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....... A,....o.. ,... ...--: _, jexander <br />Two Piedmont C~nter <br />3565 Pi~mont Road, N.E. ~T~CATE NO. 18 <br />Arian,a, ~orgi. 30363 exander <br />Teleoflone ~.~S~ ~ <br />~X 81~751 ~33 <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />NAME OF INSURED: Cystic Fibrosis Foundation , <br /> 6931 Arlington Road <br /> Bethesda, Maryland 20814 <br /> <br />This Is ~ certify ~a~ ~e poi~cies o~ ~ns~ance listed below have been issu~ ~ the ~ n~ ~ove and <br />are ~n ~orce at ~is ~e. ~tw~sta~ing any ~=~en[, [e~ or co~it~on o~ any con~[ o~ other doc~ent <br />wi~ =espec[ ~ ~ich ~is certificate may be issued o~ may pez~n~ the i~u~ance af?o~d~ by ~e polices <br />described he=e~ is s~ject ~ ~1 ~e terns, exclusio~ ~d co~it~ o? s~h ~licies. <br /> <br /> POLICY NO./ <br />TYPE OF CO,RAGE: )NS~AN~E COMPANY EXPIRATION DA~ LIMITS OF LIABILITY <br /> <br />~RSm C~PE~ATION A~gonaut ~s. ~. ~70~53017~28 S~a~tory <br /> ~PLD~FlS L~BILITY 5/1/87 $I00~000 <br /> <br />~NERAL LIABILITY * <br /> COMPREHENSIVE FOF~ <br /> PRODUCTS/COMPLETED OPERATIONS <br /> BLANKET CONTRACTUAL <br /> PERSONAL INJURY <br /> <br />American Ins. Co. <br /> <br />BP5199776 <br /> 5/1/87 <br /> <br />$1,000,000 Bodily Injury & <br />~operty Damage <br />Combined Single Limit <br /> <br />AUTCHO8 IL~ LIAB IL IT¥ <br /> COMPREHE.~ IYE FGRM <br /> OWNED, HI~ED, NON-GWN~'O <br /> <br />C~eat ~mericsn Ins. Co. <br /> <br />BP5199976 $1,000,000 <br /> 3/1/87 Combined Single Limit <br /> <br />EX~ESS LIABILITY * International Ins. Co. 523425~0] $5,000,000 Combined <br /> I."~BRELLA FORM 3/1/87 Bodily Inj~my & Property <br /> C~mage <br />+The insurance does not apply to Bodily Injury bo any person ~hile practicing for ar participating in any <br />contest or exh':hi~ion of an at. hletJc or sporss nature sponsored by ~he ~med Insured. <br /> <br />OTHER: <br />A~i~.~T POLIr-T <br /> <br />A~i ~er!can LiKe Ins. Co. <br /> <br />SR 338~--'~0XK-01 <br /> 3/1/87 <br /> <br />$100,000 Loss of Life, <br />Limbs, Sight, Speech, <br />Hear!no & P1egias. <br />$100, 000 Medical/Denb~l <br />Expense; No Oeduct!ble <br /> <br />Federal Instance 8035 12 <br /> <br />S100,000 Employee Theft <br />$ 10,000 ~emises Coverage <br />$ 10,000 Trar~it Coverage <br />$100,000 Ceposit~rs For_cst7 <br /> <br />RE: Volunteer are cover~. <br /> <br />CERTIFICATE HOLDER ,NAMED AS: <br /> <br />CANCELLATION: Should any of ~he above deserlbed policies be canes!led before the'expiration date thereof, the <br />issuzng Company will erde~vor bo mail ]0 days w~i~ten notice (or as extended by applic-~ble s~ab~e), excep~ 10 <br />days for non-pay~nt of p~.~ium to ~he be!ow named certificate holder~ but failure to mail such notice shall <br />impose no obligaf-!on or li~bi!ity of any kind upon the Company. <br /> DATE ISSUED: <br />NAME AND ADDRESS 0~' CERTIFICATE HOLCER: <br /> <br />Minnesota Cflaritable ~azning Conb~ol Board <br />c/o Robin Sachet -OFF <br /> <br />Minneapolis, MN <br /> <br /> <br />