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/o ..avr <br />' Certificate Holder C~ <br />~~~.~~~~ -- <br />- 400 Hlgh St SE <br />Salem, OR 97312-1000 <br />Toll Free 1-800-285-8525 <br />MAIL TO: <br />CASCADE SOUND INC <br />PO BOX 12097 <br />SALEM, OR 97309 <br />INSURED COPY <br />OREGON WORKERS' COMPENSATIpN <br />CERTIFICATE OF INSURANCE <br />CERTIFICATE HOLDER: <br />Thz policy of insurance listed below has been issued to the insured named below for the policy <br />period indicated. The insurance afforded by the policy described herein is subject to al! the <br />terms, exclusions and conditions of such policy, <br />POLICY NO. <br />346859 <br />INSURED: <br />CASCADE SOUND INC <br />PO 80X 12097 <br />SALEM, OR 97309 <br />POUCY PERI00 ISSUE OATE <br />04/01/00 to 03/31/O1 03/29/2000 <br />BROKER OF RECORD: <br />LIMITS OF LIABILITY: <br />Bodily Injury by Accident $100,000 each accident <br />Bodily Injury by Disease $100,000 each employee <br />Bodily Injury by Disease $500,000 policy limit <br />DESCRIPTION OF OPERATIONS/LOCATIOfYS/SPECIAL ITEMS: <br />IMPORTANT: <br />The coverage described above is in effect as of the issue date of this certificate. It is subject to <br />change at any time in the future. <br />This certificate is issued as a matter of information only and confers no rights to the certificate <br />holder_ This certificate does ~ot amend, extend or alter the coveraoe afforded by the policies <br />above. <br />P_03 <br />AUTHORIZED REPRESENTATIVE <br />