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<br />Dan Townsend & Associates, Inc. <br />P.O. Box 157 <br />18 North Sixth Street <br />Haines City, Florida 33845 <br />(813) 422-7574 <br /> <br />-----.---" .......~.-..........~ <br /> <br />CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/~:_I <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br /> <br />A4~4tl~I.. <br /> <br />'*' <br /> <br />PRODUCER <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY A <br />lETTER JII.Iount Hawley Insurance Company' <br /> <br />INSURED <br /> <br />~~~~~NY B <br /> <br />T.R.A.C. Environmental Services, Inc. <br />P.O. Box 2230 <br />Eaton park, Florida 33840-2230 <br /> <br />~~~~NY C <br /> <br />~~~~~NY D <br /> <br />II <br /> <br />~~~~NY E <br /> <br />CQVERAGES <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO <br />lTR. <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MM/DD/YY) DATE (MM/DD/YY) <br /> <br />liMITS <br /> <br />FIRE DAMAGE (Anyone lire) $ <br />MED. EXPENSE (Anyone person) $ <br /> <br />$ 1,000,000. <br />$ 1,000,000. <br />$ 1,000,008. <br />$ 1,000,000. <br />50,000. <br /> <br />GENERAL liABiliTY <br />A X COMMERCIAL GENERAL liABilITY MOL007297 <br />CLAIMS MADE X OCCUR. <br />OWNER'S & CONTRACTOR'S PROT. <br /> <br />12-06-90 <br /> <br />12-06-91 <br /> <br />GENERAL AGGREGATE <br />PRODUCTS-COMP/OP AGG. <br />PERSONAL & ADV, INJURY <br />EACH OCCURRENCE <br /> <br />AUTOMOBilE liABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE liABiliTY <br /> <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />OTHER THAN UMBREllA FORM <br /> <br />COMBINED SINGLE $ <br />LIMIT <br />BODilY INJURY $ <br />(Per person) <br />BODilY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br /> <br />WORKER'S COMPENSATION <br /> <br />STATUTORY LIMITS <br />EACH ACCIDENT <br /> <br />$ <br /> <br />AND <br /> <br />DISEASE-POLICY liMIT $ <br />DISEASE-EACH EMPLOYEE $ <br /> <br />EMPLOYERS' liABILITY <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERA TIONS/LOCA liONS/VEHICLES/SPECIAL ITEMS <br /> <br />j\CORD 25:5 (7/90) <br /> <br />CANCI;LLA liON <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL10/3CbAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />~ <br /> <br /> <br />· ~~.J ~ ~..L.--'''"ACO"RO_CORPO~T10N 199. <br /> <br />CiATIFICATE HOLDER <br />