCE E 2,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE E 2,000,000 OED Lftj RETENTION 510,000 E E E B WORKERS COMPENSATION 810970 1011/2012 10/1/2013 WC STATU oETkI- ANDEMPLOYERS'LIABILITY YIN TORY LIMITS ANY PROPRIETORIPARTNERIEXECUTIVE❑ NIA E.L.EACH ACCIDENT E 11000,000 OFFICERWEMBER EXCLUDED? E (Mandatory In NH) L.DISEASE-EA EMPLOYEE $ 1.000.00C If yea describe under EL.DISEASE-POLICY LIMIT $ 1,000000 DESCRIPTION OF OPERATIONS below A Installation Floater 44CL471170 9/1/2012 9/1/2013 Limit$50,000 Deductible$1,000 DESCRIPTION OF OPERATIONSILOCAVONS/VEHICLES (Attach ACORD 101,Addidonal Remarl s Schedule,If mom space is required) General Liability policy provides Blanket Additional Insured arising out of ongoing 8 competed operations performed by Subcontractor per attached GC1025. On a primary and non contributory basis,per the attached MP9767 10/10. General Liability policy also provides Waiver of Subrogation per MP9767 10/10. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland Parks and Recreation ACCORDANCE WITH THE POLICY PROVISIONS. 90 N. Mountain Avenue Ashland OR 97520 AUTHORIZED REPRESENTATIVE EUG Sue Noakes 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CENT NO.: 13045540 (EUG) Sue Noakes 1/31/2012 1;56:01 PM Page 1 of ARTISANS ADVANTAGE ENHANCED COVERAGE ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUILDING AND PERSONAL PROPERTY COVERAGE FORM CAUSES OF LOSS—SPECIAL FORM COMMERCIAL PROPERTY CONDITIONS COMMERCIAL GENERAL LIABILITY COVERAGE FORM When this endorsement is attached to the policy, insurance under the Building and Personal Property Coverage Form, the Causes of Loss—Special Form,the Commercial Property Conditions and the Commercial General Liability Coverage Form is enhanced to provide the coverages described in this endorsement. All other conditions of the policy continue to apply. This coverage is subject to the provisions applicable to the Building and Personal Property Coverage Form, Causes of Loss— Special Form, the Commercial Property Conditions and the General Liability Coverage Form. SCHEDULE Coverage Enhancements Limits of Insurance Each Location Property Coverage Premises Boundary 1,000 feet Property Coverage Extensions Newly Acquired or Constructed Property Buildings $500,000. at Each Building Business Personal Property $250,000. at Each Building Personal Effects and Property of Others $ 25,000. at Replacement Cost Valuable Papers and Records (Other than Electronic Data) $ 25,000. Property Off-Premises(Including Laptops and Other Electronic Equipment) $ 15,000. Outdoor Property(Named Perils) $ 1,000. per tree/shrub, max. limit$25,000. Non-Owned Detached Trailers $ 10,000. Accounts Receivable $ 50,000. Property in Transit(Including Laptops and Other Electronic Equipment) $ 15,000. Fine Arts $ 25,000. Property Additional Coverages Debris Removal $ 25,000. Fire Department Service Charge $ 5,000. Pollutant Clean-up and Removal $ 15,000. Electronic Data $ 25,000. Interruption of Computer Operations $ 15,000. Arson Reward $ 5,000. Water Back-Up and Sump Overflow $ 25,000. Brands and Labels $ 25,000. Employee Theft $ 10,000. Business Income Including Extra.Expense $ 25,000. Business Income from Dependent Properties $ 10,000. Claims Expenses $ 10,000. Inventory or Appraisal Cost $ 5,000. Money and Securities Inside $ 10,000. Outside $ 5,000. Off Premises Power Failure—Direct Damage $ 10,000. Ordinance or Law Coverage Coverage A Included within Building Limit. Coverages B and C Combined 25% of Bldg. Limit, $150,000. maximum Outdoor Signs $ 10,000. Recharging of Fire Extinguishers $ 5,000. Unauthorized Business Card Use $ 5,000. Forgery or Alteration $ 10,000. Salespersons Samples $ 2,500. MP 97 67 10 10 Includes copyrighted material of Insurance Services Office,Inc.and Page 1 of 25 American Association of Insurance Services,Inc.,with their permission CERT NO.: 13745540 (EVG) Sue Noakes 7/31/2012 1:56:01 PM Page 2 Of 7 Inland Marine Coverages Installation Coverage $ 10,000. Contractors Equipment Coverages: Small Tools $ 5,000. (Maximum limit per item $1,000) Employee Small Tools $ 1,000. (Maximum limit per item $250) Leased and Rented Equipment $ 5,000. Rental Reimbursement $ 1,000. General Liability Additional Coverages Blanket Additional Insured (Including Primary Non-Contributing Coverage) Included in Each Occurrence Limit Mobile Equipment Broadened Coverage Included in Each Occurrence Limit Aggregate Limit Per Project Included in Each Occurrence Limit Blanket Waiver Included in Each Occurrence Limit Voluntary Property Damage Coverage $ 2,500. The following applies to coverages under this endorsement only. Property Coverage The phrase'within 100 feet of the described premises'used in Paragraphs a.(5)(b),b.and c.(2)under A.1.Covered Property of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM and Paragraph 2.c.