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<br />10-24-2007 09:39 <br /> <br />7279376017 <br /> <br />PAGE4 <br /> <br />AaJBJJ.. CERTIFICATE OF LIABILITY INSURANCE T QATe(MMIODlYVYVI <br /> 10i22/2007 <br />PIIODUCl!ft TNI. CI!ItTlptIU~ It ISSUED AS A MAT'TER OF INFORMATION <br />PAUI. MaDISON DfSURANCE ii UJU, EST. ONL.Y At4g t;ONFEIU NO R1C1HT8 UPON THI CI!!"""tCATE , <br />HO~gER. THI~OlCIImIllCATI DOIS NOT AMEND. EXTEND OR ! <br />1'0 BOX 3646 ALTM TNI C WAAGE AFFOItDEO IV". POUCIII8 Il!l.OW. . <br />HOLIDAY, ~ 346iO i <br /> I <br />1727' 934-5751 INSURERS AFFORDING COV.RAGE NAICt : <br />INSURED aBoaR XON'1'OS ROOl'nlQ, me: . tNIUIl;R A: DNa'rAaa IMIUltANCE i <br /> tNIUlIIA., wnmsoa %IISmtAMeE <br /> PO BOX 547 Il\llVAliR c: <br /> TARPON 9P1UNGB , I'L 34689 INSUREA l)- <br /> I lNeUl\M I!. <br />COV&RAG.' <br />THE POLICIES OF INSURANCE L.lmD BELOW HAVE IEEN ISSUED TO THE INIUQO /WAID AIOVi FOR THE POL.ICY PEAIOD INDICATED. NOTWfT1ot.TAt4CING 1 <br />ANV REQUIREMENT. TERM OR CONomDN OF ANY CONTRACT OR OTHER DOCUMENT WITH "eSPICT TO WHICH THIS CERTIFICATE MAV IE ISsueD 0.. J <br />M4V PERTAIN, THE INSUAANCf! AFFORDED BV THI! POLICIES OISCRI&l!D HI"IIN I' SlJlJICT TO AlL THE TERMS, EXCLUSIONS AND CONcmONS OP SUCH <br />POLtClIS.^GQ"~TILIMITSStiOWN MAYH"IIIIIIN IIIIDUCIO ev PAlPCLAIMS. ~ ~ <br />~ ~~ POLICY N........ I r:.qWi! LlMIT1 . <br /> ~NIlIW. ~l-'Ill"'" I IA,CM OCC,,","..,.CIl . 500.000 <br /> ~ ~"01A~ .HIlMl. ~'AlIlL.rTY I M!l:l!X~IAnl'_"'NnI : 50.000 <br /> 10- CLMII~ [j] ClCCUft Exoluded <br />.A HQI./49'318-06 '/13{2007 i/13/200. PI!RIONAL6ADVIIIJUA't t 500.000 <br /> OIHI!IW. AQQllIo.. TI . 1.000.000 <br /> rl~ AG~I LIMIT APfl' PlR: PlWOUCT$ . CO~IOP AGG , 1.000.000 <br /> IIOt.ICY I I ~ Lac <br /> ~OMClIILfUAlIL/TY COMIIINED lING... UMIT S $500,000 <br /> - AIf'I' AUTD Ie._) <br /> .x ~u OWNeO o\UTOII 1I0Dl~ v INJURY <br /> , . <br /> SCH!llUl.~O AIITOS II'.. tlIfIOIIl <br /> ~ j309800620~ 12130/06 12/30/07 <br />B - HIlUOAUTO. 100lLVINJURV <br /> NON.owMEOAUT08 i (Ptlr~, $ <br /> - <br /> ~ i MOP!l'm' DAMAG! . <br /> 'P.'....-.ml <br /> ~I! UMlLrrv Al.JTO ON&. Y.l!AACClOINT S <br /> MY AUTO ~~~ 50\ lICe , <br /> AQQ S <br /> ~ceS8tUMB"euA LIAIIILITY lAC" OCCURQNCI . <br /> occu" 0 ClJUMIMAD! AGGeGATI! . <br /> s <br /> =J OeouCTlILI! . <br /> ~OII . . <br /> WORGAI COMP~NSATlO"'NlO I.YYCSTATU-II I~' <br /> IMPLO\'8AI' L.1AlIlLnV <br /> ....V,._~A~ !.L. I!ACH ACCIDeNT I <br /> Qflllalll-&-~- _~ I.L. DIIQli - iA Q!PLOVE . <br /> ~wwlIr E.L Ol~. POUCyt.lMIT . <br /> OTHIFl <br />OelCllIl"TION 07' MI!IlATIONI '~OCATlON. NI"I~/lIXc;LU'I()lq AOOIiO IV iNOOR.eMlHT, 'PI!CIo\L ~"OVI!IONI <br /> --. -- ..- <br /> <br />LDI!R <br /> <br />CANCILlATION <br />'HollLO MY CII' 1He MCM! OE3CAIftO POLIe" II CAHC&L&.iD IlEFORE THE EXPIAATIO <br />DATI! THeAI!OF, T141 IUl,IING l"'IUREA Wll.4. I"OI.~ TO llII~ DAYS ~"11N <br />NOTle!; TO THIi CEATllIlCA'! "OI.~ _ED TO lte Lfl'T. lilT ~AlLUltI! TO 00 BO SHALL <br />It.II'08E NO O8l.ICIA'rION Oft LlAIIlLllY Of' AH'tf IClND UPON THE INSlJRlA ITI AOII"'T8 OR <br />"1!I'~!lIfT"TIV!' <br />AUTHOIU;ZIiD AII' <br /> <br /> <br /> <br />Gall .~l.Yard Land T~.~ <br />c/o CUe Saravanos <br />8020 CJa1~ Blvd <br />Z.phy%h111., FL 33542 <br /> <br />ACORD 21 (2001fOl>> <br /> <br />1l::l-22-2elB7 10: 35 7c79376017 <br /> <br />PAGEl <br />