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r:'' A -D. PRODUCER INSURED FRANK H. FURMAN, INC. FRANK H. FURMAN #A091425 P. 0. BOX 1927 POMPANO BEACH, FL 33061 JADE COMMUNICATIONS INC 6610 E ROGERS CIRCLE BAY 4 BOCA RATON FL 33487 DATE (MM/DD /YY) ...::.: 12/31/03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A AMERICAN CAS CO OF READING PA COMPANY B BRIDGEFIELD EMPLOYERS INS CO COMPANY C COMPANY D ..................... ............................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD /YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS i� GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR OWNER'S & CONTRACTOR'S PROT B 12 7 9 9 8 6 91 1/19/04 1/19/05 GENERAL AGGREGATE s2,000, 0 0 0 X PRODUCTS - COMP /OP AGG $1,000, 000 PERSONAL & ADV INJURY $1, 000, 0 0 0 EACH OCCURRENCE $1, 000, 0 0 0 FIRE DAMAGE (Any one fire) $ -50, 0 0 0 MED EXP (Any one person) $ 5, 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ B WORKERS COMPENSATION AND 183024261 1/ 0 1/ 04 1/01/05 1 X TORY LIMITS I ER EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS /EXECUTIVE OFFICERS ARE: HEXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /SPECIAL ITEMS EL EACH ACCIDENT $ 500,000 EL DISEASE- POLICY LIMIT $ 500,000 EL DISEASE -EA EMPLOYEE I S 500,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 67"INY KIND UPON THE COMPANY, RS AGENAS OR REPRESENTATIVES. mmiv-7