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<br /> DATE (MMlDDIYY) <br /> 10/1/2009 <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 />1n6 S. NAPERVILLE RD., BLDG. B COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. BOX 4200 COMPANIES AFFORDING COVERAGE <br />WHEATON, IL 60189 <br />(800) 745-2409 COMPANY STARR INDEMNITY & LIABILITY COMPANY <br />www.fdean.com A <br />INSURED SPORTS AND RECRECATION PROVIDERS ASSOCIATION <br /> (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: COMPANY <br /> B <br /> Sugars Drop Shop COMPANY <br /> 6805 Southwest 152 Avenue <br /> Miami, FL 33193 CERT. #P1GL-102025-01 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 POLlfJ EFFECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYYl DATE IMMlDDIYYl LIMITS <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000.00 <br />A f-- <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000.00 <br /> I CLAIMS MADE 00 OCCUR P1 GL-1 00000-01 11/1/2009 11/1/2010 PERSONAL & ADV INJURY $ 1,000,000.00 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000.00 <br /> f---- <br /> X INCLUDES ATHLETIC FIRE DAMAGE (Anyone fire) $ 300,000.00 <br /> ..- PARTlCPArITS <br /> MED EXP (Anyone person) $ 5,000.00 <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> I-- ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> :== SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> I-- NON-OWNED AUTOS (Per accident) $ <br /> I-- <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ <br /> - <br /> _ ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> ==j ,UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKER'S COMPENSATION AND IWCSTATl}. I 10TH- <br /> EMPLOYERS' LIABILITY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR! RINCL EL DISEASE - POLICY LIMIT $ <br /> PARTNERSlEXECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ <br /> OTHER <br /> Total Certificate Premium: $937.50 <br />DESCRIPTION OF OPERA TlONS/LOCA TlONSNEHICLESlSPECIAL ITEMS <br />Skatepark and Cheerteading Activities <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Sugars Drop Shop 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 THE 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 25-5 (1/95) @ACORDCORPORATlON1988 <br />