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<br />': , . .'ii..i'\, ..',:.!}~\,',':,!:; -~ "7, DATE (MMlDDIYY)
<br />~ 10/1/2009
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
<br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
<br />COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />..':',..
<br />PRODUCER
<br />
<br />....
<br />
<br />.'. --;c-:;
<br />
<br />,':: .....;,:i.'
<br />. i:i'.';"::;'.'"".,
<br />
<br />FOR SERVICE CALL:
<br />FRANCIS L DEAN & ASSOCIATES, INC.
<br />1716 S. NAPERVILLE RD., BLDG. B
<br />P.O. BOX 4200
<br />WHEATON, IL 60189
<br />(800) 745-2409
<br />www.fdean.com
<br />INSURED SPORTS AND RECRECATION PROVIDERS ASSOCIATION
<br />(PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS:
<br />
<br />Sugars Drop Shop
<br />6805 Soulhwest 152 Avenue
<br />Miami, FL 33193 CERT. #P1GL-102025-01
<br />
<br />COMPANY
<br />A
<br />
<br />STARR INDEMNITY & LIABILITY COMPANY
<br />
<br />COMPANY
<br />B
<br />
<br />COMPANY
<br />C
<br />
<br />COMPANY
<br />o
<br />
<br />COVERAGES ,.:. 7 ..,..,,:;.....',.... '.' '''.', "':'.. ,.' ,." .. .",.' '.,. '.'c' . .....'
<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 />
<br />CO
<br />LTR TYPE OF INSURANCE
<br />GENERAL LIABILITY
<br />f--
<br />A X COMMERCIAL GENERAL LIABILITY
<br />
<br />I CLAIMS MADE 00 OCCUR
<br />OWNER'S & CONTRACTOR'S PROT
<br />71NCLUDESATHLETlC
<br />I-- PARTICPAt-lTS
<br />
<br />POLICY NUMBER
<br />
<br />P1GL-100000-01
<br />
<br />AUTOMOBILE LIABILITY
<br />"'-=-' ANY AUTO
<br />- ALL OWNED AUTOS
<br />- SCHEDULEO AUTOS
<br />- HIRED AUTOS
<br />- NON-OWNED AUTOS
<br />-
<br />
<br />GARAGE LIABILITY
<br />= ANY AUTO
<br />
<br />EXCESS LIABILITY
<br />I UMBRELLA FORM
<br />I OTHER THAN UMBRELLA FORM
<br />
<br />WORKER'S COMPENSATION AND
<br />EMPLOYERS' UABIUTY
<br />
<br />THE PROPRIETOR!
<br />PARTNERSlEXECUTIVE
<br />OFACERS ARE:
<br />
<br />RINCL
<br />EXCL
<br />
<br />OTHER
<br />
<br />Total Certificate Premium:
<br />
<br />DESCRIPTION OF OPERA TlONSILOCA TlONSNEHICLESlSPECIAL ITEMS
<br />
<br />Skatepark and Cheeneading Activities
<br />
<br />CERTIFICATE HOLDER
<br />
<br />.
<br />
<br />Sugars Drop Shop
<br />6805 Southwest 152 Avenue
<br />Miami, FL 33193
<br />
<br />ACORD 25-8 (1/95)
<br />
<br />..
<br />
<br />POUCY EFFECTIVE POUCY EXPIRATION
<br />DATE IMMlDDIYYl DATE IMMlDDIYYl LIMITS
<br /> GENERAL AGGREGATE $ 1,000,000.00
<br /> PRODUCTS-COMP/OP AGG $ 1,000,000.00
<br />11/1/2009 11/1/2010 PERSONAL & ADV INJURY $ 1,000,000.00
<br /> EACH OCCURRENCE $ 1,000,000.00
<br /> FIRE DAMAGE (Anyone fire) $ 300,000.00
<br /> MED EXP (Anyone person) $ 5,000.00
<br /> COMBINED SINGLE LIMIT $
<br /> BODILY INJURY $
<br /> (Per person)
<br /> BODILY INJURY $
<br /> (Per acddenl)
<br /> PROPERlY DAMAGE $
<br /> AlITO ONLY-EA ACCIDENT $
<br /> OTHER THAN AlITO ONLY:
<br /> EACH ACCIDENT $
<br /> AGGREGATE $
<br /> EACH OCCURRENCE $
<br /> AGGREGATE $
<br /> $
<br /> I WC ST ATlJ. I I OTH-
<br /> TORY LIMITS ER
<br /> EL EACH ACCIDENT $
<br /> EL DISEASE - POLICY LIMIT $
<br /> EL DISEASE. EA EMPLOYEE $
<br />
<br />$937.50
<br />
<br />CANCELLATION . ... . .'. .,-, .:.'-. .'<., , ,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
<br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL
<br />ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE
<br />HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE
<br />SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
<br />COMPANY, ITS AGENTS OR REPRESENTATIVES.
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />.'
<br />
<br />...
<br />
<br />....:.,'.:.
<br />
<br />Prancis L. (j)ean
<br />;..@ACORDCORPORATlON 1988
<br />
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