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1V/4 Philadelphia Indemnity Insurance Company <br /> One Bala Plaza, Suite 100, Bala Cynwyd, Pennsylvania 19004 <br /> COMMON POLICY DECLARATIONS <br /> Policy Number: PHSD565142 <br /> Named Insured and Mailing Address: Producer: 5528 <br /> Keefe, McCullough & Co., LLP THE PLASTRIDGE AGENCY, INC. <br /> 6550 N Federal Hwy Ste 410 9660 W. SAMPLE ROAD #103 <br /> Fort Lauderdale, FL 33308 CORAL SPRINGS, FL 33065 <br /> Policy Period From: 10/11/2010 To: 10/11/2011 at 12.01 A.M.Standard Time at your mailing <br /> address shown above. <br /> Business Description: CPA <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS <br /> POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br /> INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br /> PREMIUM <br /> Commercial Property Coverage Part <br /> Commercial General Liability Coverage Part <br /> Commercial Crime Coverage Pad <br /> Commercial Inland Marine Coverage Part <br /> Commercial Auto Coverage Part <br /> Businessowners <br /> Workers Compensation <br /> Accountants 49,676.99 <br /> Total $ 49,676.99 <br /> Total Includes Fees and Surcharges (See Schedule Attached) 863.99 <br /> FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br /> Refer To Forms Schedule <br /> 'Omits applicable Forms and Endorsements if shown in specific Coverage Part/Coverage Form Declarations <br /> CPD- PIIC (01/07) +r"�c44$ *07 c� fr+ 2��,-=. <br /> Countersignature Date Authorized Representative <br />