(1) under C. Limitations of the CAUSES OF LOSS—SPECIAL FORM is replaced by the phrase 'within 1,000 feet of the described premises'. Property Coverage Extensions Paragraph A.5. Coverage Extensions of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM is deleted in its entirety and replaced by the following: 5. Coverage Extensions Except as otherwise provided, the following Extensions apply to property located in or on the building described in the Declarations or in the open (or in a vehicle)within 1,000 feet of the described premises. If a Coinsurance percentage of 80% or more or, a Value Reporting period symbol, is shown in the Declarations, you may extend the insurance provided by this Coverage Part as follows: a. Newly Acquired Or Constructed Property (1) Buildings If this policy covers Building, you may extend that insurance to apply to: (a) Your new buildings while being built on the described premises; and (b) Buildings you acquire at locations, other than the described premises, intended for: (i) Similar use as the building described in the Declarations; or (ii) Use as a warehouse. The most we will pay for loss or damage under this Extension is $500,000 at each building. (2) Your Business Personal Property (a) If this policy covers Your Business Personal Property, you may extend that insurance to apply to: (i) Business personal property,including such property that you newly acquire,at any location you acquire,at any location you acquire other than at fairs, trade shows or exhibitions; (ii) Business personal property, including such property that you newly acquire, located at your newly constructed or acquired buildings at the location described in the Declarations; or (iii) Business personal property that you newly acquire, located at the described premises. The most we will pay for loss or damage under this Extension is $250,000 at each building. (b) This Extension does not apply to: Page 2 of 25 Includes copyrighted material of Insurance services Office,Inc.and MP 97 67 10 10 American Association of Insurance services,Inc.,with their permission CERT NO.: 11745540 IEUCI Sue Noakes 7/31/2012 1:56:01 PN Page 3 of l (5) Vandalism and malicious mischief; or (6) Theft. c. The following is added to A.2. Property Not Covered of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM: r. Property while stored or operated underground in connection with any mining operations. d. The following is added to Paragraph 2. of B. Exclusions of the CAUSES OF LOSS -SPECIAL FORM: n. We will not pay for loss or damage caused by puncture, blowout and road damage to tires and tubes mounted on vehicles. However, we do pay for puncture, blowout or road damage caused by a specified peril. o. We will not pay for loss caused by humidity, dampness, dryness or changes in or extremes of temperature. p. We will not pay for loss caused by the weight of a load which, under the operating conditions at the time of a loss, exceeds the registered lifting capacity of any equipment or machine. q. We will not pay for loss due to theft or mysterious disappearance from any vehicle or attached container. We will pay for loss due to burglary when there are signs of forcible entry to a locked vehicle or container. e. E.7.Valuation of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM is deleted and replaced by the following: 7. Valuation We will determine the value of covered property in the event of loss or damage as follows: a. At actual cash value at the time of the loss (with a deduction for depreciation) except as provided in Paragraphs b. and c.following. b. Pair or Set. The value of a lost or damaged article which is part of a pair or set is based on a reasonable proportion of the value of the entire pair or set. The loss is not considered a total loss of the pair or set. c. Loss to Parts. The value of a lost or damaged part of an item that consists of several parts when it is complete is based on the value of only the lost or damaged part or the cost to repair or replace it. 2. Rental Reimbursement In the event of loss by a covered peril to covered contractors' equipment that you own, we will reimburse you for your expense to rent similar equipment while your equipment is inoperable. The most we will reimburse you for rental reimbursement expenses is$1,000. We will continue to reimburse you for the rental of equipment after the expiration date of this coverage provided the loss occurred before the expiration date. We will not reimburse you: a. If you can continue or resume your operations with similar equipment that is available to you at no additional expense to you; or b. For the rental expense of any equipment unless you make every reasonable effort to repair,replace or rebuild the inoperable equipment after the covered loss occurs. 3. With respect to this Additional Coverage,Contractors Equipment Coverage,Section D.Deductible of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM is deleted and replaced by the following: D. Deductible We will not pay for loss or damage in anyone occurrence until the amount of loss or damage exceeds$500.We will then pay the amount of loss or damage in excess of$500 up to the applicable limit of insurance. We will not reimburse you for the rental of equipment until after 72 hours have passed since the covered property was rendered inoperable. After 72 hours have passed,we will only reimburse you for the rental expense that you actually incur. The deductible of$500 does not apply to rental reimbursement expenses. General Liability Additional Coverages The following Additional Coverages are added to the COMMERCIAL GENERAL LIABILITY COVERAGE FORM. A. Blanket Additional Insured Coverage 1. SECTION II—WHO IS AN INSURED of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include as an insured any person or organization(referred to as Additional Insured)whom you are required to add as an Additional Insured on this policy under: a. A written contract or agreement; and b. Where a certificate of insurance showing that person or organization as an additional insured has been issued;and Page 20 of 25 Includes copyrighted material of Insurance Services Office,Inc.and MP 97 67 10 10 American Association of Insurance Services,Inc.,with their permission CENT NO.: 13745540 . (EM Sue Noakee 0/31/2013 1:56:01 PM Page 4 0( 7 c. When the written contract or agreement and certificate of insurance are currently in effect or becoming in effect during the term of the policy and executed prior to the "bodily injury," "property damage," or "personal and advertising injury." 