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<br /> <br /> <br /> <br /> <br /> <br /> <br /> , The eort1:fiicatt8 hereinbel"ore refarred to skA3.l be in <br /> apgrox3mate1y the fr~~~owing form, to-wit s <br /> <br /> . . . - A 1.? M 1 s • a • ~.1! s *.4.~sur"an~`ie SJ.ompany 11ereL3y ~'"i ertid ies 1iliaU iU ilas <br /> 1iab3.iitg insurence policy designatad as <br /> 4Rt•s~~i•rRl~ra'~.~~L1~"~Ll~ ~`ai.le liabia.itf C3,L •w?•¦•ss••? 12'Cm <br /> tYxe 04.4094-day Of:.#..., tv the day of <br /> with bodily injury l3mits of twent-five t~ivusand dcallars <br /> (~~5,C7~SC1.0Q) ar~c~ f'`ty thvusand dallaxs (~50,Q00«40), and <br /> prragertg damage 3.nBu~~nce I~ the amaunt of twenty-five thousand <br /> , dollars ($25,00O.QO), which said insarance is in fulZ force ana <br /> affect. ~t Is further cevtified that Insuranae <br /> Comp~ny h,ereby represents and agr~~~ the insuranee provided <br /> by said Policy Numbe;r , shal], enur+e ta the benefit of the <br /> V113.ago of Artien Hil,l,s ~d itB o#"fieers in the same ranner and <br /> tta the same~ ~xtent as tbose sa3.d V9.l1ag+e Its officers wera named <br /> as insured~ thersin in respect to claim om suit made againat said <br /> Villa~~ ~r its officers emanating frcam , (name of 1i- <br /> oenae~ or contraetvr), negligent act or canduct, or a11eged <br /> negligent aats cr cqnduct, in the perf"t5rmance of that certeLin <br /> oontract entered iiito between the Village of Ayden `rii].le and <br /> . . M w Ik 6! i1M• 1•i •N M f~ted YliV clay VJ. ? 1 / • • • f • • r ~ ~ i 1 4 • • • • ) QM1 <br /> tYat certain 1icanse granted by thv Vi]:lgge of Arden Hi11s on <br /> w • srt t ~ r t$ • s : s w ~ ~ • ~ • s • ~ 9G'h. ~'a`~'1 C3O~3t2'A ~'i o1" C 31 8 L193 e 9 C9ii;17 <br /> ~.he off3.ce 4f tlp Glerk of said V3llag~ of Arden Hilla. <br /> It is i°u.rtbor certified that no caneel3.ation, or pretended ean- <br /> ce13:ation of said insurance, or change in the provislons thsreof, <br /> sbsL11 be effective as tc, said Village unT.esg wr1tten notice <br /> thereof sha11, be given tca said V3.3.lage at 1.east twenty (20) days <br /> before *aid caneellatiora or charge is to b~ effective. <br />