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Owners Page 1 55039 (11 -87) <br /> Issued 06-07 -2010 <br /> INSURANCE COMPANY TAILORED PROTECTION POLICY DECLARATIONS <br /> 6101 ANACAPRI BLVD., LANSING, MI 48917 -3999 <br /> Reissue Effective 06 -03 -2010 <br /> AGENCY LEE REED INSURANCE INC <br /> 12-0154 -00 MKT TERR 052 (813) 782-5502 POLICY NUMBER 972312 - 20548117 -10 <br /> INSURED GARY STEVE <br /> DBA G L STEVE CONSTRUCTION <br /> Company POLICY TERM <br /> ADDRESS 37651 8TH AVE Bill 12:01 a.m. 12:01 a.m. <br /> ZEPHYRHILLS, FL 33542 -3328 06- 03- 2010 06 -03 -2011 <br /> COMMON POLICY INFORMATION <br /> BUSINESS DESCRIPTION: Carpentry /Painting <br /> ENTITY: Individual <br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PART(S). PREMIUM <br /> THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br /> COMMERCIAL GENERAL LIABILITY COVERAGE $2,219.00 <br /> FLORIDA HURRICANE CATASTROPHE FUND ASSESSMENT 22.00 <br /> EMERGENCY FLORIDA INSURANCE GUARANTY ASSOCIATION ASSESSMENT 4.66 <br /> FLORIDA INSURANCE GUARANTY ASSOCIATION ASSESSMENT (2006) 3.99 <br /> FLORIDA INSURANCE GUARANTY ASSOCIATION ASSESSMENT (2007) 14.42 <br /> FLORIDA INSURANCE GUARANTY ASSOCIATION ASSESSMENT (2009) 24.63 <br /> TOTAL $2,288.70 <br /> PREMIUM SHOWN ABOVE FOR COMMERCIAL GENERAL LIABILITY COVERAGE IS AN ADVANCED PREMIUM <br /> DEPOSIT AND MAY BE SUBJECT TO AUDIT. <br /> FORMS THAT APPLY TO ALL COVERAGE PART SHOWN ABOVE (EXCEPT GARAGE LIABILITY, DEALER'S <br /> BLANKET, COMMERCIAL AUTOMOBILE, IF APPLICABLE) <br /> 55003 (01 -87) <br /> A 5% CUMULATIVE MULTI - POLICY DISCOUNT APPLIES. SUPPORTING POLICIES ARE MARKED WITH <br /> AN (X): COMM UMB( ) COMM AUTO(X) WC( ) LIFE( ) PERSONAL( ) FARM( ) <br /> Countersigned By: LEE REED INSURANCE INC <br />