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Certificate of Insurance For Ice
Certificate of Insurance For Ice
The policy identified below by the policy number is in force on the date of this Certificate of
Insurance. Insurance is afforded only with respect to those coverages for which specific limit of
liability has been entered and is subject to all the terms of the Policy having reference thereto.
This Certificate of Insurance neither affirmatively or negatively amends, extends nor alters the
coverage afforded under the policy or binder identified herein.
Name & Address of Party to Whom this Name & Address of Issuer:
Certificate is Issue: