|
<br />FROM
<br />
<br />BUTTERF I ELDS_ . _ . ~
<br />r .:./ J:)f~UI!'> IS: l'i
<br />
<br />FAX NO. : 8137836588 Dec.
<br />~~UL~ H.~.ltln~ BlSOJ32BS.
<br />l.:()l) Insurance (ompan)' LIONS I~Su("!'<lL"( 1I r
<br />
<br />11 2006 04:08PM
<br />p.l
<br />VI '",...r.., " I
<br />
<br />P2
<br />
<br /> . f"....lo!"
<br />~Tk CERTIFICATE OF UABILITY INSURANCE 4/10/06
<br />.~ l.I;n 11'111I11I.. C""pcny flll5 CaItlftQ_ IS -.d ., . __ ef I..;o,_tloll ..1V ....Ii _r... no r1ohl!l
<br /> %~38lJ.S.1<i!l1Ooft)l 10N, .PO. ". c..tir... HIlI.. TII'Ii (ertttlea.. does nor 111I0" ,,~_d ........
<br /> HD.:IIly. n "'III! .... -..,. ...flIH IIv .. .....lCle5l1l!1ow.
<br /> "...ro' ~2~'582 FIlE ~~''OS'.!!1!lO lnsl.M'ers Affording C~'ge NArC'
<br /> So\IIIl E:lSl Perso/Ine; l..,illsI. Inc:. ....u,.p A: Uii\~IlClll~"y UD~
<br />JIlSUnId:
<br /> :me u s. Hj~~ 19 N. 111511'.r8:
<br /> "Oiiday, R :U1lll1 I""..tr 0:
<br /> PIlonc ; (l"2TI!~605562 1.._0;
<br /> In.,,,, I!:
<br />Coverages
<br />~.: fO"~: r l~eUf.",~ .~~< !)(.........Oo(lf\I_:O"~ ~ 'l'IIllCl"'- lOt l'l'r;><AI", _OII'I'O_c. __..r.~ 1'1, roq~""oi'f:....,. .. i ;....,..,., .r,o' .:.'T;,...., .~, 'T.-.:u'....rfiii!'"
<br />""st.<;:"_'l7\s(.i'a:~~,",'I>>._ 01 IMyllO""". I.. ;r""lIQ. "-.11\I"" po',..u."'....".'tiI\i....."......It<'fl1S ~..:'H':', ~..; :,,>:11,,','. ..., ,.,. t: .....f. ....,.'I"-lor'~
<br />ftw:w-...,.... ....."'lot; bw"l ~-lv...) b,,:.,,~
<br />IJ.~ "'~ k 1 -- POley Numoer ....., E1fliiiW "*Y _-... lliiii e,mils
<br />:''9C':' 1...F>:. )'Pe 0, ne. D_
<br /> (MhWQ/l'V) (MM/OO/V'(J
<br /> H!M~ LIAIlUTY !.:tl.r 1....(Uf."" ~ ..
<br /> Ci:m-.QalGeNraI Li'D~ . .om..;...t.: '~.I..~ I r..' ..~ ~,.
<br /> t: C:aIm~ ~ae CJ Qe;u- ..n..r.:~'; !
<br /> ... .....-:..~.;: '.:'
<br /> ... PemnlM- 1.Jl-y ,
<br /> Gcl'Cnllllll!regll. m;t """ pilI'; '~JioI"~'1 "~)r..,~'- ,
<br /> ~ 10''''.' [J "'-' IJ l.JX .r....,nt... (. ;; ":1=..... ~
<br /> ,.UTClM081LE UUlUTY .' .,....t..~..,:..I1-.~'""..
<br /> ... ::.~ ....:.r.,
<br /> .........$.="'"
<br /> .. :.:..;n, I:;,; .
<br /> _ r'''''~:3~~
<br /> .... , . ..~ t:.. .....; :
<br /> ~~~;....,r;: A:D
<br /> f- ../~'"""C.; ~ .JIV ;'1 .:y
<br /> ... (.Lj'~ """fQ....";:~ "_r.'......... , i
<br /> - ,., ~ ;~..' ~';f.':.
<br /> ;:'.'l-4.1.{'IV"I',
<br /> CARAGE UABlLrTY '~'''.'''J.E... ." . ~
<br /> =1"'y~. .""'1 '.iI" - r
<br /> ..:..1, . T. ~f.....
<br /> I!XChS.'UMI"ELLA UA8llJTY '., Ill.,'""
<br /> .- :'....,' C CboIllSM"'. ~ .~""...tl..
<br /> .. C':(~)I:Ital
<br /> I- ,:,'.......::'"
<br /> i-
<br />A WOIk.,. CDrI\pen..aan and Twesw... r Tom
<br /> !mP.'" U.1I1llly we 71949 01.0112006 O1;D112007 JC IDly I.M!ilt EP.
<br /> A/tJ'llrQ".....~IfhI!~ :)!fiI;:e!flnM11lB' rErEiCll;lCc l>>nt :t.,".'....;
<br /> ftclullBd? E.L. ~_ - fa Sl>Ip'~_ "::11'" '(:.
<br /> '''',.. ...o.ill. undolr ""W ~. ........
<br /> H. Oi...... PoNy u",*" $.ia:f If:.
<br /> Cl1.,., 37SGCBl
<br /> Ac(l();1 AlulI1~ ~en .nd GIJS:l. i~ COVERAGE APPUes CfIL Y TO TIoIOSi EMPLOYeEs L~O. NO. TO SL(8C~NT!tACTORS.
<br />llll:iC/17l"'" otO"t..llf1'/~ -"~"'''IJS", ~. ADD ON DATE; 1131(05
<br />COVEItAGE APP~I!S ClNLY IN TH5 e;r...Tll: OF FLOltla. TO TMOSE E:\IPLOYDS LEASED TO eLlY tlCr SU';CM'RAl:TC~:; OF ...Uell......_ So..... and (lw..
<br />h.. . !'AX: 8~~.'307It$5UIi u:IGai (~JG) ;:;l!I3~ 0.&.1l145 (SUO/j;:EISSUe 4010.05 (PA)
<br /> UonlllllUl1IlIc;e ComNI'lY rsA.M. lat Cornanv ratecf A. (Excellent). 1MB # 12616
<br />"'"".......-.......
<br /> p~ CQlJHTY I SliiUOan,."'.ItWiIlRf:'riIii"C~"'~oIct.. ;'til"'..'...1~'""" T"-\'f"'"''''- 111M.. Tl....... - ~..". un.:r
<br /> Jr=&n;wr.1~tc,,*,~~IIft:~'T.I,',,:w: wo::. ....,'*...:f-:.~.:tt... '0"-)':':11-' t I. d:.t"tr., 'JO,.~, f;'1
<br /> ...... ;aaclQ ftOabl,,~~.).tDlIV tI~y Ltl'\'~",:,., ~I".. ."_~.I"'. tJ.J-..I....'.r..J;,..~r-:7....(
<br /> ., II !.AAD c LA/(;SEl\lO,,;rzo~ .~.,If-.
<br /> tAN~ 0 lAKes I'L )olC3
<br />-~:".~3tI7"ll.'(.;1 , 'v. . .~':='-':"l'..-:-C,
<br />
|