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c.: Bode Systems - Policy Send Form Preview Page 1 of 2 <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DA 4ioiiio ) <br /> PRODUC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> CE2�TON & LEWIS INSURANCE GROUP ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. <br /> 607 US HWY 41 N THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> RUSKIN, FL 33570 COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone:(813)641 -2886 <br /> Fax: (813) 641 -2866 INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A: North Pointe Insurance Company <br /> WILTON ENTERPRIZES INC. <br /> 4254 PLUM ST INSURER: <br /> C <br /> INSURER C: <br /> ZEPHRYHILLS, FL 33542 INSURER D: <br /> INSURER E: <br /> COVERAGE <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br /> RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POUCY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POUCY NUMBER DATE (MM/DD/YY) DATE (MM /DD/YY) LIMIT S <br /> GENERAL LIABILITY EACH OCCURENCE $ 100, 000 <br /> I COMMERCIAL GENERAL FIRE DAMAGE(Any one <br /> fire) $ 100,000 <br /> LIABILITY <br /> T1CLAIMS MADE 0 OCCUR MED EXP(Any one person) $ 5, 000 <br /> A J 04012010W_670459104/01/2010 04/01/2011 NJURONALANDADV $ 100,000 <br /> GENERAL AGGREGATE $ 200,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PRODUCTS - COMP /OP <br /> PER: AGG $ 200,000 <br /> POLICY ❑ PROJECT ❑ LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> _ ANY AUTO (ea accident) <br /> _ ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> _ HIRED AUTOS BODILY INJURY 6 <br /> NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE f <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA $ <br /> ACCIDENT <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURANCE $ <br /> OCCUR 0CLAIMS MADE AGGREGATE _ $ <br /> S <br /> D EDUCTIBLE $ <br /> ETENTION --l'' <br /> WORKERS COMPENSATION AND DWC STATUTORY <br /> EMPLOYERS LIABILITY <br /> LIMITS ❑OTHER <br /> E.L. EACH ACCIDENT $ <br /> E.L.DISEASE -EA <br /> EMPLOYEE $ <br /> E.L.DISEASE - POLICY <br /> LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS!LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> FENCING <br /> CERTIFICATE HOLDER I I ADDITIONAL INSURED:INSURED LETTER: I CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br /> DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT <br /> FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND <br /> UPON TIM INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> http: / /amelia.e- bode. com/ innovare /gl /SendFormPreviewAndSend.cfm 4/1/2010 <br />