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<br />ueV~1:Y <br /> <br />4/tl/ZUUtl l:U~ ~M ~AUc <br /> <br />Z/UUZ <br /> <br />r ax ::leever' <br /> <br />Cwlifioale of In.u..nce <br /> <br />Thll OIriIflGI&.III...,~ _ .1MIl. d Infarm~CI'l CI'lIy .,d Galf., no ~."a, L1Plllth. ClrtJIGI&. Haw dh.th., th_ provtded by 1111, pall~. <br />Thll OIriIflGI&. daa nal Mlll1d. ...,d. or Ill. 111. cav...llft'orded by 111. pald_ ducrlbed h__n. <br /> <br /> <br />MARSH <br /> <br />9000 Town Center Perkwy In....,... Affording Coy_ge <br />Brademon. FL 34202 AnI...... ...... Auur... Co~ <br />Cove..g..: M_II. fill AnI..... Inl.ft."'.' Draup,ln&(AID) <br />n,q II to aeriIfy th.. .. paIIay(Iu) oIln11nnae d.-Jbed "-In heYe -..1...,11I the InIInd ..-rted hMIIn far !hi policy peItad IndIcI8IId. <br />NatwlI1...,d1ngIl11 I'tIqUlrftll1l,l.-m or GaldlllCll dll11' aanlred or a1h. daa.J1Mnl with ....ed 10 whldI... ClrtJIIGI&. ,.,., be I..,ed ell' mll1 pertlln. <br />1I1.ln..,.,w ....crded by th. pall~I_) ducrlbIId h.eIn I, ..bled 10 IIIllht1t.ma. GCI'1dIIICIl,.,d adLIlI_ d aldl paIIcw(I-l. <br />(AuIr....) UmllllhCMn "'111 have b., reduced by plld c:llllm.. <br />Type of In.u..nce Cwlific:lte Exp. Polic:y Num..... Limin <br /> Dlle <br /> RMWC44G2574 EmPloy.. Liability <br />Worb.... 1.1.2001 Badly Injuly Br AlxlidenI <br />Compenulion RMWC4I15117 0.11IO.000 E&t1 Acldclenl <br /> Badly Irpy By 01__ <br /> 0.11IO.000 PCIII~ Umll <br /> BadlIy 1~L1ry By 01_ <br /> h.OIlll.llllO Eect1 P.1CIl <br />other: <br />Employ... LMMd To: Effec:tive DII. : Ol-07A1f-ZOOI <br />.07'.Bartline Al.~ co IDe <br />Th.IIbav. rtI..,oed wcn.,' aampll1_CIl pall~(I"1 prwlde(,I_lIIuIay bIIllIIll only lo ."plqr.. dthe fUmed lnalred(1) CIl ..dl pafl~(Iu). "alla <br />th. ."p1ay_ dIllY Cllh.. ."play.. <br /> <br />Notic:e of Clncellation: Should any d the poIcIeI deIcrlbed h8r8h be cancelled blIfanI the __Ion date ther8ct, thllMurar <br />III'fordlng CCWII8g8 wt. endelIvor to mel 30 dBy. write" I'lClIlce to the ClMtIfIcatI holder nemed hlnln. 1M fallul'l to melllUCh notloe <br />.han Impoee no obligation or IllIbllly d any kind upon thllMnr alfonlng ClCMlrage. I. 'G8'dI or l'I.....nIIIlV8I. <br /> <br />CeJtifiOllt. Holder <br /> <br />~e.~ <br /> <br />City of Ztphyrhilll <br />Building Dept <br />5335 8th St <br />Zephyrhilll. FL 33542 <br /> <br />Michael C. W.... <br />A~horlllcl Reprw.entatlYe of M'Nh USA Inc. <br /> <br />(1111)443-84811 OI-Aft-ZOOI <br /> <br />PhCll. <br /> <br />DallIIIalId <br />