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<br /> DATE (MM/DDNY) <br /> 11/1/2010 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> FOR SERVICE CAll: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />FRANCIS l. DEAN & ASSOCIATES, INC. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />1776 S. NAPERVlllE RD., BLDG. B COVERAGE AFFORDED BY THE POUCIES BELOW. <br />P.O. BOX 4200 COMPANIES AFFORDING COVERAGE <br />WHEATON,ll60189 <br />(800) 745-2409 COMPANY RIVERPORT INSURANCE COMPANY <br />www.fdean.com A <br />INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION <br /> (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: COMPANY <br /> B <br /> Sugars Drop Shop LLC COMPANY <br /> 6805 Southwest 152 Avenue <br /> Miami, FL 33193 CERT. #AP131613-00 C <br /> COMPANY <br /> D <br />COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br /> WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br /> THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />co POLICY EFFEcnve POLICY EXPlRAnON <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE IMMlDDIYYl DATE IMMlDD1YYl UMITS <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000,00 <br /> - <br />A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000.00 <br /> 1 CLAIMS MADE 00 OCCUR WRD 180035 11/1/2010 11/1/2011 PERSONAL & ADV INJURY $ 1,000,000.00 <br /> - OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000.00 <br /> ~ INCLUDES ATHLETIC FIRE DAMAGE (Anyone fire) $ 300,000.00 <br /> PARTlCPANTS <br /> MED EXP (Anyone person) $ 5,000.00 <br /> A!!!OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> - ANY AUTO <br /> - ALL OWNED AUTOS BODILY INJURY $ <br /> - SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> - $ <br /> NON-OWNED AUTOS (Per accident) <br /> ~ <br /> PROPERTY DAMAGE $ <br /> ~AGE LIABILITY AUTO ONL Y-EA ACCIDENT $ <br /> .-- ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> ~ ~MBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKER'S COMPENSAnON AND IWCSTATU- I I~TH- <br /> EMPLOYERS' LIABILITY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETORl RINCL EL DISEASE - POLICY LIMIT $ <br /> PARTNERSlEXECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ <br /> OTHER <br /> Total Certificate Premium: $1,500.00 <br />DESCRIPTION OF OPERA TlONSILOCA TlONSNEHICLESlSPECIAL ITEMS <br />Skate park Activities <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Sugars Drop Shop LLC BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL <br /> ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br /> 6805 Southwest 152 Avenue HOLDER NAMED TO iiiE LEFT, BUT FAILURE TO MAIL SUCH NOTICE <br /> Miami, FL 33193 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> COMPANY ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Prancis L. (]Jean <br />ACORD 25-8 (1/95) @ ACORD CORPORATION 1988 <br />