2. The insurance provided to the Additional Insured is limited as follows: a. The Additional Insured is only an additional insured for: (1) "Bodily injury,""property damage,"or"personal and advertising injury"caused in whole or in part by negligent acts or omissions of the Named Insured or anyone directly or indirectly employed by the Named Insured or for whose acts a Named Insured may be liable. (2) Liability arising out of your ongoing operations for the Additional Insured by or for you. A person's or organization's status as an insured under this coverage ends when your operations for that insured are completed. b. The Limits of Insurance applicable to the Additional Insured are those specified in the written contractor agreement but not more than the Limits of Insurance specified in the Declarations for this policy. The Limits of Insurance applicable to the Additional Insured are inclusive of and not in addition to the Limits of Insurance shown in the Declarations for the Named Insured. 3. In addition to the other exclusions applicable to Section I, Coverages A., B.and C.of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM, the insurance provided to the Additional Insured does not apply to: a. "Property damage"to: (1) Property owned, used, occupied by, loaned or rented to the Additional Insured; (2) Property in the care,custody or control of the Additional Insured or over which the Additional Insured are for any purpose exercising physical control; or (3) "Your work" performed for the Additional Insured. b. "Bodily injury," "property damage," or"personal and advertising injury" arising out of an architect's, engineer's or surveyor's rendering or failure to render any professional services for you,for the Additional Insured or for others, including, but not limited to: (1) The preparing,approving or failure to prepare or approve maps,drawings, opinions,reports,surveys,change orders, designs or specifications; or (2) Supervisory, inspection or engineering services. c. "Bodily injury" or"property damage' occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work,on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured at the site of the covered operations has been completed;or (2) That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 4. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance, is amended to add the following subparagraph: d. Additional Insured's Other Insurance As Excess Insurance To the extent required by an"insured contract,'this insurance is primary on behalf of the Additional Insured;and any other insurance maintained by the Additional Insured is excess and not contributory with this insurance. If the "insured contract" does not require this provision, then Paragraph a. above will apply. B. Mobile Equipment Broadened Coverage V.121(1) of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is replaced by the following: (1) Equipment designed primarily for: (a) Snow Removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning. Except the above provisions do not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight which are not intended for use on a highway. C. Aggregate Limit Per Project The General Aggregate Limit under SECTION III—LIMITS OF INSURANCE of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM applies separately to each of your projects away from premises owned by or rented to you. MP 97 67 10 10 Includes copyrighted material of Insurance services Office,Inc.and Page 21 of 25 American Association of Insurance Services,Inc.,with their permission CERT NO.: 13745540 IEUGI Sue Noakes 7/31/2012 1:56:01 PM Page 5 Of 7 D. Blanket Waiver Of Transfer Of Rights Of Recovery Against Others To Us The Transfer Of Rights Of Recovery Against Others To Us Condition (SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following: We waive any right of recovery we may have against any person or organization to whom you by written contract or written agreement have waived your own right or recovery for loss caused by that person or organization because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a written contract or written agreement with that person or organization and included in the"products-completed operations hazard." This provision does not apply unless the written contract or written agreement has been executed prior to the"occurrence"or offense giving rise to the "bodily injury"or"property damage." E. Voluntary Property Damage Coverage 1. We will,at your request,pay but not defend any claim for"property damage"to the property of others otherwise excluded under A.2.j.