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<br />o <br /> <br />ACORD,,, CERTIFICATE OF LIABILITY INSURANCE I DAlE (MMIOOfYlYY) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION <br />DeLoach Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2946 Wellington Circle East ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Tallahassee. FL 32309-6885 <br />(Telephone: 850-668-5757 1 Facsimile: 850-907-1212) INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER1\. Lexington Insurance Company <br />Jimmie Crowder Excavating & Land Clearing, Inc. INSUI<fH o. United States Fire Insurance Company <br />and L T J, Inc. and Jimmie Taylor Crowder INSURER C: Associated Industries Insurance Co <br />901 Geddie Road INSURER 01 <br />Tallilhassee, FL 32304 ..- <br />INSURER E: <br /> <br />COVERAGES <br /> <br />o <br /> <br />TIlE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR TilE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENt', TERM OR CONDITION OF ANY CONTRACt' OR OTHER DOCUMEIlT WITH RESPECT TO WHICH TlitS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY TIlE POliCIES DESCRIBED HEREIN IS SUBJECT '10 AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />':'!: 00' POLICY EFFECTIVE POLICY EXPIRATION <br />.......: POLICY NlNBER LIMITS <br /> ~!'''''''L LIAHILIIY EACH OCCURRENCE S 1,000,000 <br /> ~ :5MEHCIM. GENERAL LIABILITY ~M!SES lEa OCClll'8l1ca S 50 000 <br /> !-- ClAIMS w.DE ~ OCCUR MEO EXP lAnv "". D'"'''''' S None <br />A X Includes Products & 0955175 7/01/2007 7/0112008 PERSONAL & NJI/ INAJRY S 1,000,000 <br /> Completed Ops. GENERAl AGGRtGATE S 2,000,000 <br /> nL AG~~ .....,T nS PER PRODUCTS' CQMPIOP AGO S 2,000,000 <br /> POLICY p:g: LOC <br /> ~-fOllil08ILE LlABILIlY COMIlINEO SINGLE UI.AIT S 1,000,000 <br /> ~ ~N AUTO (Eo acddert) <br /> ~ I\Ll. O'/'otlEO AUTOS BODIL y ~WHY <br />B 1337238954 7/0112007 710112008 (Per person) S <br /> - SOiF.DU.ED AUTOS <br /> ~ HIREOAUTOS BODILY INJURY <br /> S <br /> ~ NQN.();',t'ED AlJTOS (Per acdlBtJ <br /> X Fleet Coverage PROPERTYOAW.GE <br /> (Per acddonl) S <br /> ~""'GE LIABILITY AUTO ONLY. EA ACClDENI S <br /> ~AUTO OTHf:R THAN EAACC S <br /> AUTO 0Nl Y, AGG S <br /> :!jESS/UMBRELLA LIABIl.fJY EACH OCCURRENCE S 5,000,000 <br /> X OCCUR 0 CL'IMS MAIlE AGGREGATE S 5,000,000 <br />A 0990449 7/01/2007 7/0112008 s <br /> l DEllUCTl81.E S <br /> HETENIKlN S S <br /> WORKERS COMPENSA 'tON AND .~tC ST~'Ws I IO~I- <br /> _ IQRY.U <br />C e"'PLOYER9' lIA81L1TY 2007315417 1/0112007 1/0112008 500,000 <br />.ANY f:>Ra'RIt' TOfU''''RTNERlE.XECUTIVE E.L EACH ACClCEIIT S <br /> OffICl'R,'-'.M8ER EXClUDED? No E.LDlSEASf .EAEMPlOYEI S 500,000 <br /> ~,~S;:~Ji'S~. .- EL. DISEASE. POUCY LIMIT S 500 000 <br /> orH~R <br />OESCRJP liON 01-- O"t.ftA liONS I LOCA nONS I VEHICLES I EXCLUSIONS -'OOtiD BY ENDORSEMENT I IPEQAL PROVISIONS <br /> This Is a SAMPLE CERTIFICATE OF LIABILITY INSURANCE. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANT OF THE ABOVE DESCRIBED POLICIES BE CANCELl~O BEFORE THti EXP1RA liON <br /> DATE THEREOF. THE ",SIINQ INSURER WIU ENDEAVOR TO MAIL ~ DAYS WRmEN <br /> NOTICE TO THE CERTlFlCAlf HOUlER NAMED TO THE lEFT, BUT FAILURe TO DO SO SHALL <br />The Certificate Holder's Name IMPOSE NO OtlLlGAlION OR UABIUTv OF ANY KIND UPON THE INSURER. 111 AGENTS OR <br />and Address will be entered here. REPRESENT..T.vES. <br /> AUTHORIZEO REPREStN I All"" <br /> fhk." 4 :1)~.l.<1~~ f4. <br /> <br />ACORD 25 (2001/08) <br /> <br />li:l ACORD CORPt'lRATION 1988 <br /> <br />c <br /> <br />16 I P age <br />