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I'e <br />I <br />1/9/03 10 :18 AM Sender's Fax ID: Brown and Brown Page 1 of 1 <br />■ AC ORD CERTIFICATE OF LIABILITY INSURANCE OP ID TO DATE(MM/DD /YY) <br />TEMSY 1 01/09/03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Brown & Brown, Inc. ONLY AND CONFERS NO RIG <br />dTS UPON THE CERTIFICATE <br />5900 N. Andrews Ave. Ave #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ft. Lauderdale FL 33310 -5727 <br />Phone: 954 - 776 -2222 Fax: 954 - 776 -4446 INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: Amerlsure Insurance Company <br />INSURERS Amerisure Mutual <br />TEM Systems Inc. INSURER C: <br />4880 N. Hiatus Road <br />Sunrise FL 33351 INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD /YY <br />POLICY E %PIRATION <br />DATE (MM/DD/YYl <br />LIMITS - <br />A <br />GENERAL <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />CPP1328850 <br />UMB IS OVER WC /GL /AUTO <br />01/01/03 <br />01/01/04 <br />EACH OCCURRENCE <br />$ 1000000 <br />% <br />FIREDAMAGE(Anyonefire) <br />$ 100000 <br />MED EXP (Any one person) <br />$ 5000 <br />PERSONAL &ADV INJURY <br />$ 1000000 <br />GENERAL AGGREGATE <br />$ 2000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY g PRO LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2000000 <br />Emp Ben. <br />1000000 <br />A <br />AUTOMOBILE <br />% <br />LIABILITY <br />ANYAUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />Comp. Died. $500 <br />CA1328849 <br />01/01/03 <br />01/01/04 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />% <br />Coll. Dec- $500 <br />L�l <br />GARAGE LIABILITY <br />ANV AUTO <br />AUTO ONLY - EAACCIDENT <br />$ <br />OTHER THAN EAACC <br />AUTO ONLY AGG <br />$ <br />$ <br />A <br />EXCESS LIABILITY <br />$ OCCUR ❑ CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ 10,000 <br />CU1384180 <br />01/01/03 <br />01/01/04 <br />EACH OCCURRENCE <br />S 2,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />$ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />WC1328852 <br />BLKT. WAIVER OF SUBRO. <br />01/01/03 <br />01/01/04 <br />WC STATU- OTH- <br />g TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 100000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 100000 <br />E.L. DISEASE - POLICY LIMIT $500000 <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />CERTIFICATE HOLDER N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />FORINFO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN <br />FOR INFORMATION ONLY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />ACORD 25 -S (7/97) -f <br />OACORD CORPORATION 1988 <br />