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<br />"~.D1JC1!" (170) 830:-7631 FAX: (710) 834-3550
<br />Hmt.l tt: AgDncy, Inc.
<br />DBA Southland Inau1:anCQ A9Qncy
<br />PO Box l56
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<br />Lan10r Plans Inc., DBA: KorKat, Inc.
<br />221 Cablo IndU8U.1.D.l Way
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<br />ACORD-
<br />~
<br />
<br />Carroll eon
<br />COVERAGES
<br />
<br />CERTIFICATE HOLDER
<br />
<br />ACORD 25 (2009101)
<br />INS025awoml
<br />
<br />I till n 11l.v.1l()tY Yrr1
<br />9/11/2009
<br />Tt11S CERTlFlCATE IS ISSUEO ,\5 A MATTI:R OF INFORMATlor'
<br />ONLY AND CONFERS NO RIGHTS UPOU THE CERTIFICATE
<br />HOLDER-THIS CERTlACA TE DOES NOT AMEND. EXTEND OR
<br />AI.. TER THE COVERAGE AFFORDEO BY THE POLICtES BEl.OW.
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />GA 30112
<br />
<br />Gk 3011 7
<br />
<br />INSURERS AFFORDING COVERAOE
<br />VI'ilJi'lE"''' i'lrat; MlDrcury In.uranon
<br />....Il.m!'p!l PROGRESSIVE PREFERRED IHS
<br />~~t~tGoldan Islas UndQrwrltGrS
<br />~1;iJIol1.jlJ 0 Canal InAuranclt COJ:lpany
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<br />CANCELLATIOt"
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<br />e 19a.a.2009 ACORD CORPORAnON. All "{lhli, ros.,rvl.td.
<br />Tho ACORD nl1mo and logo IN fogl1lllt...d mDrlta of ACORD ~ .
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