📄 Extracted Text (593 words)
DATE (NIMADONYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE OS/31/2007
PRODUCER FAX THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Office of Central Ohio ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
165 W. Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 780
New Albany, OH 43054-0780 INSURERS AFFORDING COVERAGE NAIC #
INSURED 3W-ficey Epstein and Michelle's INSURER A AIG Centennial Insurance Co.
Transportation Company LLC INSURER B
457 Madison Avenue INSURER C
New York, NY 10022 INSURER D
INSURER E
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 8E ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATEUMITSSHOWNIMAYHAVEMENREDUCEDBYPAIDCUUMS.
MR ADM POUCY EFFECTIVE POUCY E(PMATION UNITS
LIR MB TYPE OF INSURANCE POLICY NUMBER DATE imumannn DAIS nalmlarn
GENERAL LIABILITY EACH OCCURRENCE S
WAAGE TO RENTED S
COMMERCIAL GENERAL LIABILITY PRFPNVEN (EAN-NNvvvo
CLAIMS MADE El OCCUR LED EXP (Any Dm person) S
PERSONAL S ADV INJURY S
GENERAL AGGREGATE S
GENL AGGREGATE UNIT APPLES PER. PRODUCTS - COMP/OP AGG S
— I POLICY in s.E
Ra in LOC
_AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
MS •COOOKII S
ANY AUTO
_ ALL OWNED AUTOS BODILY INJURY
AUTOS (Per persca) S
SCHEDULED
_ HIRED AUTOS BOOILY INJURY S
(Per •CadeN)
NON-OWNED AUTOS
PROPERTY DAMAGE S
(Per accident,
GARAGE LABILITY AUTO ONLY • EA ACCIDENT S
ANYAUTO OTHER THAN EA ACC S
AUTO ONLY AGG S
R
EXCESSIUMBRELLA 'Assiut"( EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE S
s
R DEDUCTISLE S
RETENTION S S
WORKERS COMPENSATION AND ITWC
ORY 1 KITS
l I 0TH-
FR
EMPLOYERS' LABILITY
EL EACH ACCIDENT S
ANY PROPRil TONPAR1NULtAtCUTIVE
OFFICF RnAFIARFR EXCLUDED') EL DISEASE -EA EFAPLOYEE 3
II as oestaAN under
SPECIAL PROVISIONS Wes E L DISEASE -POLICY LIST 3
PM7S7-93-80 OS/IS/2007 05/15/2008 $500,000
vac
,f1Ttlnt Protection &
A Indemnity Coverage
n
DESCRIPTION OF OPERATIONS / LOCATIONS I VEMCLES / EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS
Stagcorp. and Steven Rampino under the terms of the above captioned policy are additional insureds
Nith respect to their legal liability arising out of the operation or use of the 1968 LMC-8 Barge
'Miss Ava" - Hull 874CM6763
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING VI SURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOME 0 TIME CERTIFICA HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUC TICE SHALL E 0 OBLIGATION OR LIABILITY
Steven Ranpino and OF ANY KIND UPON TH SU I A TS EPRESENTATNES.
Stagcorp AUTHOPMED REPRES
ACORD 25 (2001108) ®ACORD CORPORATION 1988
EFTA00616435
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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 endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon
ACORD 25 (2001/08)
EFTA00616436
ℹ️ Document Details
SHA-256
abbe92a3028599859579f01bc94deb6856a9c4d752e2f5c5febd3bc9f2b1f80c
Bates Number
EFTA00616435
Dataset
DataSet-9
Document Type
document
Pages
2
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