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DATE (MM /DD/YY) <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 />1776 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 <br />INSURED SPORTS AND RECRECATION PROVIDERS ASSOCIATION <br />(PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: <br />COMPANY <br />B <br />COMPANY <br />C <br />Sugars Drop Shop <br />6805 Southwest 152 Avenue <br />Miami, FL 33193 CERT. #P1 GL-1 02025-01 <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 <br />LTR <br />TYPE OF INSURANCE <br />POLICY <br />POLICY NUMBER DATE <br />EFFECTIVE <br />MM/DD/YY <br />POLICY EXPIRATION <br />DATE MM /DDIYY <br />LIMITS <br />GENERAL <br />LIABILITY <br />GENERAL AGGREGATE <br />$ 1,000,000.00 <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS- COMP /OP AGG <br />$ 1,000,000.00 <br />CLAIMS MADE [X] OCCUR <br />P 1 GL- 100000 -01 <br />11/1/2009 <br />11/1/2010 <br />PERSONAL & ADV INJURY <br />$ 1,000,000.00 <br />OWNER'S & CONTRACTOR'S PROT <br />EACH OCCURRENCE <br />$ 1,000,000.00 <br />X <br />FIRE DAMAGE (Any one fire) <br />$ 300,000.00 <br />INCLUDES ATHLETIC <br />PARTICPANTS <br />MED EXP (Any one person) <br />$ 5,000.00 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN AUTO ONLY: <br />ANY AUTO <br />EACH ACCIDENT <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />UMBRELLA FORM <br />AGGREGATE <br />$ <br />OTHER THAN UMBRELLA FORM <br />$ <br />WORKER'S COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- oTH- <br />TORY LIMITS ER <br />EL EACH ACCIDENT <br />$ <br />THE PROPRIETOR] INCL <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE EXCL <br />EL DISEASE - POLICY LIMIT <br />$ <br />EL DISEASE - EA EMPLOYEE <br />$ <br />OTHER <br />Total Certificate Premium: <br />$937.50 <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS <br />Skatepark and Cheerleading 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 />6805 Southwest 152 Avenue ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />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 />Trancis G. bean <br />ACORD 25-S (1/95) © ACORD CORPORATION 1988 <br />