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i Certificates of Insurance II i-1GREAT DIVIDE INSURANCE COMPANY ACORCf CERTIFICATE OF LIABILITY INSURANCE """7' 12/10/M4 Ti A North Dakota Stock Corporation lot...foam o inata ot 0 otnoi or immune.em-3 000 COMM.3 RM.inCOITTFICATE eon nor M¢TflLr cm x[60tmtr�n�m.Corm/in N AL anri Meru arremao n orrnrckrk n aapilo A Member'Company of W.R Berkley CarPR lira rt▪ontounAma on u.MA)The Cvanrunwtuc aa'a1n w' a DECLARATIONS(FLORIDA) surroff/ANY Frau Ms Baku.].wr wu.°ad ewaeOpMgNtlwurtL°yur _enotne rmw.000,00ra.swron000me.r.�r.uarr....anr�rrr.p°.ter ACCOUNTANTS PROFESSIONAL LIABILITY INSURANCE POLICY 0r.e m. NOT▪ Mr mom lulu 4300 E::.:,:::',..00:„...,.„...m `3» IL9.n Policy— Number: FLR:01403.0E n. uaoeivs. Effective Du; OIIOIR016 .12:01 A.M.\W.Gllmeu me Wes shown helm, en n. 23321 eferg e.au.ley in.co §k424• Expiation Dale; 01)01/2017 012:01 A.M.Swtlud lime.the address oMnm below Nelrnrll0 Dme; 01/01/2006 RIOo 0. 'a Linn ix."u00 Item I-N'am&lmu !, Antonio 1.Gnu.CPA.P.A.d/b/a On,,.and Associates SOCA Rale. n 33432 r"••`rRamapo. Item 2-Business Address; 2700 N.Military Trail.Suite 350 cenueas continent Nosoaknissite tent..un msoc01 aaca mama a muter m aures mast Boca Ram.R.33431 .....1.. �w� W ,° masa an Item J-Limits ofli36iliry: 15.000000 PerC/uim ▪'.....ane'u 55.000.000 Policy Aggmµe x + A r ®ta a.ex.e,.e 10000°« mm. Hein 3p).Separate Defense Limit IN/A if blank): 550.000 Per Claim — ° w5250000 Policy Aggregateemm Aa o ..vr..v..o.... a 000 00o hem 300-Specific Como Sub-Limit l Liability ,.010 p mp9- 1 I:7 I IN/A if blw4l: PCI Claim m.....w' • 1 000 000 Polley Aggoegae =• n,'e _w.m green. n„°« 0/0/000 „ _ limo 4-Deductibles; 15.00 PerC/dm Deductble • a �.r Ha.._ .e....• ImnS-TOW Premium: malal.nn-w. •°!� prna nn .nim.° .nlw.° .am°.n a,eao,aoo Item 6-The policy consists of this Declarations page.and Om following policy formsm.d endorsements; amaaammo se q�,,.1°'° a PDP-PL-100000/14 Accounlaxs Professional Liability Insurance Policy nt�... w'"'^�u. - BDL'-PL-1043-A 0414 Supplemental Policy Benefits anti Liberalization "t e=on.� .°e as 00000 r0tn., 1 13DI3PL.2037-A(FI.) 00114 State Endorsement-Florid. ODP-PL-1013-A(FL) 00114 Sepame Defense Limit PDP-04100)-A 0411 Exclusion-Claims Following Insureds Sui for Pen ranermwnimrs.mau...m°.......r.....°..�........ BIW-PL-1030-A 00/14 Privacy And Client Network Damage Endorsement ROP-PL.1999-A 0414 Endemism IM.nxdgl-Prior Act Sub-Limil PLEASE READ THESE DECLARATIONS,TILE POLICY AND ENDORSEMENTS CAREFULLY. I NOTE:If Nb Declarations page is mimed es I mull of a clmtae to any of the policy tato condition.Limits ofliability. Dedumi a io,Named Insureds.address..or for any other m.such mlasualxc shallnot renew the Policy Period.extend the ea ore Policy Period.renew Me Limits of Liability,Incmm the Limits of Liability,decrease the Deductible,or in any oilier way alter Dal1904-5023 fault of the terms.conditions.exclusion..w e endoemcm s of the policy other than m Specifically negotiated.in 0/r ling in no unionrreraerrwrOm. m mats.w connection with W prior to the reis.unce. Great Divide Insurance Company 2700 ulituy un :iota:a0w3Oem, rt.233431 o'.�aa.an..r,. -`-6_ �v4-' WwAeons mWtmal tett.... o.��..�.�........ eowa rno.tuM..r.°. Authorized Representative .� I uco d CERTIFICATE OFLe cirrivcAna is moan As A soma oil infornissioN wiLv ANDcoo•LIABILnsile ITY �C mai of artiviannoes!wink nrAilwurcis mammy(Awn.ammo la mune Merril nal CINISICATE OF InUltAlla soontenistiveatiob ti�V°a ar.°lMal rra°r4e4I O W08)48T0Y u9NRb..aia. new=al curia...mks..r.0/�l ArnRus4urureensurr no%km thee rmma.ssdt rot rrr-rn ..tae.0.,0,...02 ,000kot000tot Port vn°%