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<br />RUG-16-2007 15:30 <br /> <br />WHITE RLUM HRINES CITY <br /> <br />863 956 5286 <br /> <br />P,04/05 <br /> <br />.A.C...Q~D.. CERTIFICATE OF LIABILITY INSURANCE OP ID lnt DATE (MMIODIVYYYI <br />WH'ITA'L 03/01/07 <br />PRODuCeR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />J Rolfe Davia In8~ance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />~tl&nd FL 32794-5255 <br />Phane:4D7-691-9600 INSURERS AFFORDING COVERAGE NAIC# <br />IflSUlUiD 'NSURER A; Auto-owners IIl8~ance Co. 18988 <br /> INsuRER B: ao~n.-own.e. IAauanC3e Co. 10190 <br /> Vbi u AluainUII P~oduot8, LLC 'NSUReR c; lIac.l.cmN ClN.cn 'be 1.... CD. 19445 <br /> ~~39fl9~4749-1292 INSURER 0: <br /> 'NSURER e; <br /> <br />COVERAGES <br /> <br />THE POUClES OF INSURANCE USTED BElOW HAVEBfiEN ISSUED TO THE 'NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY ReQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCuMEN1 WITH ReSpECT TO WHICH tHIS CERTlFICATE MAY BE ISSUeD OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THe TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POUCIeS. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ POUtY NUMBER IPDL UMrrs <br /> TYPe OF INSURANCE PATE IMMlDIf/YYl IlATE! IMMIDPIYYT <br /> ~HIiRAL.1JA1IlU'TY EilCtt OCCuRfUil'lCE $ 1000000 <br />8 ..!.. 5MeRCIAL GeNIiRA~ I.IASIl.I'rY 7269147506 09/30/06 09/30/07 I ~R~~~';'E~~~~I $ 300000 <br /> ~ CLAIMS MADE 0 OCCUR Mell E:XP (AflY one ",,,.on) $ 10000 <br /> X CoftuactuaJ. per PERSONAL & AOII INJURY S 1000000 <br /> COllPaDY f'ora GENaltAL AGGReGATE $ 2000000 <br /> h'L AGGAE6€lE LIMIT APnS PER: PRODUCTS-COMP~PAGG S 2000000 <br /> POLICY X ~~ LOC <br /> ~o..oelLe LIABILITY COMBINED SINGLE UMIT $ 1000000 <br />A ~ ANY AUTO 4269310901 09/30/06 09/30/07 [Ea accidenl) <br /> ALL OWNeD AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULeD AUTOS ("'er PCF$Oft) <br /> ...- <br /> ~ HIRED AUTOS BOOlLY INJURY <br /> S <br /> .!. NON.(lWNED AUTOS (Pet 8CCldenO <br /> PROPERTY DAMAGE 5 <br /> (Per .cllidenO <br /> GARACE LWIl~1TY AUTO ONLY. lOA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN eAACC $ <br /> AUTO ONt. Y: AGG $ <br /> EXCESSMIl8A&1.l.A LIABILITY EACH OCCURRENCE $ 1000000 <br />C ~. OCCUR 0 ClAIMS MAOE BE56188B3 09/30/06 09/30/07 AGGREGATE $ 1000000 <br /> --- <br /> ---~_.~-- $ <br /> =x=l DEDUCTIBLE $ <br /> X Rla'TewrlQN 510000 S <br /> WORKI!RS CClMNNSATlON 4NIl ITORy ~IMI,.s I IOJk'- <br /> EMPLOTER5' UAIlILI'TY E.L EACH ACCIDENT $ <br /> ANY PROPRlETORIPARTNERlEXECUTIVE <br /> OFFlCERlMEMBER EXClUDED? E.L DISI1ASE . EA EMPLOYEE 5 <br /> g~I~~=NSIleIOW ;;.; <br /> E.L DISEASe - POI.ICY LIMIT S <br /> OTHER <br />DesCRIPTION OF OPERATIONS I LOCATIONS I VEIlICU!S I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Reference : Cl.ll Col...n License Holder tC8COO1467; 'CCC03S611 and Kei~ <br />Wood licenae tCBC1250625 Liability 18 limited to 1088 O~ daaage ari.ing out <br />of neqli!Jent acta c4 the i.ft8ured. lItJ:xcept a. required by Florida Statute. <br /> <br />Ci ty of Zepbyrhil.l. <br />5335 B1gbtb Street <br />ZepbyE~11. rL 33542 <br /> <br />CANCELLATION <br />CXOFZBP SHOULP ANY OF TtlI1. A!lOV6 DESCRIBED POLICIES BE CANCELLED BEFORE THE I!XI'IRATION <br />DATE THEREOF, TttE ISSUING INSUReR WlI.L eNlIEAY~ TO MAIL ~ DAYS WRITTEH <br />IIIOTIC;" TO THe CERTIFICATE HOLDER HAMID TO THE LEfT. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THe INSUReR, ITS ACiENT5 OR <br />REPRESENTATMiS. <br /> <br />CERTIFICATE HOLDER <br /> <br />ACORD 25 (2001108) <br /> <br /> <br />o ACORD CORPORATION 19U <br />