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<br />Sap 25 08 03:22p <br /> <br />TIM E HILL INS AGENCY <br /> <br />9542026300 <br /> <br />p.1 <br /> <br />CERTIFICATE OF INSURANCE <br />SUCH INSURANCE AS RES~ECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE <br />TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO <br />EVENT SHALL THIS CERTIFICATE BE VAUD MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE <br />DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. <br />i <br />This certifies that: C8I STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington. Illinois. 01 <br />o STATE. FARM FIRE AND CASUAL TV COMPANY 01 Bloomington. Illinois <br />has coverage in force for the following Named Insured as shown beloVJ : <br />i <br />Named Insured GREEN CONSTRUCTION TECHNOLOGIES INC <br /> <br />Address of Named Insured 2130 NE 15TH STREET <br />WILTON MANORS FL 33305 <br /> <br />,-d.4 /I~~ / <br />Signature of Authorized Representative <br />Name and Address of CertifICate Holder <br /> <br />I <br />ADDITIONAL INSURED <br />Public ServicesDept <br />" <br /> <br />POUCY NUMBER <br /> <br />EFFECTIVE DATE OF <br />POLICY <br /> <br />DESCRIPTION OF <br />VEHICLE <br />LlABIUTY COVERAGE <br />LIMITS OF llABILIrf <br />a. Bod~y Injury <br />Each Person <br />a. Bodily Injury <br />Each Accident <br />b. Property Damage <br />c. Bodily Injury & <br />Property Damage <br />Single Limit Each <br />Accident <br />PHYSICAL DAIV'AGE <br />COVERAGES <br />s, Comprehen&ive <br /> <br />b. Collision <br /> <br />EMPLOYER'S <br />NON-OWNERSHIP <br />COVERAGE <br />HIRED CAR COVERAGE <br /> <br />q <br />i <br />D011616-C21.59K <br />I <br /> <br />394 570~A17.S9B <br /> <br />07/17J08.01117/09 <br /> <br />06 CHEVROLET EQUINOX <br />2CNOL63F566070696 <br /> <br />. 395585D-A17-59 <br />07/17/08.01117/09 <br />06 CHEVROLET C1500 <br />2GCEC13T661223035 <br />IEIvES <br /> <br />NO <br /> <br /> <br />09/21108- 03121/09 <br /> <br />D6 CHEVROLET C3500 <br />1GCJC33DB6F151430 <br />I <br /> <br /> <br /> <br />NO <br /> <br />$1,O~O,OOO.00 <br /> <br />$1,000,000.00 <br /> <br /> $1,000,000.00 <br />oNO <br />DNO NO DYES NO <br /> Deductible <br />DNa ~VES DNO DVES ONO <br />NO DYES NO DYES DNa <br />AGENT 6578 09/29108 <br />Title Agent's Code Number Date <br /> <br /> <br /> <br />[giVES NO <br />$1 ,000.00 Deductible <br />:1 <br /> <br />YES <br />$1.000.00 <br />Deductible <br />YES <br />$1.000.00 <br />Deductible <br /> <br /> <br />DNO <br /> <br />oNO <br /> <br />!2?JVES <br />DYES <br /> <br />YES <br /> <br />I <br /> <br />I <br /> <br />Name and Address of Agent <br /> <br />Tim E Hill <br />STATE FARM INSURANCE <br />1505 E COMMERCIAL BLVD <br />FT LAU DERDALE, FL 33334 <br /> <br />I <br /> <br />100 N Andrews !I Ave <br />Ft Lauderda~e FI 33301 <br />:, <br /> <br />L <br /> <br />~ <br /> <br />~ <br /> <br />L <br /> <br />954-202-3516 <br /> <br />'I <br />....--...------------..-......---------..-------......-...----.-----------------...----...-.---...------ . - <br />Check if a permanent Certin~e of Insurance for liability coverage is needed: 0 - ----- <br />'I <br />Check if the Certificate Holde~:should be added as an Additional Insured: lEI <br />" <br />i <br /> <br />~arks; <br />