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~~h .A.~.tll't. CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) PRODUCER ~.~_._. .-.-----.--..---...--..-.--- -.------..--- THIS CERTIFICATE IS ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dan Townsend & Associates, Inc. P.O. Box 157 18 North Sixth Street Haines City, Florida 33845 (813) 422-7574 COMPANIES AFFORDING COVERAGE INSURED f~~~NY A AIIerican States Insurance Company f~~~~NY B Aetna Casualty and Surety Company T.R.A.C.Envirorunental Services, Inc. P.O. Box 2230 Eaton Park, Florida 33840-2230 f~T~~~NY C f~T~~~NY D ,i f~~~NY E CO,yERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD -INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO lTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYY) DATE (MMIDDIYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABiliTY CLAIMS MADE OCCUR. GENERAL AGGREGATE $ PRODUCTS-COM PlOP AGG. $ PERSONAL & ADV, INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone lire) $ MED. EXPENSE (Anyone person) $ OWNER'S & CONTRACTOR'S PROTo AUTOMOBILE LIABiliTY ANY AUTO All OWNED AUTOS SCHEDULED AUTOS A X HIRED AUTOS X NON.OWNED AUTOS GARAGE liABILITY 01-CC-814005-1 COMBINED SINGLE $ 1,000,000. liMIT BODilY INJURY $ (Per person) 12-13-90 12-13-91 BODilY INJURY $ (Per accident) PROPERTY DAMAGE $ -.- EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABiliTY UMBRELLA FORM OTHER THAN UMBREllA FORM B WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 094c021 04282 8caa 12-08-90 STATUTORY LIMITS EACH ACCIDENT $ 100,000. 500,000. 100,000. 12-08-91 DISEASE-POLICY liMIT $ DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/SPECIAL ITEMS CEf)TIFICATE HOLDER CANCEL~A ,,'ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WilL ENDEAVOR TO MAIi!-O/30DAyS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUT;a;: ORIZE REPRESENTATIVE , J I r;--" t. ~.:1JI:-..-~ , ~~~ORD CORPORATION 1990 : -..-.-..-----..-'",'.. ..--. _A~~F1J)~5-S_E!~~_____________.