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<br /> <br /> ? DnrE IMM/DD/YYI <br /> ACORD CTIlCAT" LL OF LlAILITY [NS.UA 10/29/97 <br /> PRODUCER 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 /> AMERICAN INSURANCE AGENCY, INC ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 900 FORT STREET MALL, STE 500 COMPANIES AFFORDING COVERAGE <br /> HONOLULU, HAWAII 96813 COMPANY <br /> (808) 540-3333 FAX: 540-3371 A NATIONAL SURETY CORPORATION <br /> INSURED <br /> COMPANY <br /> ROBERT P. HENDERSON DBA: BEAR'S B <br /> COFFEE COMPANY <br /> 106 KEAWE STREET C <br /> HILO, HAWAII 96720 COMPANY <br /> D <br /> eaRAa~s <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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE IMM/DDNYI DATE IMM/DD/YYI <br /> GENERAL LIABILITY GENERAL AGGREGATE s2,000,000_ <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ <br /> CLAIMS MADE D OCCUR PERSONAL &ADV INJURY $1, 000,000 <br /> A OWNER'S & CONTRACTOR'S PROT A B5 AZC 80547643 11/01/97 11/01/98 EACH OCCURRENCE $1, 000, 000 <br /> FIRE DAMAGE (Any one fire) $100,000 <br /> MED EXP (Any one person) 1110 , 000 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT 5 <br /> ANY AUTO <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Per Person) <br /> HIRED AUTOS <br /> - BODILY INJURY $ <br /> NON-OWNED AUTOS (Per eord.rlj <br /> PROPERTY DAMAGE $ <br /> r AGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY _ <br /> EACH ACCIDENT II <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE II <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND WC STATU- OTH <br /> T R LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT 5 <br /> THE PROPRIETOR/ INCL EL DISEASE- POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE EXCL EL DISEASE - EA EMPLOYEE $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> LOCATION: 106 KEAWE STREET, HILO, HAWAII 96720 <br /> THE CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED IN ACCORDANCE WITH <br /> THE GENERAL LIABILITY POLICY PROVISIONS. <br /> CER77FICAtE HDLbER CANCELLAY'i0N <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> HAWAII NATIONAL BANK EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> CEO THOMAS REALTY GROUP 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> P. O. BOX 6903 KERlWiGITfN9"6 MEr~IfeN~4LftOSE NO OBLIGATION OR UABIUTY <br /> KAMUELA, HAWAII 96743 OF ANY KIND II,JUPPOM1NNI`TF•L COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AU~HOR P E CP.CId. <br /> y f <br /> AGt1Rb 2b•S tt/95~ 6ACORp CORPORATION 1988 <br /> Gel erol Agent <br />