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ADDITIONAL INSURED <br />Date 10/1/12 09fYY> <br />AGENCY PHONE 800- 745 -2409 <br />FAX <br />No,): 630 -665 -7294 <br />FRANCIS L. DEAN & ASSOCIATES, INC. <br />1776 S. NAPERVILLE RD., BLDG. B <br />P.O. BOX 4200 <br />WHEATON, IL 60187 <br />APPLICANT (First Named Insured) Phone <br />Sugars Drop Shop <br />6805 Southwest 152 Avenue <br />Miami, FL 33193 <br />EFFECTIVE DATE <br />1111/2009 <br />I EXPIRATION DATE <br />11/1/2010 <br />CO /PLAN <br />CODE: SUBC0DE: <br />AGENCY CUSTOMER ID <br />POLICY NUMBER: P1 GL- 100000 -01 <br />ACCOUNT NUMBER: <br />INTEREST <br />RANK: <br />NAME AND ADDRESS I REFERENCE #- CERTIFICATE REQUIRED <br />Miami Dade County <br />111 NW 1 Street, Suite 2340 <br />Miami, FL 33128 <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION: BUILDING: <br />VEHICLE: BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />INTEREST RANK: <br />NAME AND ADDRESS REFERENCE#: CERTIFICATE REQUIRED <br />Mobile Mini, Inc <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION: BUILDING: <br />VEHICLE: BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />INTEREST <br />RANK: <br />NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION: BUILDING: <br />VEHICLE: BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />INTEREST RANK: <br />NAME AND ADDRESS 7REFERENCE #: CERTIFICATE REQUIRED <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION: BUILDING: <br />VEHICLE: BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />INTEREST <br />RANK: <br />NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION. BUILDING: <br />VEHICLE: BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />INTEREST <br />RANK: <br />NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION: BUILDING: <br />VEHICLE: BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />INTEREST RANK: <br />NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED <br />INTEREST IN ITEM NUMBER <br />X <br />ADDITIONAL INSURED <br />LOSS PAYEE <br />MORTGAGE <br />LIENHOLDER <br />EMPLOYEE AS LESSOR <br />LOCATION: <br />BUILDING: <br />VEHICLE: <br />BOAT: <br />SCHEDULED ITEM NUMBER: <br />OTHER <br />ITEM DESCRIPTION: <br />