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<br />Nov IS 2007 4:14PM <br /> <br />HPLASERJET FAX <br /> <br />p.4 <br /> <br />I <br />I'ram: SlIllie ~ud'slK A': M..cock Inll GrOUl) In~ F.xIO: Hllilcock GrOUP To: Miklll!ltrlddanl:l <br /> <br />0.111: 11/1312007 03:38 ~M ~age: 3 Qf3 <br /> <br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE C8~ SA I DATi IIMDCIWVV) <br />taus -, 11/13/0'7 <br />PIltODUCIA THI8 CEItTIFICATe IS ISlUED AI A MA TTeR OF INFORMATION <br /> ONLY AN D CONFERS NO "IGHTe UPON T~e CelnlFlCATE <br />Heacock %n.uraDOe - I..keland HOLOER. THIS CEII!TII'ICATE DOES NOT AMII!ND, EXTEND 0" <br />P.O. Box 328 Al re,. Ttill COVERAGe AI"I'O,.OED BY THE I'OL/CIE8 BELOW. <br />La~el.~d r.L 33802 <br />tbone:883-5B3-2228 raX:883-51!-330' INSURERS AFFOIlDlNG COVERAGE NAIe , <br />IN IUIlIC 1118U~ell. A. .....c:II\u".., CIlI.u.U" :rn,. "" <br /> Ifll9JRER 8; Ha~OV8% Inauranoe 222U <br /> ~liOkt:fd CQn=tzuo~ion, IDe. I/lSLiRER c: <br /> r 8 r Ok~.D <br /> 14 It fiR ftad 1I'IS<JIl~RO: <br /> La~.lan 3101 <br /> IrlSUKm !: <br /> <br />COVERAGal <br /> <br />lHe POLICies Of flS1AANee: LISTED 6eLOWK'lYE SEEN 'SllUEC TO lHe '>/SUREO NAMeOAllOYE FOR THE PDLIC'I PE~IOO IIOICAT<:D. NOlWllHSfAM:lINQ <br />IWr' REOUIREIo'IIIII. 'TS/lM OR r;ONDITlOtI Of' JIIh CONTJtQeT OA OTl<E'l DOCUMENT WI~ IC'IOe;CT 10 WI"CH n<<s CE/lT'FII;ATE ~Y Ile ISSUliD OR <br />w..( f'E~'""". lHC 1'l8lP1'I'.cE A""OIlCEO!lf"IHE ~Ol.'C'ES oeSCAJIIEc HllllEIH 'a SU~T TO "'.L ~E TEIlI\'S. exQ.utIOC\'El H'iO COtOIT,o..e OF liU:H <br />.'OLIClES. AGClIlES.l1l U'-'lTs eHOV'IN I.<AY "'AVE IlE.N REOJCED In PA'DC:..AJMS. <br />LU Nil "TYI'E OF II'lIUIUNC! 'OLICY NUMBE" O'A'fil. OATE./holllDlfl'i'V'i' LlloIlTlI <br /> .,,_ LIULt"l\' eAC)i OC::UI1Ret~ , 1,000,000 <br /> ~ 04CJLOOOU4,gS 02/2'7/07 02/2"10. PliEMi5'Es (it De.~_.J <br />A ~ COWi'EllCI"l. GENERlL LI"IL lIT , 100.000 <br /> I-- P CLAIIiIS wXlE 00000.,,; MEO E>:IO (M~ eM p...m) , !:XCll UCled <br /> ~RSC'NA.L , ~v INJUIlV ~1 000 000 <br /> QENE~. A'.:GREGATE C 2,000,000 <br /> OE'II. ~GReG.I\TE LIMIT .-.PI'l.IEl!l PER. PROCI.IeT& - COMP/OP Me . 2,000,000 <br /> Ii 'OLICY n ~8r n LOC <br /> ~TOMOAll.E .IA8ILITY COMllfNEO ilrIGLE LIMIT $ 1000000 <br />C ..!.. I'I"Y AlJTD ADJ038USO 06/20/07 Oel/ZO/08 lea lecm.nt) <br /> ~. OIoWEO AIJ rei BOOIL'l' 'I'I.IURr <br /> - {POI p.lSonl $ <br /> I-- SC:I<&'OVLED AVTOS <br /> ~ HIRED AIJTOS BOOIL.{ INJU/;!'f <br /> ~ Na'l-OWl'leC Il//TO& (P'f '.dOl,"IC) , <br /> PROPEPTV DAloiAGE , <br /> IP., "'ci~.nl) <br /> OAI'UIG Iii I. II\IlJLITY A\/TO ONlY - eA ACCIDENT . <br /> ~ !'l1Y -'UTO OTtiel1 lK'W EA ACe t <br /> AlJTO OILY: ;>f;J; . <br /> ElCCEI._U LIlBILJ'IY ~OCCUR~NCE . <br /> o OCCIJR 0 Cl"IMS MAD! - <br /> AGGA!I3A7E $ <br /> r <br /> q DEOveTlSI.E $ <br /> 1'ETE"IT'<:lN . f <br /> WOAKS.., CllMi>lNIATlON ANO h~~t~~,',u~ I 11;1~. <br /> EMPLDYiIU' ~IAIIL/TV E.L. EA01ACC.IDElll <br /> M'Y FIlOPRI:TOP1PAAl1IERIel(!CU TlVF: ( <br /> Of'FIet!RIME"'ER Ellr;l.UDEO' E.L. DllIEAGE - EA BAPLOYEE" I <br /> ~~c.1t~~r~F~~ DelDI': E.L. DISEASE - POliCY L'..,IT , <br /> 0,... ER <br />DlHc 1l'P110N O~ O,,!ItA. "'... I V5H1C:La , IIlC Day it.Jc!QIII. . P~"IOHI <br /> <br />celllTIFlCATE WOlDER <br /> <br />c~ti' or Zlepby:.chill. <br />813-710-0005 <br />Bevezoly JOD_ <br />BUS 8t1l8 t <br />Zepb~h~ll. rL 3154'7 <br /> <br />CANCeLLATION <br />I.ncn SHDUl.III1NI( OF THI "IOV!! III!ICII'lm 'IlLIC.. II! CAIIIC!U.ep -.olll! ""! E lCPllUTlON <br />DATI! THEItSClF. 114& .'UINC INSUIIIlA WILL iNDi4VC1t TO IUl. ~ O"YS WAfl'TI!N <br />NOTIC;! TO"ntI! CERTlFIC"TI HP~1t NANeQTll~i LIil'T. IU' 'AIUIIlE TO DO SO '*LL <br />I~ NO OIlL'lJATICIN Oft L_LIN goo ANY KIND UPON TIIIINIlJIU!R. t1'8" AQENTI Oil <br />REO"EIIEM"ATIVII. <br />AUTHOII 0 Riii8IiN ATIVI <br /> <br /> <br />RPORATlON 1981 <br /> <br />ACORD 25. (ZOO1/D81 <br />