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aa;aR21). CERTIFICATE OF INSURANCE <br />DATE JMMIO DIYYI <br />02/18/97 <br />un cER <br />Suri codSC IriSllrdriCe Associates <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE <br />P.O. BOX 22668 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Tampa, FL 33607 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />- - -- - <br />AAmerisure Insurance Company <br />INSURED <br />Telesystems Of South Florida <br />COMPANY <br />151 Ne 166th Street <br />- - - - - --_ ------ - - - - -- -- --_. <br />N. Miami Beach, FL 33162 <br />COMPANY <br />C <br />------------- <br />-- ----- - - - - -- -- <br />COMPANY <br />I <br />D <br />COVERAGES <br />Tills IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW ILAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />PIDICATED. ITOIWRHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH [Ills <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDD IONS OF SUCH POLICIES. LIMITS SI IOWN MAY HAVE BEEN REDUCED UY PAID CLAIMS. <br />I <br />CO TTPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />TRI DATE DATE LIMITS <br />1' I <br />A GENERAL LIABILITY <br />I CPP12491140096 <br />07/31/96 <br />07/31/97 <br />GENERAL AGGREGATE <br />If1, 000, OQO <br />X COMMERCIAL GENERAL LIABILIT <br />I - ( -'. <br />I I CLAIMS X <br />I <br />PRO_O_U_CT_S- CO_MPIOP AGGIfl, <br />OOO, OOO <br />MADE -__ OCCUR <br />t I -- <br />PERSONAL b AOVINJURY <br />Ifl, OOO, QQQ <br />OWNER'SSCONTRACTOR'SPRO <br />EACH OCCURRENCE <br />_____ <br />Ill, OQO, OOQ <br />' -.. -- ---- .----- _ -_.__ _- <br />FIRE DAMAGE (Any one lre)I$SO, <br />000 <br />MEDEXP(Any'onep «son) <br />135 000 <br />A AUTOMOBILE LIABILITY <br />CA12491130096 <br />07/31/96 <br />07/31/97 <br />X1'NYAUTO <br />COMBINE[) SINGLE LIMIT <br />13300,000 <br />I , ALL DwneD Auros <br />-- - - -- <br />—_ -_ -- . ._- <br />- <br />I SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />f <br />1HIRED AUTOS <br />_ ......... .... .. <br />__- <br />' <br />BODILYINJURY <br />NON-OWNED AUTOS <br />1 <br />(Per Cd ort) <br />i <br />I <br />PROPERTY DAMAGE <br />3 <br />i GAAAGE LIABILITY <br />AUTOONLY -E A ACCIDE NT <br />$ <br />• ANY AUTO <br />OTHER THAN AUTO ONLY: <br />-I -- .----------- - - - - -- <br />EA CH ACCIDENT <br />IS_____ <br />AGGREGATE <br />I EXCESS LIABILITY <br />EACH OCCURRENCE <br />I3 <br />- .UMBRELLA FORM <br />I <br />AGGREGATE <br />Is <br />i OTHER iHAN UMB RELLAFORM <br />If <br />WORKERS COMPENSATION AND <br />STATUTORY LIMITS <br />I EMPLOYERS'LIABILITY <br />' <br />- - -R-- - - <br />EACH ACCIDENT IS <br />- - -- - - <br />THE PROPRIETOR/ _ <br />PARTNERSIEXECUTIVE <br />DISEASE. POLICY LIMIT_ I3 <br />OFFICERS ARE EXCL <br />DISEASE -EACH EMPLOYEE IS <br />OTHER <br />I <br />I <br />I <br />I <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS <br />Donald Van Der Laan <br />CERTIFICATE HOLDER - <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Dade County Building & Zoning <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Dept <br />30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />COntractors Section <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />111 Mq St Suite 101.0 <br />OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Miami -, FL 33128 <br />1 <br />/3� e, <br />ACORD 25- S(3,193)1 o11 IIS6428 143425.' - <br />CPC O ACORD CORPORATION 1993 <br />