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OCT.29.2001 5:06PM LIBERTY MUTUAL BS 954 - 851 -0916 NO.277 <br />uerttncate Or insurance <br />S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER, <br />INSURANCE POLICY AND DOES NOTAMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW, <br />FLUKES' LANDSCAPING, INC. <br />2950 N. 28TH TERRACE <br />P.1 /1 <br />THIS CERTIFICATE IS NOT <br />Name and <br />address of LIBERTY <br />Insured. MUTU.ALI, <br />HOLLYWOOD, FLORIDA 33020 <br />Is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The Insurance afforded by the listed pollcy(ies) Is subj <br />to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to wh <br />this certificate may be Issued. <br />TYPE OF POLICY <br />EXP. DATE <br />POLICY NUMBER <br />LIMIT OF LIABILITY <br />WORKERS <br />CONTINUOUS <br />COVERAGE AFFORDED UNDEF <br />EMPLOYERS LIABILITY <br />COMPENSATION <br />EXTENDED <br />W, <br />A6- 150- 276728 111 <br />WC LAW OF THE FOLLOWING <br />STATES: <br />Bodily Injury By Accident <br />Ip0IpI <br />Iol POLICY TFRM <br />$500000 Each <br />06/01/2002 <br />FLORIDA <br />� Accident <br />130dily Injury By Disease <br />$500,000 Policy <br />Limit <br />Bodily Injury By Disease <br />$500,000 Each <br />erson <br />GENERAL LIABILITY <br />10125/2002 <br />TB2 -151 279082 -011 <br />General Aggregate - Other than Products /Completed Opora Ions <br />$2,000,000 <br />Products/Comploted Operatlons Aggregate <br />$2,000,000 <br />ROCCURRENCE <br />Soddy Injury and Property Damage Liability <br />t--I <br />O CLAIMS MADE <br />$1,000,000 Per <br />Occurrence <br />Personal Injury <br />RETRO DATE <br />Per Parson/ <br />$1,000,000 Organlaatlon <br />Other FIRE LEGAL; $1.000,D00 <br />0 r MFD PAY; $5,000 <br />T <br />AUTOMOBILE LIABILI <br />10/25/2002 <br />AS2 -151- 279082 -021 <br />- <br />$1,000,000 Each Accident - Single Limit <br />B. I. and P.D. Combined <br />Each Person <br />OWNED <br />Each Accident or Occurrence <br />i NON -OWNED <br />® HIRED <br />Each Accident or Occurrence <br />OTHER <br />PDITIONAL COMMENTS <br />if the certificate expiration =A Is oontnuous or extended terra, you will be notified it coverage le terminated or reduced before the cedifIcate explratlon data. <br />SPECIAL NOTICP -OHIO: ANY PERSON WHO, WITH INTCNTTO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN <br />APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. <br />IMPORTANT NOTICE TO FLORIDA POLICYHOLDERS AND CERTIFICATE HOLDERSN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION <br />ABOUT THIS CERTIFICATE FOR ANY REASON, PLEASE CONTACT YOUR LOCAL SALES PRODUCER(MOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RIGHT HAND <br />CORNER OF THIS CERTIFICATE. THE APPROPRIATE LOCAL SALES OFFICE MAILING ADDRESS MAY ALSO DF OPTAINED BY CALLING THIS NUMBER, <br />NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMDER OF DAYS IS ENTERED BELOW.) BEFORE <br />THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED <br />UNDER THE ABOVE POLICIES UNTIL AT LEAST XX DAYS <br />NOTICE OF SUCH CANCELLATION HAS BEEN MAIRFQ TO: <br />SUNNY ISLES BEACH <br />CERMFICA E 17070 COLLINS AVE, #250 <br />MOLDER <br />SUNNY ISLES <br />507 <br />James R, Fiet <br />AUTHORIZED REPRESENTATIVE <br />Ft. Laud rd e. FL (800) 542 -0055 10/29101 <br />L— BC H, FL 331UV I -- PHONI NUMBER <br />This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such Insurance as is afforded by Those Companie <br />DATE ISSUED <br />SS1501 <br />