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<br />To: N~rth A~erican Building Inc <br /> <br />From: Vicki Schooley <br /> <br />217/20083:33:52 PM (Page 2 of 3) <br /> <br />~.c.ORDPM <br /> <br />INSUItt;D <br />R J MlIhlltfcy COl\stlUL:tiUlI <br />1109 Dona Way <br />Nokomis, FL 34275 <br /> <br /> <br />DATe I_DD/nvy) <br />217/200R <br /> <br />'rt11S CERTIFICATE IS ISSUED AS A MATTEA OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATe DOES NOT AMEND, EX'reND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PRODuCliK <br />Diclc, Johnson & Jet'fua'Scnl, irK::. - CORI~ <br />1429 60th A\lel1LlI~ W <br />Suite 200 <br />Bradollt'lIl, FJol'idil 34207 <br /> <br />INSURERS AFFORDING COVERAGE <br />IN$\JtlEFl A: Amcri~ll ~fclY lllwrmily <br />!N.SI~ RER 8: <br />INSURER C: <br />~IN$lJl'IF:R D: <br />INSURER E: <br /> <br />NAIC_ <br />25433 <br /> <br />COVERAGES <br /> <br />"1"111:. ~I.ICIES OF INSURANCE. LIS I ~o lil:;L.OW I.IAVE BEEN ISSUED '1'0 'H~ IN$llRED NAMED ABOVE ~OM , HE POLICY PERIOD INDICA-rt:U. NQ1Wrn ISTANDING <br />ANY REQUIREMENT, 'rr:RM OR CONDITION OF AN'\' CON"~ACT OR OTHER DOCUME'IIT w"f~1 RESPECT TO WHICH THIS CclHIFICATE MAY BE 'ISSUED OR <br />MAY PERTAIIIt, '1' H~ INSURANCE AFFORDED BY THE ~ICI[S DI;;SCR'BED HERI3N IS SUtsJLC 110 AL.L THE TERMS. EXc..USIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGr..EGATE LIMITS SHOWN MAV HAVE BEf.N REDUCED BY PAID CLAIMS. <br />l~ ~~ TVP&O~ IN~~~~- POUC'I' NUM~R-" "~c'Y "......,CTlVlO <br />~ENERALWWIUI'l' I S6A 111J3063-oo 112R1200fl <br />'"",/- COMMERCIAl, c;F.,..,eRAL LIAliILrrv <br />'. :=J CLAIMS "'''DE 0 OCCUR <br /> <br />p~~~.re~~" <br />1/211/2009 <br /> <br />UMlTS <br /> <br />PHOQUCTS-COMP~rAGG $ <br /> <br />$ 1.000,000 <br />. . ~ ---.-. --~~--i OO~ <br />$ 5,000 <br />$ 1.000,000 <br />_". . $ ... 2,000,000 <br />_. _ 2!~O~,OOO . <br /> <br />- -.. ."..- <br />~'LAGGR~~..!f LIMI~ oIU'~ 1'1:11: <br />I POLICY I I ~~81 I I LaC <br />AUTOMOIJII.E UAlJlury <br />==1 ANy AUTO <br />..._' ALLOWNEPAVTO.s <br />_ SCHElJuU;:UAUIOS <br />HIRI'nAVrOS <br /> <br />EACH OCCUI~R15NQ; <br />lJAWc;i! 'i'i:1 RIiNT!;D . .. <br />. P~FMI8ES lE.occ.....,cel <br />~!! ~XP (Ally one porsan) <br />~!;<!lONAI.'.4\l1V INJUny <br />GF.NFAAI. AGGAEGA',,, <br /> <br />^ <br /> <br />I - ,..,ONoQVVNECI AUTOS <br /> <br />COM81NED SINGLI: LMIT $ <br />I En t1Gcidonll <br />- .. .. -... <br />BODILVINJUHY $ <br />(PlN' IN'lIUI1) <br /> .....~_.. <br />80DllY INJUIW $ <br />(pa.. Ut!~':knll) <br />r-ROI'EH 1''1' DAMAGe $ <br />IPOl' ~cQd..nI) <br /> <br />"~~ic;E UAIIIUTY <br />I ANY.lITO <br /> <br />AUTOONLY.EAACCIOliNr s <br />"..--.. - ... . .... <br />OIHtRIHAN ~.ACC $ <br />AUTO aNI. y, <br /> <br />AGG 5 <br /> <br />EJl.CE BSIUMBREUA L1AilLHY <br />:=J OCCUR 0 CUll"le MADE <br /> <br />EACH OCCURRIiNCE _._.~ <br /> <br />AGGRl!!GATll $ <br /> <br />S <br />$ <br /> <br />ROEDUc:TlIlI I' <br />RE)'''N'(,ON :$ <br />WORI(ERS COIiIPENSA'rlO.._o <br />EMPI.OYERliI'l.IA8IUTY <br />/lNY PIlOPRIETORJPARl'NEI:QlOOiCU'i'IVti <br />O"~'Ct;l\Ifoo1EMBER EXCUJOED? <br />~~CI~~~~~~~~ Nil bolDw <br />OTHER <br /> <br />I~~~I~~~I IO~~- ..._ <br />E.L. EACH ACCIDEN:f_.~.____._ <br />S:L'!!I~E.~S.~.~E.~.EMPLOYEE s .._ <br />E.L.DISEASIi .POLICVLIMrf S <br /> <br />DI!SCK.TION OFOPEAATIONS' I.OCATIONS I \/EKICU:S I C:XCLUSIONS ADDUl BY ENDORSEMENT I &PECIALPROYIliIIONS <br />R.,,~idO::llliill (j~neral ConlCllClor <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Hulder'~ Nilture of Inl~rc5t : Ccniliclte HDlder SHOULO ANY Of' rHI ABove UESCHIlIaIt>OllCIIO. lllO CANCIiL.U:1:J 1I....0Rl; .... ~MA lION <br />North Amorican Buildill& Inc DAn; Y"Ii.n!op, THti JSsu...G INIiUIlIER WILL ENDEAYO'" TO MAIL .. 10.. DAYS WI'lITf"N <br />Roger Wycoff NOllCE 1 D TIlE CERTIFICATE HOLDER NAMED TO THf U::"'f. auT I'AILUIUi'1 0 DO SO SHAlL <br />9139 E 37th St N IMPOS6 NO OlluGAllON 011 lJAB,LJTY OF AHY KINO UPON THE II'ISUAe.... ITS AGeNl'S OK <br />Wi\;hitOl. KoS (,7221'1 ",""MllSllN'i'ATlViiS. <br /> ~"f.m_D~R~~~ <br /> v' <br /> <br />ACORD 25 (2001108) <br /> <br />@ACDRO CORPORATION 1988 <br /> <br />913 39\1d <br /> <br />S9aie N\18I~3W\1 HL~ON <br /> <br />L6961Z;S91E <br /> <br />1Z;:Sla SlalaZ;/IZ;/Ela <br />