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<br /> " v ' . • . ac:n:.z rex!>( '+rrxrSr+ :r•',Y .Yf !El»JA. > .Y•5J3.{:yF'iiJ:6'H.f?:.' 1994E DATE /
<br /> . . . !•. " ..� ..'. A':. . .. '.4\ .'.:�^:l': • •.<'.v
<br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> ALL INSURANCE SOURCE , INC CERTIFICATE DOES NOT AMEND , EXTEND , OR ALTER THE COVERAGE
<br /> 3885 20TH ST STE C AFFORDED BY THE POLICIES BELOW,
<br /> VERO BEACH FL 32960 COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br /> LETTER A BURLINGTON INSURANCE GROUP
<br /> INSURED COMPANY
<br /> LETTER B
<br /> EVERY DREAM HAS A PRICE , INC COMPANY
<br /> LETTER C
<br /> 217910TH AVENUE COMPANY
<br /> VERO BEACH FL 32960 LETTER D
<br /> COMPANY
<br /> LETTER E
<br /> -
<br /> :.. .. . . . . . . .. . . . . . . . . . . . . . . . . . :::. . . . . . . . . . . pr
<br /> Gt VEF3A E .
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE
<br /> FOR THE POLICY PERIOD INDICATED , NOTWITHSTANDING ANY REQUIREMENT , TERM OR CONDITION OF ANY CONTRACT OR
<br /> OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE
<br /> AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES , LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .
<br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS
<br /> LTR EFFECTIVE DATE EXPIRATION DATE
<br /> GENERALLIABILFTY GENERAL AGGREGATE 21000 ,000
<br /> A 019BO18789 11 / 14 / 2009 11 / 15/2009 PRODUCTS•COM/OPAGG. Included
<br /> PERSONAL & ADV. INJURY 11000 ,000
<br /> EACHOCCURRENCE 11000 ,000
<br /> DAMAGE TO PREMISES RENTED 50 ,000
<br /> MED, EXPENSE tAnyone peraon) 51000
<br /> AUTOMOBILE LIABILITY / !° 4e° COM9INEDSINGLELMR
<br /> ....00v °L / BODILY INJURY Per Person
<br /> BCOILY INJURY ParAccldenl
<br /> PROPERTY DAMAGE
<br /> EXCESS LIABILITY j�: �i l C Cr.'{ sG EACH OCCURRENCE
<br /> AGGREGATE
<br /> WORKERS COMPENSATION ,•',�16c ' � ,
<br /> df -,•�,J�:2••CLV ` STATUTORYUMI"M
<br /> AND - EACHACCIDENT
<br /> EMPLOYERS' LIABILITY M t { L % DISEASE-POLICY LIMIT
<br /> ! v DISEASE•EACHEMPLOYEE
<br /> THIS INSURANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW.
<br /> PERSONS INSURED BY SURPLUS LINES CARRIERS DO NOT HAVE THE PROTECTION
<br /> OF THE FLORIDA GUARANTY ACT TO THE EXTENT OF ANY RIGHT OF RECOVERY
<br /> FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED INSURER .
<br /> DESCRIPTION OF OPERATIONS / VEHICLES / SPECIALTY ITEMS
<br /> FUNDRAISER
<br /> SURPLUS LINES INSURERS ' POLICY RATES AND FORMS ARE NOT
<br /> APPROVED BY ANY FLORIDA REGULATORY AGENCY .
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<br /> Should any of the above dasorlbed policies be cancelled before the
<br /> PvA ote Lt? fi6Ue 134SP114LL expiration date , the company shall andeavor to mall 30 days written
<br /> notice to the cartiflcate holder named to the left , but failure to mall such
<br /> R / (J� COu7) 7�11 notice shall Imposo no obligation or liability of any kind upon the
<br /> company , Its agents , or representatives .
<br /> / 90 / c-27 * SIW EET" AUTHORIZED REPRESENTATIVE
<br /> VIRGINIAC . PHILLIPS ® o
<br /> VeiQ� � R CNS FL
<br /> 32960 710
<br /> 13577 FEATURPLUS IHERSOUND DR „ PO BOX 7069
<br /> 0 EARWATER, FL 33762
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