Laserfiche WebLink
T.' 11 11 <br /> =A+I~R~. CER'~FI~A~ QF "1~1t$URA ~~y°: wl[NWODRq <br /> ,•.~~s,:.: 11 11 96 <br /> , s ~ .x ~W..«., _ ~ . <br /> glOp~ THIS CERTIFCATE IS ISSUED AS A YATTER OF INFORMATION <br /> AMERICAN INSURANCE AGENCY INC oNLV AND CONFERS NO RgNTS uPDN THE CERTIFICATE <br /> NOLDIR. THIS CERTIFICATE DOES NOT AMEND, EIREND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. <br /> 122 HAILI STREET COWANIES AFFORDING COVERAGE <br /> HZLO, HAWAII 96720 coMPANr <br /> A 07 NATL SURETY CORP <br /> EIfURED COMPANY <br /> BEAR'S COFFEE B <br /> ROBERT P HENDERSON D B A coMPANr <br /> 106 KEAWE ST ~ <br /> HILO HI 96720 coMPANY <br /> D <br /> COVEtKGE6.. ~ <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWTTIISTANDINO ANY REOUIREMENi, TERM OR CONORION OF ANY CONRUICT OR OTHER DOCUMENT WTM RESPECT TO WNICN TH16 <br /> CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, <br /> EXCLUSIONS AND CONDTf10NS OF SUCH POUgEb. UMRS SHOWN MAV NAVE BEEN REDUCED BY PAID ClA1M6. <br /> CO Tree or Ew11RAlICE POMCr NuweR oA <br /> ~ <br /> E P ~r LEEn <br /> LTR <br /> aEAERUUUam AZC80461573 11/01/96 11/01/97 GB1ERAlAGGREMTE s2 000 000 <br /> COMMERCNL GENERAL LVIBILRY PRODUCTS • COMP/OP AGG f <br /> CLAYS MADE ~ OCCUR PERSONAL a ADV WURY f <br /> OWNWS i COHTRACTORB PROT EACH OCCURRBICE f l 0 0 0 0 0 0 <br /> FIRE DAMAGE (Aly ar N) f 10 O Q O O <br /> j M® EJlP IATy d? PMdll i 10 0 0 0 <br /> AUT0110ELE LlYllfl' <br /> CAMBNED SLVGLE LMR f <br /> ANY AUTO <br /> ALL OWNED AUTOS BODY WURY <br /> SLMEDULID AUTOS IPw p~noll) i <br /> HIRED AUTOS BODILY WURY <br /> NON-0WN® AUTOS (PM w•o4MV) f <br /> PROPERTY DAMAGE i <br /> GARAGE LU1eUT1' AU7O ONLY - EA ACCD@R f <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCDB7T f <br /> AGGREGATE ! <br /> E3CEie ~ry EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREfU17E f <br /> OTHER THAN UMBRELLA FOIIII f <br /> EYPLOrERS' LLABIJfr ~ <br /> i EACH ACCE)EM L <br /> THE PROPRIETD W I/~l i DISEASE -POLICY LYR f <br /> PARTNEIIS~E%ECUTiVE <br /> OFFICERS ARE E%Cl DISEASE -EACH EIAPLOYE f <br /> OTTER <br /> OFSCIIITION OF OPERAl101M'IOCAIlOLR1VOECllEIEPECML REYt <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 /> <br /> CERTIFICA7E IiptDER. ~i . .'y .CAMf,1E{iJklM1Y . ~ j;:: <br /> BIIOIILD ANY OF 71E AMVE DESCReEn POL.ICIeB Y: CANCELLED eEE011E TIE <br /> COUNTY OF HAWAII ElV/IATION DATE THEREDF, 711E ENUEMI Cof1PANr wu ENDEAVOR TO MAL <br /> ATTN : MR NAHULEA D/Irq;vmRlwJ1o71DE TO, 71l117f11~L9E71 NAMED To TTE LEFt, <br /> 25 AUPUNI STREET eur FAeLRE TO MAa suw NOME 911AIL YPOeE No oeLaAT1oN oR uAealrY <br /> HZLO HI 96720 of ANr?REO'urbii <br /> ~:TNC-coM?iuira mL^ oR pEP11ElEMTATn1ES. <br /> AU1110R@D p)E?REeOt,A7R2L [ I <br /> ' v AE A <br /> ~ ~ G~•eT~l ~"'t pAC4Rb~'CORPOAATIOT! i!)C9 <br /> <br />