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<br />r.JQ( .!oJ-( .o:tH, "t <br /> <br />J.~."':"¡ <br /> <br />(tJ.L" <br /> <br />,1:1:1 <br /> <br />NlJJ.1'<r <br /> <br />r'Al:it:, ~l <br /> <br />N>IRF <br /> <br />. NORTH DAKOTA INSURANCÉ RESERVE FUND <br />P.O. BOXma <br />BISMARCK. ND 54502 <br /> <br />~~;:;~~~~~:. ' <br /> <br />CA$S COUNTY <br />MIKE MONTPLAlSIR. AUDITOR <br />PO BOX 2606 <br />FARGO. NO 58108 <br /> <br />DAWSON INSURANCE AGENCY INC <br />PO BOX 1858 <br />FARGO NO 58107-19Y <br /> <br />PHONE NUMBER: 701.237-331 f <br /> <br />CONFIRMATION OF COVE RAG E <br /> <br />11-IIS CONFIRMATION OF COVERAGE IS ISSUED ÞS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CONFIRMATION <br />OF COVERAGE HOLDER. THIS CONFIRW.TlON OF COVERAGE DoeS NOT AMEND. EXTEND. OR AI.. TIER THe COVERAGE ~FOROEI) THE <br />NAMED MEMBE~. <br />THIS IS TO èERTlFY THAT THE MEMORANDUM OF COVERAGE LISTED BELOW HAS BEEN ISSUED TO THE NAMED MEMBER SHOWN ABOVE. <br />IF ~V MEMORANDUM OF COVERAGE LISTED BELOW BE CANCeLLED DURING THE COVERAGE PERIOD. THE NORTH DAKOTA INSURANce <br />F:lESERVE FUND WILL PROVIDE THe CONFIRMATION OF COVERAGE HOlDER A THIRTY (30) DAY NOTICE OF CANCSLLATJON. <br /> <br />. COVEAAGE MB.tORAHOUM coveAAGE PERUJO LIMIT 0' IJABu..11'Y <br />NUU8eR MOM' TO EACH PERSON EACH OCCURRENCe <br /> <br />GENERAL UASILITY <br /> <br />ŒJ PREMISESIOPeAATION6 <br />0 ERRORS & OMISSIONS <br /> <br />Gl981 18 <br /> <br />08I01J2004 <br /> <br />08I01J2OC1S <br /> <br />$2.000.000.00 <br /> <br />$2.000.000.00 <br /> <br />0 PROFESSIONAl.. SERVICES <br /> <br />AUTOMO8lLE LIA&ILITY <br /> <br />~ ANY AUTO <br /> <br />BA.~ 16 <br /> <br />0810112004 <br /> <br />0810112005 <br /> <br />$2.000.000.00 <br /> <br />$2.000,OC!CI.OO <br /> <br />0 AU. OWNEO AUTOS <br /> <br />[EJ HIRëD & NONO'MIED AUTOS <br /> <br />0 OESCRIBeO AUTOS <br />0 OTHER coveAAGE <br /> <br />DESCRIPTIONS OF OPERATIONS, LOCATIONS. AUTOS. OR SPeC:W.. rracs: <br />I <br /> <br />CONFIfWA, rICH OF ~1i ~0l.DSF\ <br />STATE OF NORTH DAI<~TA <br />ND DEPAATMENT OF TRANSPORTATION <br />808 EAST ElOULSVAAD AVENUE <br />BISMARCK. NO 5850.5-0100 <br />ATTN: DAWN OLSON. 'TRAFFIC SAFE'N MGR. <br /> <br />'- <br /> <br />AU'1'HOAIZED ~I!NTATIVE <br /> <br />ISSue DATE <br />0811012004 <br /> <br />~~ <br /> <br />IL 60 0104 92 <br /> <br />r <br />