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DATE (MM/DD/Yh <br />'" 04/23/2001 <br />~ , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Pickett Insurance Agency, Inc . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />8316 E. Mill Plain BV COMPANIESAFFORDINGCOVERAGE <br />Vancouver, WA 98664 COMPANY <br />360.695.3468 A AMERICAN ECONOMY INSURANCE CO. <br />INSURED <br />COMPANY <br />INTERFACE ENGINEERING INC. B AMERICAN STATES INSURANCE CO. <br />INTERFACE ENGINEERING OF WA INC . COMPANY <br />6542 SE LAKE RD. ~ <br />MILWAUKIE, OR 97222 COMPANY <br /> D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TNE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ <br />~TR TYPE OF INSURANC[ POLICY NUMBER POLICY EFFECTIVE <br />DAiE (MM/DDlYY) POLJCY EXPIRATION <br />DATE (MM/DD/YY) <br />LIMITS • <br /> GEN ERAL LJABILI7Y GENERAI AGGREGATE S Z~ O O O~ O O O <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG S 1~ O O O~ O O O <br /> CIAIMS MADE a OCCUR PERSONAL 6 ADV INJURY S 1~ O O O~ O O O <br />A X ONMER'S 3 CANTR4CTOR'S PROT 0 2 CC 9 8 5 4 8 5 0 4/ 17 / O 1 ~ 4~ 17 ~ ~ 2 EACH OCCURRENCE S 1~ ~ ~ ~~ ~ ~ ~ <br /> X S TOP GAP FIRE DAMAGE (Any one fire) S S O~ O O O <br /> MED EXP (Any one person) a 5, ~ ~ ~ <br /> AUT OMOBIL.E LIABILITY <br /> X ANY AUTO CAMBINED SINGLE LIMIT = 1~ O O O~ O O O <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> s <br /> SCHEDULED AUTOS (Per person) <br />A HIREDAUTOS 02CC926056 ~4~17~~1 04/17/02 BODIIYINJURY <br /> ~ <br /> NON-0WNEDAUTOS (Peracddent) <br /> <br /> PROPERTY DAMAGE S <br /> GARAGE UABILITY ''~' <br />' AUTO ONLY - EA ACCIDENT S <br />y <br /> ANY AUTO b '~, j <br />k % <br />~^ <br />. ,)~~.; . OTHER THAN AUTO ONLV: P~~,I I <br /> ~ ~ ~ <br />' <br /> .~ ~~7t ~., ~~~ ; <br />r xi EACH ACCIDENT S <br /> <br /> AGGREGATE S <br /> EXCESS LIABILJTY ~ EACH OCCURRENCE S S~ O O O~ O O O <br />$ X UMBREUAFORM O1SU276562 ~4~17~~1 ~4~17~~2 AGGREGATE S'rJ~ ~~~~ ~~~ <br /> OTHER THAN UMBRELLA FORM y <br /> WORKERS COMPENSATION ANO <br />' A ~- - <br />TORY LIMITS ER <br /> EMPLOYERS <br />UABILITY <br /> EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br />PARTNERSIEXECUTIVE INCL EL DISEASE - POLICY LIMIT S <br /> OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE E <br /> OlHER <br /> Business <br />A Personl Property 02CC985485 04/17/Ol 04/17/02 $3,700,000. limit <br /> $1,000 deductible <br />OESCRIPTION OF OPERATIONSILOCA710NSNEHICLES/SPECIAL ITEMS <br />Marion county, its officials, agents, employees, and volnteers to be <br />additional insureds on a primary and non-contributory basis. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 8E CANCEILED BEFORE iHE <br />Marion County EXPIRATION DA7E THEREOF, THE ISSUING COMPANY NALL ENDEAVOR TO MAIL <br />P O BOX 14 5 0 0 ~ DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 7HE LEFT, <br />S a 1 em ~R 9 7 3 0 9 BUT FAILU AIL SUCH OT1CE SHALL IMPOSE NO OBLIGAiION OR LIABIUTY <br /> OF KIND E MPANY, ITS AGEN RESENTATiVES. <br /> AU RIZED EN <br />\ <br />