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<br />ACORD. CERTIFICATE OF LIABiliTY INSURANCE CSR '.I!P I OAlIi IMWOPIYYYY1 <br />ISEIl.EM-1 09/08/04 <br />PRCDUC&R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONPERS NO RIGHTS UPON THE CERTIFICATE <br />KaYs COIllPantes HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />80 South 8th stroet '700 ALTaR THE COVERAQ& AFFORDED BY THE POLICIES BELOW. <br />~nnaap01~s MK 66402 <br />P~ona:622-333-3323 Fax:61~-373-7270 INSURERS AFFORDING COVERAGE NAJe, <br />INSUAI:D ~ER 4: 'CrAn.GlYzd I'n3\Q'ance e.w.n;r <br /> 1~l!llJlm 0: suna" _dam xnaur...... CD. <br /> Be1tma~ Gr~ Xnco%porated I~~C z..ta.an a.. ., 8-w"o .. Ra <br /> t~a: ~~l!'e:rVl1S0n <br /> N GWS Avenue Ext ~RO Gu1f :tnsuranoe cClIIIU)anv <br /> Pompano Beach I'L 33064 IN&tXlEn E: <br /> <br />COVERAGES <br /> <br /> n1!! POlICI!!S Of' JI\l5lJR.'tHCe:U~IlaOWHAvr! 8l!~ ISSlJ!!!)TO ~ INSL~O NM5)~!"OR ll1I! POliCY PI!'RIOO QojQ(Cfl1l'D. N:)TYVm1.'ITi'HOl..x; <br /> ANV Ilf:UJllft:MI:NI. II:IN ON tU>l.WIION:J- AHY r;l:tlfl'ACI ooO'H:l'()l'.ICl.M:NI W1;H 1ft:Sl'tCI rllll\l>iI(..'-lIHlS l.cW'It-Il.:AI~ _Y I:tl: I'>U..I:U 00 <br /> MAY PERTAiN, lHi ~E AFFO!lDEO BY ~ POI.rCIEG oe-SCRl1lB) lolERCIN II; SlSJECT TO AlL 'M:~. I;;l(Q.USItH; AN) COi'OITION& OF SU':H <br /> :>Ol!CIF.G AGCREGAiE !.ll.ns gj()WN MAY HAVE IlEEN r.eoucEO BY PAID CUIMS <br />L TR INSflQ I ~OUCY HUM.11t ~';!~ lllMJl)D/VYl DATE"Ii., ... LIM1T8 <br />TYPE OF 1~'SURAHC:1i J <br /> I GENERAL UABILClY EACH OCCURRENCE S 2,000 ,000 <br /> f..- <br />A X X ~ GO<<:RAl. LlI'DLI1Y ~CP100B5B 09/01./04 OS/01l05 I ~sEs (Ea lXaJrII'lC~) ~250,000 <br /> I ~ Ilf\ODE. ~ ~I.R MED EXP U\ny 0l1I DIr5<1l1 S 5,000__. ._" ""., <br /> - PERSON.OJ.. & NJV INJURY '1,000,000 <br /> CENCnAI. ACt;nECATE '2,000,000 <br /> - <br /> lJENLAOCR:;:<l...re I.I"UT APf1.IE3 PER PRODUCTS - C~IOP P<N '2,000,000 <br /> ,----, I'OLK.:Y n ~ n UJf; ..- ..--...---- <br /> AUTOMOIilLIi UAliIlLlTY Co.lBlr.EO SINGUZ LIMIT <br /> - .J 1,000,000 <br />A X HlY AUTO !L'C1>1008S8 08/0:1./04 08/0:1./05 (EGocOl<le.-:J <br /> . -. - <br /> AU. \llMl:::l;>.o.uro:s tIOOll. 