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SEVT BY=PETTIT-~lORRY C0.
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<br />Acordia/Pettit-Morry Ca
<br />1030d SW Greenburg Rd.
<br />Portland, OR 97223
<br />(503} 293-9500
<br />..... .................................................
<br />NfUAED
<br />-14-97 ~ 11~02 ~ PE1'TlT-DfORRY C0= ~03 588 ~~95~~ 1/ 1
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<br />: 7HIS CERTIFICATE IS ISSUED AS A MATTER CF INFQRNATION OHLY ANO
<br />! CONFERS NO I~1~HTS UPON THE CER7IFICATE NOLDER. TH~S CERTiFlCA7E
<br />Of QR ~ DOES NOT AA~IEND, EXTEND OR ALTER THE COVERA~E AFFORDED BY THE
<br />. .. . .... .................. .. . ............... ....... ... .......................... .... _ . ,. ......... . .............. _
<br />110 :.. POLICIEB BEtOW.. . ,
<br />COMPANIES AFFORDING COVERAGE
<br />; ~~~R Y A AMERICAN STATES INS . CO .
<br />............................ _......... ................_ __ ....................... . ..__... .. ........... .
<br />; COMP,WT g~ERICP,N 3TATES INS . CO.
<br />................................... ~TTFSi
<br />:. . . ................ .. .. .... ................ ...... _........ . . .... .. ........ .... . , . .
<br />CAPITAL CITY MOVING 6~ STORAGE °0'"P""" C
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<br />DBA: CAPITAL CITY TRANSFER : .. .. . .......... . ._ _ _.._ .................._ . _..__..................
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<br />P. 0. BOX / 3 71 COMPAHT
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<br />SALEM. OREGON 97303 ~ .... ....__ ................... ................................._
<br />. ~~°N~` E AMERICAN STATES INS . CO.
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<br />5 T~ CERTIFY TNqt THE POLICIES 0= INSJfiANCC U3TED BELOW HAVE F3EEN ISSUED TO T+iE ~NSURED NAMED AtlUVC• FOR THE AOUCY AEFIO
<br />7H
<br />IS 1
<br />NOlWil1-15TANDING ANY REpU1REMENT. TERM OH CaNDITION OF ANY CONTRACT OR Ol}1ER ~OCUMENT WITH RESPfCT TQ WHICH THIS
<br />INpICATED
<br />.
<br />CEH7IFlCATE MAY BE ~SSiJEQ OR MAY PEqTAIN, 1HE ~N$URANCt IU'FOFtDED BY THE POlIC1ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br />F~(CLU910N3 ANO CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCEO Dl' PAID CLAIMS. _......._ ..., ._ ., ,........ ._... .
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<br />: 1KONRER'S COMPEM6AT10N '• :
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<br />i i DIS~ASE • POLIGY llulT ? 3
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<br />~ EJ~IDYERS' uA91u17 ° . : :. ... ............_. ..........
<br />: D13E4SE - F~CM OAPLOYEE :i
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<br />E` HIRED AUTO : otCC3eot4~~ ~ 5/01 /9 6 .
<br />~ LIMIT 50, 000
<br />: 0 5/ O 1/ 97:
<br />:PHYSICAL DAMAGE :COMP./ COLL. 50 ,250
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<br />.DEBCR~A OF OPlA4110N8IlDCAT~MSIVEFICL!&E~ECI~L RflA4
<br />ALL OPER.ATIONS OF THE NAMED INSURED
<br />bSARION COUNTY
<br />ATTN: ELYN LION
<br />220 HIGH STREET, 4TH FLOOR
<br />SALEM OR 97310
<br />gHp~LD ,olvr pF THE ABO~E DESCRIBED POLICIES Nt ~ANCELIE~ BEFORE 7HE
<br />D(PIRATInN OATF TFICREOf. THE ISSUItiG COMPANT WILL ENDEAVdR TO
<br />~q~~ 3 O DAY9 WRfTfEN NOTICE TO h'E CERTIfICATE HOLDER NA~MEO TO THE
<br />LEFT, 8UT FAILUA MAIL SUCH NdTICE SHALL tMPpSE NO OBLIGATION OR
<br />LIABIUTY OF KIN UPON 7F1E GOMPANV, ITS AGENTS OR REPRESF.NTATIVES.
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