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Paid, Insurance Company <br />St. <br />tit. Pahl, i1'1N 55 102 <br />DATEISSUED: 09/19/2010 <br />CERTIFICATE OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGI ITS UPON TI IE <br />CERTIFICATE HOLDER. THIS,CE_RTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED <br />BY THE POLICIES BELOW. j <br />NAMED INSURED & ADDRESS <br />Tom Fe--y Farm, Inc. <br />PO Box 361, Slayton, OR 973193 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />NAMED ABOVE FOR TI -IE POLICY PERIOD INDICATED, NOTWITI [STANDING ANY REQUIREMENT, TERM OR <br />CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITI I RESPECT TO WHICI I TII S CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS. <br />INSURER POLICY NUMBER <br />Northfield insurance Company WS0/741'7 <br />EFFECTIVEFROM: 09 /19/2010 TO: 03/19/2011 <br />TYPE OF INSURANCE LIMITS OF LIABILITY <br />GENERAL LIABILITY Each Occurrence $ 1_00(),000 <br />- . Damage To Premises Renmd To Vnu $ .100, O U Q_ Any One Premises <br />.- - - Medical Expense,,-, _ S —5,00E) Any One Person- <br />Personal ano Advertising Injury S 1, 000_,- 000_ Any One Person or Organization <br />General Aggregate $ :. 000 , t7 U o <br />Products /Completed Operations Aggregate $ 2, 000,00 <br />Forestry Lree Chiiuting, fire fighting, lift-ii-_9 seedlincis <br />In the event of any material change in or cancellation of said policies, the Company will try to give 10 days written <br />notice to the party to whom this certificate is Issued Fatlure to give such notice will not Impose any ohligation or <br />ilahtltty upon the Company <br />CERTIFICATE HOLDER PRODUCER <br />C'it.y of E•iciene DBA Superior Underwriters <br />1820 Roosevelt Blvd 2027 152nd Ave. N.E. <br />c•,igene, OR 9'1402 Redmond, WA 98052 <br />ilimiizarl Raprasanlaiiv.. <br />�c�o� -os Iiv <br />