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* + � � + • v . 00 r " 77Y 362 3466 SID <br /> FORDrAXACK <br /> CERTIFICATE OF LIABILIN I SURA ® poiioo � <br /> NCE OATS 1" VOIDI ISURANCE AGENCY TFni �� APR 14 04 ONLY <br />IER TE K 0 A! A MA7Tl�11 OF MPORMATION <br /> M28 ND am$ LWON TNt! CGtTM'R:ATt <br /> AN0706R. THIa Cpq�gCATe DOlB NOT AMEND, EXTEND OR, 32061 CwERAOti t>rtnEO t1Y PI <br />my <br /> PHONE: rTb662r1,168 <br /> INSURERS AFFORDING COVERAoe <br /> INSyR[p — NAIC M <br /> TIMOTHY ROSE CONTRACTING, INC. URFRA NORTH PD1 SMNTQ'"UR�/UJCE CO <br /> 1360 OLD DIXIR 11YVY 9.W, I!3URFR D: HAR1'xORD <br /> W$URER C: BRIDGEFIELO ErMPLOYEAS INS CO 027120 <br /> ViiRO BEACH Fl. J28Q2 a+ISURE-- ER a_ <br /> IN3URCt C <br /> THE 1`01=453 OF INEP, ANCE U6TG0 BELOW ""E j 93 <br /> APW RNQUIREWKNT, TERM On comes, 0f ANY Ui0 TO THE INSURED NAMED AaovE FOR THE <br /> MAY PNSTAPN, TM! P CONTRACT On pIpED DOGIMaNT WITH RESPECT �OMMIp� PEAPOD WICATID, NOfWIT)POTAMM(a <br /> nsvaANce AFFORDED a1` TK IWUCPri E-0 BY <br /> NI 16 SU&I To THIS WATIFIrATE MAY BE IS&= OR <br /> roclM.cPrs �oR.caTEUMrt { s„a,�„, MAY neve aiaNl RiDUCEO BY PAID CWMG, "u III TERM& excLUSIONS AND .CONORIONS OF aUCN <br /> ' i. TIM OP NOWANCa Oxy ILAI l PI a rwr nE PI <br /> LMaiITY PAT �inow LAM <br /> X OOMWMIAL GENERAL LIAePL17Y ZOi40le00T-01 JUN a 09 JUN 0 04 eACP• ocu NCE <br /> ' - CLAIMSMAoe X OCCUR WWCfT6Feje p 1 ,000, <br /> l9A 3 100 000 <br /> A - - . _ ; ilio. SW 4" Oei FrPN„I t x000 <br /> - rcRaoN+� t, Rov INI a 1 .000.000 <br /> GGI/La:G AOOfLGArAMLM PER; �NERKn0O1�aATtt t — 200001 <br /> 000 <br /> • �oucvAr <br /> FRooUC`ncoM►_IoF 606. s 2.000.000 <br /> AUTOUNIELYIa1UrY 21 LIEN W4318 <br /> X -ANY AUTO ` JUN 8 03 JUN 8 04 1CQMYPHso alNcLe uurr <br /> AU OWN& AMS <br /> PPccIoaPPf) 3 1000,000 <br /> 9 �-- WJgE lJLMAurOS aoaxYINAIRY <br /> RPR PI t <br /> _ Re0 AurOa <br /> NONAOWk O AI IrOS BODILY IWAAY t <br /> IPw �Pq <br /> ' CMU1rEtlABLRY t1111AAGC i <br /> ' P I ANYAVTO AUTO ONLY - EAAccvL r t <br /> orMSA THAN PA ACC t <br /> AUrD ONLY: <br /> MfW Lu4119ML A LjAjWjTM <br /> 208 410T013 00 DEC 4 03 <br /> X ua CLAM9 MP10H JUN 004 eAc►1 oceuRAE►,ee t 2l000p000 <br /> A i 2,00a0oo <br /> ocovcTBLE t <br /> a6T6NTI0N : t <br /> i ,Lmawy ANO 83020,!' 82 FEB 104 FEB 109 X wosr+n. O t <br /> ' C �4 tY..° .Pee �,Irx"uo°aP`er�`�•r F. L WMAQCwier i 1000000 <br /> 0�Iwm 1= bot . LLDI6CA0liA iMPI i 100.000 <br /> OTASR: I 6.L OlaWN�POUCYLMaf t SOO 000 <br /> i <br /> OIaCRIPTION OF OPERATIONSWCATIOWEHICLtBIEXCLUS10NS ADDED ENDOR$ EMENT/ SP[CIAL PR0VL4IO7S <br /> ' CER1IMICATE HOLDER INCLUDI AS AN ADDITIONAL, INSURED BUT ONLY WITH RESPECT TO OPERATIONS OF THE NAMCD INSURED <br /> TEN (10) DAY NOTICE OF CANCELLAI APPLICABLE To CANCE "TION FOR NON-PAYIAENT OF PRLVUM. <br /> CERTIFICATE w AoaYWI OW NOU;vaii LernmMINIMUM Issue <br /> 11110I ANY OF Tx; 080A oescAft" IONGEt a! cAuceaea wonTHI! <br /> ' "MA"W DATE THEREOF. TN6 I61VIN0 COWANY WUNNoiAYORTO NWL30 <br /> THE CERTWICATC WKDU NAMED <br /> fAYS WRlYTEN lLUlI! 1D D0 s0 a�w1LL IMPOSE Np paIgPI710NOR LJA6lL1TY 0 ANY WINO UPON THE <br /> INDIAN RIVER COUNTY, FLORIDA S FEC INtUPP�R, Ira AC NTS OR RL4NtWWrAT"7is. <br /> 184026TH arAeCT <br /> VERO BEACH, FL, 32060 1 AUTNOWZj9 R[pittee fTATNE <br /> ' Attention: _ b64 7880 <br /> ACORD 20 (2DDI-=) cehlncete N �s6i <br /> Michael W, Harris <br /> ' TOO 0 d 8eZ I ZT b0 / 97 / bo 000i +,0cT0c <br />