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ACORDTM C EI TIFICK E QF INSUI NC - DATE 4/3/09 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BROWN & BROWN INC CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 220 SOUTH RIDGEWOOD AVENUE AFFORDED BY THE POLICIES BELOW. P O BOX 2412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 COMPANY A GREENWICH INSURANCE CO 22322 INSURED COMPANY WAYNE AUTOMATIC FIRE SPRINKLERS, INC. B HARTFORD CASUALTY INSURANCE CO 29424 HAZARD FIRE PROTECTION ENGINEERING COMPANY 222 CAPITOL COURT C NAVIGATORS SPECIALTY INSURANCE CO 36056 COMPANY OCOEE FL 34761 D FFVA MUTUAL INSURANCE CO (FL ONLY) 10385 COMPANY E HARTFORD FIRE INSURANCE CO 38261 COMPANY COVERAGES , THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH - POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO E LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY LIMITS , DATE (Mb DD"!Y) ! EXPIRATION I DATE (M /DD/YY) GENERAL LIABILITY RMG640012401 09/01/08 09/01/09 GENERAL AGGREGATE $ 2,000,000 • A ® OMMERCIAL GENERAL LIABILITY PRODUCTS - COMP /OP AGG $ 2,000,000 • ❑❑ CLAIMS MADE ® OCCUR PERSONAL & ADV INJURY $ 1,000,000 ❑ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 ® (FNFRAI APARFO.ATF I MIT FIRE DAMAGE (Any one fire) ' $ 60,000 APPLIES PER PROJECT MED EXP (My one person) $ 5,000 B AUTOMOBILE LIABILITY 21UENU7216 09/01/08 09/01/09 $ 1,000,000 ® ANY AUTO COMBINED SINGLE LIMIT ❑ ALL OWNED AUTOS ® HIRED AUTOS BODILY INJURY $ (Per Person) ® NON -OWNED AUTOS BODILY INJURY $ ❑ (Per Accident0 ❑ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ❑ ANY AUTO OTHER THAN AUTO ONLY $ 0 EACH ACCIDENT $ 0 AGGREGATE $ C EXCESS/UMBRELLA LIABILITY NY08EXC169817NC 09/01/08 09/01/09 EACH OCCURRENCE ® OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 SIR $ 10,000 • D WORKERS COMPENSATION AND WC84000168652009A 04/01 /09 04/01/10 ► i1 STATUTORY LIMITS EMPLOYERS LIABILITY Florida THE PROPRIETOR/ p INCL EACH ACCIDENT $ 500 PARTNERS /EXECUTIVE $ 500,000 OFFICERS ARE: ❑ EXCL • DISEASE- POLICY LIMIT DISEASE -EACH EMPLOYEE $ 500,000 E OTHER LEASED /RENTED EQUIPMENT 21MSLJ8023 09/01/08 09/01/09 $100,000 PER ITEM $2,500 DEDUCTIBLE $200,000 AGG DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /SPECIAL ITEMS CANCELLATION: EXCEPT 10 DAYS NOTICE FOR NON - PAYMENT OF PREMIUM - CERTIFICATE HOLDER - ... - .......CANCELLATION - .: , : - - ..:.:.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I WAYNE AUTOMATIC FIRE SPRINKLERS, INC THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO i 222 CAPITAL COURT MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OCOEE, FL 34761 OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. r, 1'' 11-14.44,--- , ACORD 25 -S (3/93) ©ACORD CORPORATION 1993 ■