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<br /> i <br /> Al~~t~. <br /> PRODUCER 71N8 CERTIFICATE la ISSUED AS A MATTER OF INFORMATION <br /> AMERICAN INSURANCE AGENCY INC ONLY AND CONFERS NO RNiNTB uvoN THE CERTIFCATE <br /> HOLDER. THNi CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFi:ORDlD BY THE POLN:EB BELOW. <br /> 122 HAILI STREET COMPANIES AFFORDSIG COVERAGE <br /> HILO, HAWAII 96720 COMPANY <br /> A 07 NATL SURETY CORP <br /> E18UR[D COMPANY <br /> BEARS COFFEE e <br /> ROBERT P HENDERSON D B A coMPANv <br /> 106 KEAWE ST ~ <br /> HILO HI 96720 ~,OMpµy <br /> D <br /> CQV~4AG <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW NAVE BEEN ISSUED TO TXE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWTfHSTANDINO ANV REOUIREMENi, TERM OR CONDRKNJ OF ANV CONTRACT OR OTXER DOCUMENT W1fl1 RESPECT 70 WXICX THIS <br /> CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, TIIE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SXOWN MAV NAVE BEEN REDUCED BV PAID CLAIMS. <br /> Cp POLN:Y EIiECTNE POLICY L%PEI,L710N <br /> LlA TYPE OF EIBUNAIICE POLICY NUMBER DA7! IIIWOD/YYI D17E DM~OD/YY) W11S <br /> OEIERAL LIABEITY AZC80461573 11/01/96 11/01/97 GENERAL AGGREGATE i2 000 000 <br /> COMMERCUL GENERAL LIABEffV PRODUCTS - COMPADP AGG i <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INIURV i <br /> OWNER'Si CONTRACTOR'S PROT EACH OCCURRENCE it OOO OOO <br /> FlRE DAMAGE TAM pN MI i ZOO OOO <br /> MfD E%P (My orw pwsa,) i l O O O O <br /> AUTOMOBIE LWIffY <br /> COMBWm SINGLE UMR S <br /> ANV AUTO <br /> ALL OWNED AUTOS j BODILY WURV <br /> SCHEDULED AUTOS II i <br /> HIRED AUTOS ~ BODILY INJURY <br /> NON-0WNED AUTOS ) S <br /> PROPERTY DAMAGE f <br /> GARAGE LIABLRY AUTO ONLY - EA ACCY)ENT i <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE i <br /> E%CEBS LIMl1fY EACH OCCDRRENCE i <br /> UMBRELLA FORM AGGREGATE i <br /> OTHER THAN UMBRELLA FORM i <br /> "n C:..un~ CO:: ~I«FT:JC: fi.'.^, iTATLTCP.y L!!:gTS <br /> ENPLOYFAf' LIABLRY li EACH ACCDENT s <br /> THE PROPRIETOR/ INCL ~I DISEASE -POLICY UMR i <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE: E%CL ~ DISEASE -EACH EMPLOYEE E <br /> OTTER <br /> DESCIIPl10N OR OPEIIA710MILOCATMIM/VIIECLEB+EPECIAL REMS <br /> LOCATION: 106 KEAWE ST HILO HI 96720 <br /> THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED IN ACCORDANCE WITH THE <br /> GENERAL LIABILITY POLICY PROVISIONS <br /> . iNOULD ANY OF RE AEOVE DESCNBNFD POLICIES EE CANCELLED BEFORE T!E <br /> COUNTY OF HAWAII EIIMIATION DATE 71lREOF, TFE EWBNi COMPANY wB.L EIBIEAV011 M YAL <br /> ATTN : MR NAHULEA ~Q D~~ ~vB1rlwNpnpE,TO neIDeR7~Tf I~ImER NAMED ro TIE LEFT, <br /> 25 AUPUNI STREET euT FAB.WIE TO YJUL SUCH NOTICE IINALL BNOBE NO OBlWAT10N 011 LIMBIfY <br /> HILO HI 96720 OF ANY IKON ',M -F' ~ OR REPREBENTATNES. <br /> Aunlo~o . A I <br /> 1 <br /> ~ tT;,Fre,al,fz~,t <br /> <br />