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I I ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) 02/10/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Howard S. Newman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bateman, Gordon & Sands, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. P.O. Box 1270 Pompano Beach, FL 33061 INSURERS AFFORDING COVERAGE NAtC # INSURED INSURER A; Amerisure Insurance Co. 19488 DooleyMack Constructors of INSURER B: South Florida, LLC INSURER C: 11971 NW 37th Street INSURER D: Coral Springs, FL 33065 INSURER E: Cllent#: 53618 DOOMA I I COVERAGES I 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NAAr TYPE OF INSURANCE POLICY NUMBER PJlAL{.~Y EFF ECTlVE P<;!\;l~J EXPIRATION LIMITS A ~NERAL UABlLITY GL2015083040008 10/01/08 10/01/09 EACH OCCURRENCE $1 nnn nnn x... =rMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50 000 - CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $5 000 X BUPD Ded:10000 PERSONAL & />DV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 ~L AGG~rii LIMIT APnS PER: PRODUCTS-COM~OPAGG $2,000 000 POLICY X ~~& LOC A ~TOMOBlLE LIABILITY CA1 09000001 0008 10/01/08 10/01/09 COMBINED SINGLE LIMIT .!.. ANY AUTO (Ea acddent) $1,000,000 All. OWNED AUTOS BODILY INJURY - (Per person) $ - SCHEDULED AUTOS !... HIRED AUTOS BODILY INJURY (Per acddent) $ .!.. NON-OWNED AUTOS X Drive Other Car PROPERTY DAMAGE (Per acddent) $ ~GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ A ::i]ESSIUMBRELLA UABlLlTY CU138611808 10/01/08 10/01/09 EACH OCCURRENCE $10 000 000 X OCCUR D CLAIMS MADE AGGREGATE $10 000 000 $ :;1 DEDUCTIBLE $ X RETENTION $0 $ A WORKERS COMPENSATION AND WC125349713 12/01/08 12/01/09 X I T'fY.~Vsr~J~" I IOJ~- EMPLOYERS' UABlLITY E.L EACH ACCIDENT $500,000 ANY PROPRIETORIPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? YES EL DISEASE - EA EMPLOYEE $500 000 g~~c,1f~~Vi~gNS below E.L DISEASE - POLICY LIMIT $500,000 A OTHER Contractors C PP1294888090008 10/01/08 10/01/09 Rent/Lease: $650,000 Equipment Deductible: $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ***PROOF OF INSURANCE ONL Y*** I I I I I I I I I I I CERTIFICATE HOLDER CANCELLATION I ***PROOF OF INSURANCE ONL Y*** IF ORIGINAL 15 NEEDED PLEASE CONTACT OUR OFFICE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEA\IOR TO MAlL....3JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR I ACORD 25 (2001/08) 1 of 2 #S206877~206875 ELC ~ ACORD CORPORATION 1988 I