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~PR ~,? '90 13:40 JOHN H. PROTIVA <br /> <br /> P. <br /> CERTIFICATE OF INSURANCE <br /> This Cerliticate is. issued as a matter of in~otmatJon o~ly ~d CO~te~s ~ rights u~n Ihe cefli~ at <br /> This ce~iflcale does not amend extend or atte~ Ihe coveta e afloc e ~l~er. <br /> <br /> ~.0. Sox <br /> <br /> ~is is Io ~enity lha~ the <br /> above and ate in fo~ce al Ihis lime. insurance lisleO bel~ have been issued lo the insureO name~ <br /> <br /> TYPE OF INSURANCE: G~tERAL Lir,4B.]fLiTy iNCLUDiNG <br /> and oPet,'~'tions/tocalions <br /> coveted Ihereunc/er PRODUCTS AND CO~ED OP~TZONS <br /> LIA~ZL~ ~NSu~M~CE P~R ~LZCY <br /> C/~I (C~zMS MADE) <br /> <br /> NAME OFINSuRER: EVANS?ON INSURANCE COHFANy <br /> POLICY NUMDE~R: /'lC 11497 <br /> POLICYPERIOo:-. March 21, 1990 to Hatch 21, 1991 <br /> LIMITS OF LIABI~I~AND DEDUCTibLE: ~OMBZNED SINGLE LZHIT Bodily ~njury and <br /> Proper~y Damage Liability . <br /> $1~,~ each occurrence <br /> $1,0~,~ <br /> . annual a~grega~e <br /> ,- ~ 25'~ Deductible each <br /> ~n~aiO Ihe desclibed Pol}c-~ es~ ~- - . .. .. ~rrence <br /> oeavor 1o i 10 ~ i uu caccmled be~ore'/m · · ' · <br /> Ihe can~e~a~,~rill~n n~lice 0 lhe cerlitic le (Ihe~r) exp~rahon ~ale the undersi ne wen <br /> .... t~;~s.ia,, u ~ a hot~eto?~ - g d Il - <br /> sUch not~ce sk~,, :----. I u~ [0 non. Paymen ol rem/ ~ - days WtJllen nol ce n the ev <br /> <br /> ~n <br />~ N~me and ~dress of Certificate Holder: <br />~ Charlo~t~ Motor .Speadwa <br />,[ P,o,. Sox. 600 <br />CSarlo:~e,"NC, 2802620600 <br />Di~P~'ay'D~:e;-.May 27, 199D' ' <br /> Co. InSUred~ 'l. Charlotte or Alternate Dace <br /> MO~or SPeedway <br /> <br /> <br />