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GENERAL LIABILITY <br /> .............. .. ........_................ <br /> _� ...�P�LIeY��Ail�INBER:. .. . �.�(3itCY a?ERIOiJ'. <br /> �����PR�SS <br /> �C" GFL 1003926 03 81 12/09/2011 12/09/2012 <br /> PROPFRTY�CASUALTY 12:01 A.M.S[andard Time at the described location <br /> .............................. ....................................................................................................................... <br /> .�P!O:��X.�1��S��.JAGI�S4:N1/tl:�:�;.�F��.3:2�0��'t:c):5�:................1-�:���5�-:1:�59:.tF�:Fi�.A4�:.�1#V�.#i.I�t�S):......................� <br /> INSURED'S COPY Date Issued: 03/09/2012 <br /> .................................................................................................................................................... <br /> .:I�IS:Uf�E�:.......... ......... ....... .Q�f�11T:; ...... .. :oc376d3b: .... <br /> UNIVERSE SERVICES LOIS A SIMMONS <br /> PO BOX 9738 C/O EAGLE INSURANCE AGCY INC <br /> TAMPA FL 33674-9738 10424 N DALE MABRY HIGHWAY <br /> TAMPA FL 33618-4134 <br /> Telephone� 813-545-9351 Telephone 813-968-2886 <br /> The location of premises is at the above insured address unless otherwise stated below• <br /> 2304 POTOMAC MARK PL RUSKIN FL 33570-6323 <br />