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04/26/2011 97:37 9043881718 LIFE SAFETY DESIGNS PAGE 05/18 <br /> ACORO" o��fMM�ioom�w> <br /> � CERTI�ICATE OF LIABILITY INSURANCE o �,,,�„� <br /> TH1S C�RTIFICATE fS ISSUED AS A MATTER CF INFORIYfAT10N ONLY qND CONFERS NO RIGMT9 UPON TME CElRTIFICATE NOLDER. TFf15 <br /> C�RT'IFiCA1'E DCES NOT AFFIRMAIIVELY OR I�GA7'fV�LY 11MEN0, �XTENC CR ALTER TN� COV�RAGE AFFOROEI� S11 TME POLIq6S <br /> gE1.OVY. THIS CERTiFICATE OF 1NSURANCE dOE.9 NpT OONS7'17UTE A CqNTRA�CT BETWeEN THE ISSUING IN9URER{S►, AUTNORIZ�D <br /> REPaE9�NTATIVE OR PRODUCER, AND TFIE CER'riFICA7E HCLDER <br /> IM�ORTANT: If thp eo�lfleab holtlar Is an ADDRFONAL INSURED, tM policy(ias) mast b. andoneatl. If 8UBR06ATION IS w,�IV�D, subJoct to <br /> tho tarms antl cvndfllo� af tha pollcy, co�qln policl� n�y requlro an ondorsemen! A statornent on thls ao�lfleato do�s eot coelor rights to tne <br /> cartlflcaEa holtl�r In iisu of =uch antlow�ems s. <br /> �OoUCER gp�,.�48 COMTAGT <br /> P �o.�e'oz s� 90 P <br /> ,� �uc Ne : <br /> JacksomrlMo B•ach, � 32240.0069 ' <br /> Fletcher�8bin �, LIFES-1 . � ��� <br /> iNSUR AFFOAiOMq CONERA6e w11C R <br /> n+auaEO Liie SafMy Deslgns Inc 4 u��� •CeMury 3unet�i Ins Co <br /> Darryi EM�9ni3 , ;Amenean Eeonom Ins. Co. �� 19690 <br /> 3038 Lenox Ave �� � Sa Inauranc� Co �� <br /> JacksonvFlle, FL 32754 <br /> INSYRER D: Bl lf� ld Em I � Ins Co <br /> INS URER E : <br /> CQVFAAGES CERtIFICATE NUNB�R; ' REVISION NUINB�R: <br /> TIiIS 15 TO CERTIFY THq7 TFIE POLICIES OF IN$URANCE USTED BELpW M�vE BEEN 1S8UED TO TME INSURED NAMED ABpVE pOR THE POLICY PERfOD <br /> INDICAT6p, NOTUMTH5TANDING ANY IiEqUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER GOCUMENT YNTH RESPECT TO WNICH THIS <br /> CERTIFICATE MAY B� ISSUEO OR MAY PERTAIN, TFIE INSURANCE ApFORDED BY THH POLICIQS DE5CRI8ED HEREIN IS SUBJ6CT TO ALL THE 7EkMS, <br /> EXCI.US10N5 AND CONDITIONS OF SUCN POUCIES. UMIT3 $HdWN MAY HAVE BEEN REDUCED BY PA1Q CLAIAit3, <br /> 7YPEOFINfIIRANCE CY M96R M UMR9 <br /> OEIVERA6 UIlBIL17V M OCGIMtR!'NCE i ���, <br /> a, x COMMEqCML6ENERALLNBILRY X CCP$60867 07/12M0 07M2M1 � � � <br /> 4 CLAM9�Maoe X� occuR e s 50,00 <br /> MEO �XP ( one s 5, <br /> X P►ofosslonol ��� CCP66096T 07MZl70 07My11 �����,�� g 2,000,0 <br /> GEML AGC3REQATE I.IhNT Apf'LIES PER: pRODLICTS-CpMPpp /1pp S Z�OOO�OO <br /> POLICY X LOC = �� <br /> AUTOM061LE UA61t1tY COMBNBD &INGI.E LMIIT = ,� ��� <br /> B X ANYAUTO xCE21723610 O7M2M0 o7nZn1 ��" <br /> BOOILY INJURY (Parpereen) { <br /> ALL (N�NED AU105 , ,_ <br /> 9CHEbUCEDAU103 6 0�KVIN.RIRY1�'�) i .. <br /> PROPERTY DAMIAp� <br /> HIREO AUTO5 ►f�ir a¢tloeM) _ <br /> NOI�F�N+IED AUTOS S <br /> i <br /> NMBREUA UAB Xi OCCUR EACMIOCCURR�NCE t 3�000�0 <br /> C X ���� �`� �SU0168131D04 07I12I10 0T112M1 '��TE .._ = µ. 5�000, <br /> DE0�1�1191,E s <br /> i ~� <br /> WORKERSDOMP6N811T�W1 x 6TATU• M• <br /> AND @MPLOYERO' UAdM,ITY <br /> D A�N� �fOR�PA� �q� pCi11fEY� NIA ��3�6 04I01/'19 04101/7x p.4EACHl�OCIDENT R• i 1�D�0 <br /> ��� E.l OISEti4E • 6A EMPlOY! S 7�000�0 <br /> D O�f 0� TIONS Delew E.l DISEASE - POIK.'Y LIM1T E �• ����Q <br /> bE9CRIPTION OF OPERA710N6 f G,pCAT10NSlVEHICLE6 (Attncl� �pRp 101. Ad�llonel Min� Se1M�ule, M mone apee. r n�qW� <br /> CERTIFICATQ FIOI.D CANCELLA7'ION <br /> CITYZ-1 <br /> 9MOU�D ANY OF THE ABOVE oESCRIBED POtIC1E5 oE CANC�I,LED BEFORE <br /> C(ly af Zophyl'hllls TNE EXPIRATIOM fl/ITE TFIEREGF, NOnCE WILL 8E DELIVE'itEp pi <br /> 61tlp O•p1 ACCOltbANC� WRFf THE POLiCv PRpV1��N9. <br /> 68SS Bth 9treet <br /> Zephyrhllls„ FL 93St2 nuraoR¢eo �ur,�m� <br /> � 7988-2009 ACORD CORPQRATIpN. All rlghte regeryGd, <br /> ACflRD Z5 (2009tD9) The ACORD nan� antl logo are registered marks of ACZ1Ftp <br />