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<br /> a iJ_ .fs'). t' 7 ..j S• t � iSf �p�+< > ); ,•'k:� ie� ',>i�f-{.r..::<:.. n•; 'p< ISSUE DATE �/ 0 ,�• a� 00
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<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 , EMEND , 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 /> EVERY DREAM HAS A PRICE , INC LETTER B
<br /> COMPANY
<br /> LETTER C
<br /> 217910TH AVENUE COMPANY
<br /> VERO BEACH FL 32960 LETTER D
<br /> COMPANY
<br /> LETTER E
<br /> n.: . -
<br /> 14
<br /> . . . .. . . . . .
<br /> n . .. . . . . . . . . . . .. . . . . . . . . . . . .: ::.:
<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 PCucY LIMITS
<br /> LTR EFFECTIVE DATE EXPIRATION DATE
<br /> GENERAL LIABILITY GENERALAGGREGATE 21900 ,000 .
<br /> A 0199018789 11 / 14/ 2009 11 / 15/ 2009 PRODUCTS•COM / OPAGG, Included
<br /> PERSONAL & ADV, INJURY 11000 , 000
<br /> EACH OCCURRENCE 1100 ,000
<br /> DAMAGE TO PREMISES RENTED 50, 000
<br /> MED. EXPENSE (Any one person) 51000
<br /> AUTOMOBILE LIABILR•Y COMBINED SINGLE UMP`
<br /> BODILY INJURY Par Parson
<br /> BODILY INJURY PerAccldenl
<br /> PROPERTY DAMAGE
<br /> EXCESS LIABILITY EACH OCCURRENCE
<br /> AGGREGATE
<br /> WORKERS COMPENSATION STATUTORY UMrTS
<br /> AND EACH ACCIDENT
<br /> EMPLOYERS' LIABILP`Y DISEASE-POUCYUMfT
<br /> DISEASE- EACH EMPLOYEE.
<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 /> r10 �n� JrfA or l GCm I S AN 04 ct46 t7 B"Y! d�L / "415 LC red ,
<br /> DESCRIPTION OF OPERATIONS / VEHICLES / SPECIALTY ITEMS
<br /> F01) RAISER
<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 described policies be cancelled before the
<br /> 90L /Ylfa /'J 5T/1 , � u /I/1 expiration date , the company shall endeavor to mall 30 days written
<br /> notice to the cartlflcato holder named to tha left , but failure to mall such
<br /> notice shall Impose no obiigatlon or liability of any kind upon the
<br /> ycompany , Its agents , or repreaentailvea .
<br /> 001 a6 � 57RL
<br /> AUTHORIZED REPRESENTATIVE
<br /> U�2a 1eAC11 FL 3 .2g6O VIRGINIA C , PHILLIPS
<br /> SURPLUS LINES AGENT , LIC# A206595 °
<br /> 13577 FEATHERSOUND DR, , PO BOX 17069
<br /> CLEARWATER, FL 33762 /a0a
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