Laserfiche WebLink
gra „ <br />CERTIFICATE OF INSURANCE <br />NAME AND ADDRESS OF AGENCY <br />LETTER <br />COMPANY COMPANIES AFFORDING COVERAGES <br />Alexander and Alexander Inc. <br />2120 South 72nd Street A St. Paul Surplus Line Insurance Co. <br />Delaware <br />ware <br />Omaha, Nebraska 68124 Wilmington,_ _— <br />B <br />NAME AND ADDRESS OF INSURED <br />Academy of Model Aeronautics and the National C <br />Association of Rocketry and/or Affiliated and/or Associated <br />Chartered Clubs, Chapters, Sections and Members Thereof <br />815 15TH STREET N.W. <br />WASHINGTON, D.C. 20005 E <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE AND ARE IN FORCE AT THIS TIME. <br />COMPANY <br />POLICY <br />LIMITS OF LIABILITY <br />LETTER <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EACH <br />EXPIRATION DATE <br />OCCURRENCE - <br />AGGREGATE <br />GENERAL LIABILITY <br />A <br />nX COMPREHENSIVE FORM <br />966JA3659 <br />3101/82 <br />BODILY INJURY <br />$ <br />$ <br />A <br />PREMISES -OPERATIONS <br />966JA3659 <br />3/01/82 <br />PROPERTY DAMAGE- <br />$ <br />$ <br />EXPLOSION AND COLLAPSE <br />Q <br />HAZARD <br />_ <br />UNDERGROUND HAZARD <br />❑ PRODUCTS, COMPLETED <br />BODILY INJURY <br />OPERATIONS HAZARD <br />AND <br />A <br />QX CONTRACTUAL INSURANCE <br />966JA3659 <br />3/01/82 <br />PROPERTY DAMAGE <br />$1,000,000 <br />$1,000,000 <br />BROAD FORM PROPERTY <br />O <br />COMBINED <br />DAMAGE <br />rl INDEPENDENT CONTRACTORS <br />1 <br />A <br />QX PERSONAL INJURY <br />966JA3659 <br />3/01/82 <br />'APPLIES TO PRODUCTS/COMPLE- <br />$ <br />TED OPERATIONS HAZARD <br />PERSONAL INJURY <br />AUTOMOTIVE LIABILITY <br />BODILY INJURYNT <br />1W5r"C <br />COMPREHENSIVE FORM <br />(EACH PERSON) $ <br />r°,e"""fr�'w <br />BODILY INJURY <br />`�^� <br />❑ OWNED <br />(EACH OCCURRENCE) $ <br />❑ HIRED <br />PROPERTY DAMAGE $✓t� <br />NON -OWNED <br />BODILY INJURY AND` <br />$?� <br />s <br />PROPERTY DAMAGE <br />COMBINED <br />EXCESS LIABILITY <br />F-JUMBRELLA FORM <br />BODILY INJURY <br />AND $ <br />$ <br />OTHER THAN UMBRELLA <br />PROPERTY DAMAGE <br />FORM <br />COMBINED <br />WORKMENS' COMPENSATION <br />STATUTORY <br />ANDR"s`� <br />EMPLOYERS' LIABILITY <br />3' <br />$ <br />EACH ACCIDENT <br />OTHER <br />INDIAN RIVER CIDNITY MODELER�c 1#1326 <br />111213141�� <br />CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIESBE CAN BEF��QQRE 2IE TION DATE THEREOF, THE ISSUING <br />COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTIC THE B@t®T�,A/,NAMED TIFICATE HOLDER. <br />LO <br />DATE TSa + 19 3 Z <br />NAME AND ADDRESS OF CERTIFICATE HOLDER: ADDITIONAL INSURED <br />.b C a 2: d a i i� o Taxi t tr+;; r�agl ;; 3 :� 1T c� T g _ "l/t9 , ander and Alexander Inc. <br />2145 14th Z v e <br />Vero 11each aia 329.50 r Z <br />�.S <br />AUTHORIZED REPRESENTATIVE -t <br />690K 48 PAcE.454 <br />J <br />