'f IN.1.lRY <br /> , <br /> XHECUED AI.1TO$ (['or 1l<<511O) <br /> - <br /> IIl;lCO AUTOO f:jOUII.Y IK.UIY <br /> - , <br /> l\C'/-OVVNEO AUTOS (pI/' f#".lCIORl) <br /> - ..__. -- <br /> p~'.PFR1Y nAMA';/" $ <br /> (Per ao:Idonll <br /> GARAGE UAM.nv AlfTO eN!. ,. . EA ACCIDEHT S <br /> n...m.o.l"U I 01l-t5c 1l-IAN I:APJ.:C $ <br /> I AlJTO O~L Y: M-IJ. $ <br /> EXcenIlJMElRS.l.A UASLnv ~II OCCURROICC 142,000,000 <br />C ~ OCOJR D CUdM€ WIDE 4l50415~94 08/01/04 o8/a~/Q5 AGGf<EGA~ _1!...~_~~~.!l_L.O_~i <br /> 1$ <br /> R OCOVCTIllt.C I f} <br /> RETENTIO\If , ! S <br /> WORI<ERS COIlPEKSATlON AND I X 1TM'i'li~;rm r 1"m <br /> eMPLOYERS' lIAB1UTY 08/01/04 08/0:1./05 <br />B Pff( mOf'llIETOMWrr~EJq;am\IE WC929S00:1 (AOS) E.l. EJ\Oi ^CCJ05'oIT $ 500,000 <br />B O~FI~ EXCl.UJED7 WC923S003 (w:I) OS/0:1./04 08/0:1/05 E.L. OI3E.~ - ~EMPI.OH:E ~ 500 ,000 <br /> 1/ Vh. .dHC;,r.,e U'lder I $ 500,000 <br /> Sf>ECLAL ~VISlONS b..... \;.L. ~1::;t:Al>t: . >'U.tl.:Y LIIM I <br /> DTHER .. .."'_. <br /> I . '1'CP1.00SS9 08/01/04 08/01./05 <br />A I Carqo- AJ.1 Risk pe: oee $~,OOO,OOO <br />D Excess Lj.ahi~.i ty GU285985B Q8/01/04 08/01/05 Per Oce $3,000,000 <br />lmSC"PTI0N Of' OPl!AAllQN5 / LOCATIONS' VEHICLeS (l;XCI.\r.;\OH:i I'ODED ~y !;NDQRaEMEhT I 3p!;'CIAl. pffu~iON:t <br />AddJ.tiona~ Insur.l1: V1.J.1aqa o:f P1.nGorGst <br />pate of move: ongoing <br />Company moving: V:i.llaqe of 1> inecres t <br />Salea :rep: '1!im K.ennel1y <br />Agency: 112130 <br /> <br />CERTIFICATe: HOLD~I'( <br /> <br />Vi~~age of Pinecre~t <br />O:ffice of Vi~~age Manage:r <br />Attn: lu:IlileJ.a Cancio <br />11.551 8out:h Dixi.e Highway <br />PiD.cr.st FL 33166 <br /> <br />CANCELLATION <br />v:t:IJ.AG9 SHOULD Ml'( OF THE ABQVII DIISt:~.1Il) PDUCES SI!i CANCB.LS:l BEFORE THe ExPlRA7ION <br />DATl' THEREOF, na; IS:lUlNG INSUAER WU-1. ENDEAVOR TO MAIL ~ DA'R wRITTEN <br />NOT-=e TO THE CERTIFICATE HOLOS't NAMED TO 1liE lEFT. 811T fAA.URE; TO DO SO SHAL4. <br />_DSS NO oaUCAT10N OR UABtI.ITY 01' ANY KlNO UPON "!liE INSURER. ITS AGENTS OR <br />RGPRalENTATlVEO- <br />"lITH R!ZtiU Ht:J'KcllcN~ <br /> <br /> <br />r&lACORD CORPORAl10N 1998 <br /> <br />ACORD 2S (2001mll) <br /> <br />SIB <br />