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01 t04l2013 11:47 Freeway Insurance �A�52 567 689Q P.002l002 <br /> CERTIFICATE OF INSURANC� ISSUE DAT� 1/4/2013 <br /> THtS CERTIFICATE IS ISSUED AS A MATTER OF INFORNIAYION ONLV AM�CONFERS NO RIGM7S UPON THE CERTIFICATE MOI.�R 7'NIS CERYIfICATE OOE8 NOT <br /> AFFIRMATNELY OR NEGATIVE,�Y AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY 7MIF P0�1CIE3 eELO1N. 7'FMS CERTIFICATE OF INSURANCE DOES <br /> NOT COI�TITUTE A CONRACT BETWEEN THE ISSWNG MISURERIS),AUYHORIZED REPRESENTATIVE OR PRODUDER,AND TME CERTIFICATE NOLI�ER. <br /> IMPORTAN7:IF 7HE CERT'1FICATE HOLDER IS AN ADOITIONAL INSURED,7ME POL�CY(IfS)YUST BE END�tSED.!F SUBROGA710N IS WAIVED,BUBJECT TO TNE <br /> TERMS AND CONDI710N8 OF 7FfE P041CY,C�RTAIN POLICIES MAY REQUIRE AN ENDORSEMBNT.A STATEI��(IT ON TMI$CER11fICATE DOES NOT CONFER <br /> R16NTS TO TME CER7tKICATE HOLDER IN L[EU OF SUCH BNDORSBMENT{S). <br /> PRODUCER INSURER(S)APFORDING COVERAGE <br /> Freeway Insurance Servicas of FL INSURER A: Canopius L1S Insurance,Inc. <br /> 4982 W AUantic Blvd <br /> Pompano Beach,Fl 33063 INStJRER B: N/A <br /> INSURED INSURER C; N/A <br /> Cn�z Appliance, Inc INSURER D; N/A <br /> 37901 Aine Street <br /> Dade City, FL 33525 INSURER 6; N/A <br /> COV�RAGES <br /> THIS IS T�CEIi7lFY THAT THE POLIqE9 OF(NSURANCE LISTED BELOW NAVE BEEN 183UE0 TO TFIE•INSURED NAMED qeOVE FOR THE <br /> POLICY P�RIOD INbICATED.NOTWiTNSTAN0ING ANY REQUIREMENT,7�RM OR CONDITION OF ANY CONTRACT OR OTHER DpCUMENT WITH <br /> RESPECT TO WHICH Y'HI8 CERi'iFtCATE MAY B�l3SUED OR w►Y PERTAIN,YHE INSURANCE AFFORDED 8Y THE POUCIES DESCRIB�D <br /> HEREiH iS SUBJECY TO ALL THE 7ERM3,EXCI,US10aS AND coNO�T�ONS OF SUCM POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCEO BY <br /> PAID CLAIMS. <br /> I TYPE OF PQLICY POLI Y POLICY LlMITS <br /> LTR lNSURANCE NUMBER EFFECTI ATE EXPIRATIQN DATE <br /> A QENERAL LIABILITY OUS009038892 9/17/2012 9l17/2013 c3ENERAt AGGREGA7E 200,000 <br /> PRODUCTS-COMJOP AGG� t 00,000 <br /> PERSONAL&ADV.INJURY �flp,ppp <br /> EI1Ch10CCURRENCE 100,D00 <br /> DAMAGE PREM REMED TO YOU 100,000 <br /> MEO EXPENSE(Any one person) 5,000 <br /> B PERSONAL LIABtLITY COMB{NDED SINCi1.E LIMIT <br /> MEDICAL PAYMENTS TO OTHERS <br /> C EXCESS LIABILITY EACH OCCURRENCE <br /> AGGREGATE <br /> D <br /> E PROPERTY UILDfNG <br /> CONTErri'S <br /> BUSflrESS INCOI� <br /> THIS INSUFtANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW.PERSONS INSURED BY SURPLUS UNES <br /> CARRIEitS DO NOT NqVE TME PROTECTtON OF THE FLORIDA GUARANTY ACT TO THE EX7EN1'OF ANY RIGHT OF RBCOVERY <br /> FOR TH�OBLIGATION OF AN INSOLVENT UNL(CENBED INSUItER. <br /> SURPLUS I.IIVES INSURERS'POLICY RATES AND FORMS ARE NOT APPROVED BY ANY FLORIDA REGULATORY <br /> AGENCY. <br /> DESCRIPTION OF OPERAYION3/SPECIALTY ITEMS <br /> �ipt�SWtes houwhold rype,AppGances�Aacessories atstalf�dion,senFCing or repair t�ouxhofd,Air Conditionirtg Sywema a Equipmsrit dsalws a diE4ibulors& <br /> InsWlation,servieing or repair <br /> SURPLUS LIlIES AGENT VIRGINIA CIANCY LICENSFat A206695 <br /> 15577 FEATHERSOUI�D CRIVE PO BOX 17069 GLEARWATER,FLORIDA SS762 <br /> CERTIFICATE HOLDER SHOULD ANY OF TME ABOVE DESCRIB6P POVCIE$BE CANCELLED <br /> BEFGRE'rn�EXWRATION DATE THEREOF,NOTICE 1MILL BE OELNERED!N <br /> C17Y OF 2EPHYRHILLS ACCORDANCE YVITH THE POUCY PROVISIONS. <br /> 5335 87M ST UTHORIZED SIGNATURE <br /> Zephyrhllfs,FL 33542 ,/� <br /> � <br />