(4), (5) and (6) of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM provided that: a. Such"property damage"takes place while such property is in your care, custody or control,or is property of others over which you, for any purpose, are exercising or have exercised physical control; and b. Such "property damage"takes place away from any premises you own, rent or lease; and c. Such "property damage"takes place within the "coverage territory' and during the policy term; and d. Such"property damage"takes place only during your operations that are known to us,are scheduled on the policy and for which a premium has been charged. 2. The insurance under this additional coverage does not apply to"property damage"to property: a. Held by you for servicing, repair, storage or sale at premises owned by, rented or leased to you; b. While being transported by or caused by the ownership,maintenance,operation,use,"loading or unloading"of any "auto,"watercraft or aircraft; or c. Owned or occupied by or rented to you. 3. Deductible This additional coverage will apply only to that amount of any loss in each "occurrence"that exceeds$500. The terms of the policy with respect to your duties in the event of"occurrence,"claim or"suit"and the Company's right to investigate,negotiate and settle any claim or"suit"apply irrespective of the application of the deductible amount of$500. We may pay any part or all of the deductible amount of$500 to effect settlement of any claim or"suit."Upon notification of the action taken, you must promptly reimburse us for such part of the deductible amount as has been paid by us. 4. Limits of Liability The Limit of Liability for this additional coverage shall not exceed $2,500 for each "occurrence" and is the limit of the Company's liability for all damages on account of each claim or"suit"covered herein. The annual aggregate Limit of Liability is$2,500 and is, subject to the above provisions respecting each claim,the total limit of the Company's liability for all damages. 5. Settlement In the event of loss covered by this additional coverage,you shall,if requested by us, replace the property or furnish the labor and materials necessary for repairs thereto at actual cost to you,excluding prospective profit or overhead charges of any nature. Any property so paid for or replaced shall,at our option,become the property of the Company. Payment hereunder shall not constitute an admission of liability of you or, except as stated herein, of the Company. Additional Conditions A. Insurance Under Two Or More Coverages The following is added to Paragraph C. Insurance under Two or More Coverages of the COMMERCIAL PROPERTY CONDITIONS: If a Coverage Form is attached to this policy that provides a limit for any coverage provided by this endorsement; the limit shown in the SCHEDULE and the coverage provided by this endorsement are deleted and replaced by the limit and coverage provided by the Coverage Form. B. Limits Of Insurance Regardless of the number of buildings at a location covered by this endorsement,the most we will pay under this Coverage Enhancement endorsement in any one occurrence is the applicable Limits of Insurance shown in the SCHEDULE on page 1 of this endorsement. Page 22 of 25 Includes copyrighted material of Insurance Services Office,Inc.and MP 97 67 10 10 American Association of Insurance Services,Inc.,with their permission CERT NO.: 13745540 I8UG1 S"e Noakea ]/)112012 1:56:01 PM Page 6'of POLICY NUMBER: 44CL471170 COMMERCIAL GENERAL LIABILITY GC 10 25 07 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON BLANKET ADDITIONAL INSURED - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured for completed operations. Such person or organization is an additional insured only to the extent that the liability for"bodily injury' or"property damage" is caused, in whole or in part, by"your work"performed for that additional insured and included in the"products-completed operations hazard." B. With respect to the insurance afforded to these additional insureds, the following limitations apply: 1. This additional insured status is granted only at the locations listed in the written contract. 2. Coverage is limited to "your work' that is described in the classifications or schedule of hazards shown in the General Liability Declarations of this policy. C. With respect to the insurance afforded to these additional insureds, the following exclusion applies: This insurance does not apply to: "Bodily injury" or "property damage' which occurs prior to the execution of the written contract or the effective date of this endorsement. GC 10 25 07 09 Includes copyrighted material of Page 1 of 1 ❑ Insurance Services Office, Inc.,with its permission CERT NO.: 13745540 (EOGI Sue Noakea 7/31/2012 1:56,01 PM Page I of 7 Beecher Carlson Insurance Agency,LILC 2911 Tennyson Ave.,Suite 3114 Eugene,OR 97408 MAIL DOCUMENT Certificate of Insurance Delivery by ecertsonlim TM L�L�nCei:l (EUG) Sue Noakes City of Ashland Ashland Parks and Recreation L—PlLoaej 541-284-3096 90 N. Mountain Avenue Ashland OR 97520 1 r.SubjecC ACORD n 25(05/10)Certificate of Liability-LR Brabhern,Ic.- 7/31/2012 LM 8 www.beechercadson.com hercarlson.com THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MY CONTAIN INFORMATION THAT IS PRIVILEGED,CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT,OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT,YOU WE HEREBYNOTIFIED THAT ANY DISSEMINATION DISTRIBUTION OR COMING OF THIS COMMUNICATION IS STRICTLY PROHIBITED.IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMMEDIATELY BY TELEPHONE AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. (02002 Certificate of Insurance Delivered by ecertionliI Insurance Visions,Inc.All rights reserved.