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<br />~ ....... <br />.,- " <br /> <br />'" <br />...;-....... <br />~..., <br /> <br />WESTCHESTER. ILLINOIS <br /> <br /> <br />~ <br /> <br />PLATE GLASS <br />INSURANCE POLICY <br />RENEWAL OF 09 - <br /> <br />NUMBER 6 3 2 8 3 <br /> <br />:y <br />.,/,' <br />rC.f~"" <br />. allY .,' <br />" .Ie ,Suite 320, Westchester, Il60154. 708-449-6060 <br /> <br />NAME AND ADDRESS INSURED <br /> <br />EFFECTIVE 12:01 A.M. <br />Ar ADDRESS OF <br />GLASS INSURED <br /> <br />FROM: <br />10: <br /> <br />January I, 2011 <br />October 1, 2011 <br /> <br />CITY OF SUNNY ISLES BEACH <br />18070 COLLINS AVE. <br />SUNNY ISLES BEACH, FL 33160 <br /> <br />ISSUING OFFICE <br /> <br />MASSPLATE INSURANCE <br />ONE WESTBROOK CORP CTR STE 320 <br />WESTCHESTER IL . 60154 <br /> <br />AGENCY <br /> <br />BROWN & BROWN INC <br />8000 GOVERNORS SQ - #400 <br />MIAMI LAKES, FL 33016-1588 <br /> <br />INSUREO IS AT ABOVE ADDRESS UNLESS STATED HERE <br /> <br />en <br />~ <br />['U <br />CX) <br />(J..) <br /> <br /> <br />OCCUPANCY <br /> <br />11"/1 B. 00 + <br /> <br />OFFICE <br />fORM OF COVERAGE <br /> <br />$100.00 <br />Per Occurrence <br />Deductible <br /> <br />********************************************** <br />EXTERIOR:' ONLY GLASS AS ITEMIZED <br />IN GLASS SCHEDULE DATED.l/1/2010. <br />NO OTHER GLASS INSURED HEREUNDER <br />SEE ATTACHED SCHEDULE. <br />********************************************** <br /> <br />NOTICE: DONIT ORDER BOARDUP OR GLASS REPLACEMENT <br />WITHOUT OUR AUTHORITY <br />CALL TOLL-FREE 1-877-SHATTER TO REPORT ALL <br /> <br /> <br />E~DORSEMENTSlAOOITIONAL COVERAGES <br />FL : 1195 (7 - 2 006); 160; 1 71; 0605 i 100 <br /> <br />. <br /> <br /> <br />'" <br /> <br />FORM. PG 103.lJ.69 <br />