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Home My WebLink About375496 PAWNEE SPORTSMENS CENTER LLC - INSURANCE CERTIFICATEISSUE DATE (MM/DD/YY) CERTIFICATE OF INSURANCE 4/30/2007 PRODUCER SBSSSSS THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS O Sportsman's Insurance Agency, Inc RIGHTS UPON TXE CERTIFICATE XOLDER TNIB CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVE RAGE 1450 North US 1 Suite 500 Ormond Beach FL 32174 COMPANY Phone 800/925-7767 LETTER A T HE INSURANCE COMPANY INRI IRFn PAWNEE SPORTSMANS CENTER LLC COMPANY LETTER R COMPANY 41132 WELD COUNTY ROAD 74 LETTER C FORrCOLLINS CO 80524 COMPANY LETTER D COVERAGES THI, 13 TO CERTIFY THAT THE PO ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED ANY TERM OR ANY OTHER INSURANCE AING PQR AIN THE FFORDED ED BY THE POLICIUIREMENT ES DESCRINDITION BED EF RENIS SUBJECT ALLTHETEERMS EXCLUSIWITH ONS AND CONDITWHICH IONS OF SUCMAY BE H POLICIES ISSUED OR MAY M/ / HAVE BEEN REDUCED BY PAID C.AIMS SHOWN CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY MASTER POLICY # GENPRALAGGREGATR PRODUCTS-COMP/OP AGO $1000000 % x LOMME0.CIAL GENERAL LIARILITV OCCURENCE GGLO1001 CLAIM. MADE 4/25/2007 4/25/2008 PERSONAL&ADV E•IURY $100000U OWNER S&CONTRACTORS PROT CERTIFICATE# 1201 AM 1201 AM EACH OCCUIUE Cr $1000000 0-- REIIISES/OPERATIONS ..+v vow PIKE DAMAGE (Myonefirt) $ 100000 MED EXP(Myon P. $ 10000 AUTOMOBILE LIABILITY L— NONE A EXCESS LIABILITY UMBRELLA FORM 1 UMBRELLA POLICY NUMBER EACH OCCURRENCE UMBPELLA FORM AGGREGATE OTHER THAN OTHERTHAN UMBRELLA FORM X UMBRELLA FORM EXCESS GENERAL LIABILITY PRODUCISCOMP/OPAGG so PERSONAL&ADV INJURY so EACHOCCURRENCE EO vYOMPENSAiION NONE AND STATUTORY uhm EMPLOYERS LIABILITY DESCRIPTION OF OPERATIONSILOCATION&VEHICLESBPECUIL ITEMS — CERTIFICATE OLDER IS N ALSO A ALSO ADDED AS A ADDITIONAL INSURED LANDOWNER BUT ONLY WITH RESPECT TO THE PAWNEE SPORTSMANS CENTER LLC CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RICHARD A BECK BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE 210 GRAEFE S RELT HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES AULT CO 8061 C� --HITHORIZED REPRESENTATIVE SIGNATURE s sB 4/30/2007