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<br />10/08/2807 1~:19 <br /> <br />7277341458 <br /> <br />RON BRADLEY INS <br /> <br />PAGE 01/01 <br /> <br />CErlTIE'ICATE: 011' mSURANCE <br /> <br />The CllIIpany indicated below certifies that the insurance afforded by the policy or policies nuntlered and <br />c:1e$eribed below is ioforee as of the effective date of this certificate. This certificate of Insurance <br />does not lIIlEnd, extend, or otherwise alter the Te~ /lOCi CQl'lditions of Ine\lrarlce cover"'~ contained in any <br />l?Ol1cy nUll'bered. and described below. <br /> <br />CERTIFIC7.In: JlOWER ~ <br />CITY or ZEPHYPmU.S <br />BUILDIlC CE~ <br />5335 8TH STREE:T <br />~F;PHYRHILLS, n. 33542 <br /> <br />IN~O: <br />I~ LllfINSE'IcrNKLERS INC <br />14205 IV\YS l'l,O <br />SPRING tlrLt., F.T,. 34 610-7629 <br /> <br />I <br />n"PE OF INSURANCE I <br />t.IABILITY I <br />[Xl Liability and I <br />Medic:al !:xper)se I <br />(X) PersOl'lal and I <br />Advertising Inju~1 <br />[X) MeClical Expenses I <br />[Xl Fire Legal I <br />Li<3bili ty I <br />I <br />I <br />I <br /> <br />I POLICY I ~P.OL:r.c~ I <br />EFF, CM't 111:XE'. L1l'TE I <br />01-25-07 I 06-18-08', <br />I I <br />I I <br />I I <br />I I <br />I / I <br />I I <br />I I <br />I I <br />I I <br />I I <br /> <br />~ ONE ~ON .....,..". $ <br />Any One Fire or ~losion .$ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I [ ) other Liability <br />I <br />I AIl'.I'CHlB.ILE: LIABILm <br />I [X) BUSINESS At1'1'O <br />I <br />, <br />I <br />I <br />I <br />I <br />r <br />I <br />I [ ] UIlbrella Fol:m <br />I <br />I <br />I [ ) <br />I <br />I <br />I [ ] <br />I <br />I <br />Should any of the above described policies be cancellC!d before the <br />eKP1:r.ation date, the 10$urance c:att:WlY will endeavor to lll8.il 10 days <br />written notice- to the al:love n.amed certificate holder, but failure to <br />mtil such notice shall inpose :n.o Obligation or liability upon the <br />calI)tlny, its agents, Or representatives. <br /> <br />POt.Icr NVMBER <br />, ISSOING CO. <br />77-~~663S1S-3002 <br />NM'XCHrJ:tlE <br />MlJ'l'tlAL ttRe <br />INSOMNCE CO. <br /> <br />LIMITS OF :r..IABILITY <br />("LIMITS A.T :rocEPl'ION) <br /> <br />, <br />I <br />I <br />Anyone OCcurrence........ S 1,000,000 I <br />I <br />My one 1?Crson/Org ....... $ 1, 000, 000 J <br />I <br />5,000 I <br />100,000 I <br />I <br />General Aggregate" ....... $ 2,000,000 I <br />?~/Comp Ops Aggregate" . $ 1,000,000 I <br />I <br />I <br />I <br />I <br />I <br />I <br />, <br />I <br /> <br />[Xl ClNned <br />[Xl Hired <br />[X] Non-owned <br /> <br />77-eA-663515-0002 <br />Nl\.TIlHnDE <br />Wl'UAL FIRE <br />INSOl'lANCE co. <br /> <br />$ <br /> <br />06-18-07 <br /> <br />06-1.8-06 <br /> <br />9od.ily Injury <br />(~ech Person) ......,... $ <br />(tach ]:\Cc1clent) <br />Property Oamage <br />(~ch Accident) <br />COllIbined Single Lim:l. t .... $ <br /> <br />$ <br /> <br />1,000,000 <br /> <br />ElCCESS t.IABILITY <br /> <br />Each OCCUrrence ......,... S <br />Prod/c~ ops/Disease <br />Aggregate* .,........... S <br /> <br />19c1:'lc:ers' <br />CoItpensation <br />and <br />Dlployers' <br />Liability <br /> <br />STA'l'UTOR'i LIMITS <br />BODILY IN.1lmY/1ICCIDENT .,. $ <br />8od11y Injury by Oise8s~ <br />~CH EMPLOYEE .......... $ <br />:ecdily :r.njury by Disease <br />POLICY.~!MIT ........... S <br /> <br />DESClU:PTI~ OF OPERATIONS/r.a:;..TJ:Ol:JS <br />vtHICIES/NSnUc::n:~/SPECIl\L lTE:MS <br /> <br />Effective tlat~ of Certifica.te: <br />Date Certificate Issued: <br /> <br />07-25-2007 <br />1(1-05-2007 <br /> <br />Authorized Representative: <br />Countersigned at: <br /> <br />DEBORAH WU;.J.m'INE <br />R B!W)LEY cur ~ <br />1153 Ml'\IN ST <br />