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y Policy Number; <br /> AC C>RD Date Entered : 7 / 5 / 2012 <br /> CERTIFICATE OF LIABILITY INSURANCE DATE (:.1 FlJOD1YW ) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S) , AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: if the certlflcate holder Is an ADDITIQNAL INSURED, the pollcy(Ies) must be endorsed . If SUBROGATION IS WAIVED, subject <br /> to <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br /> confer rights to the <br /> Certificate holder in lieu of such endorsement(s) . <br /> OWN I 1 11 <br /> PRODUCER MINIMUM <br /> TALBERT INSURANCE SERVICESIII II <br /> JLAM <br /> 3473 Satellite Blvd. . PHONE E= ( 770 ) 497 - 9400 -- I FAX <br /> E•MaL ---.__.__...._........_...._I. 6LC Noz._ ( 770 ) 613 - 8535 <br /> Suite 114 ADOREs.q: Ltalbert@talbestservices . cora <br /> Duluth , GA 30096 INSURERS) AFFORDING COVERAGE NAP J; <br /> INSURED J . RobertAtkins , AIA — 114SURERA : I <br /> INSURER S : � -- <br /> Rob Atkins <br /> INSURER C <br /> P . O . Box 2861 _._... --• •- .- -- ----- —.._._—._..__ — _ _. -- -- -- --- - <br /> Vero Beach , FL 32961 -- — <br /> INSURER E <br /> COVERAGESINSURER F ; <br /> CERTIFICATE NUMBER: <br /> Tl IIS IS TU CERTIFY Ti1AT THE POLICICS Of INSURANCE LISTED BELOW FIAVE BEEN ISSUED TO THE INSURED N1AN1oD ABOVE <br />FOR TtiE POLICY PERIOD <br /> INDICATED. NOIWITHSTANDING ANY RFOIJIRFMFNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN , TFIE INSURANCE ,4f"(-URDEU ;, Y 'fFIE POLICIES DESCRIE3ED HEREIN IS SUBJECT <br /> TU ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS , <br /> wSR <br /> TYPE OF INSURANCE LTR AIDOLjSUER <br /> POLICY EFF IIOU <br /> GENERAL LIABILITY POLICY NUMBER Mwr)DA'YY f LUDO <br /> _ + LIMITS <br /> EACH OCCURRENCE � e <br /> C_OJI&VERCtAL GENERAL <br /> LIABILITY PDRtiEiMA'IJSEE`SCLAISoAccTu'rDre <br /> ncel S <br /> MEO EXP (Ally one PEY ^w ) 5 <br /> PERSONAL 3 ACV INJURY - — <br /> - <br /> GEMLAGGRCOATELIMITAPPUCSPEFt ! GENERAL AGGREG.1rE 11 g.___._.._.__._......_..._.__...._._..._.. <br /> . P(N_I(;r PRO' LOC PRODUCTS • COMPIOP AGG 5 <br /> AUTOAICBILE LIABILITY <br /> COMBINc0 STd LILIUI7 <br /> A W AUTG (Ea_acrJgent)_. <br /> 3 <br /> ALL OWNED SCHEOULED i BODILY INJURY (Por prone <br /> UTOS 5 <br /> AAUTOS <br /> HIRED AVT05 NON•OWNED ; BOD'LY INJURY (Par acddanl) S <br /> AUTOS I PROPERTY DAMAGE <br /> 1 I (Peracrigent S <br /> J <br /> uMDRELLA uAe I y OCCUR <br /> EXCESS LIAR I EACH OCCURRENCE S <br /> X:wrasLstDE --------- - . _ . <br /> I DI RFTENr70N S AGGREGATE g <br /> WORKERS COMPENSAMON I $ <br /> AND EMPLAYERS• L.{ABILRY I WC STATU- r OTH- I <br /> ANY PRaP,"ETCX-UpARINER'EXF:CUIIVE YIN ....._ I_TOP,Y U.YVIS..L � . c!3_ _ <br /> OFFICEPATWIDER EXCLUDED? NIA I <br /> (Manrtatory in NH) EL EACH ACCIDENT <br /> i I5 <br /> tl Yes. t pi-IoN uxk-r I EL. DISEASE . EA EMPLOYEE S <br /> I f�SCF:�nON OF OPERATIONS bt:knv <br /> A Professional FI CIL DISCASC - POLICYLIMR_ S <br /> RDP0004394 b ? /0112011Limit 107/ 01/2012 <br /> Liability I ff � $ 5001000 - <br /> --1 1 I Aggregate $ 1 , 000 , 000 <br /> DESCRIPTION OF OPERATIONS 1 LOCA_nCNS 1 VEHICLES (Attach ACCRO 101, Additional Rnmauks Schadulo, If mare spaeo iR roquimd) <br /> CERTIFICATE HOLDER CANCELLATION <br /> Bill Bryant b Associates , Inc . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 1550 Old Dixie Hwy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Vero Beach , F1 32960 ACCORDANCE WITH THE POLICY PROVISIONS , <br /> Attn : Robezt R . Paugh fax : 770 - 770 -1460 <br /> AUTHOWZED REPRESENTATIVE <br /> rhpaugh@bill.bryantassociates . com r <br /> egan Johnson �7 �r' 7"�� <br /> ACORD 25 (2010105 ) CC 1988 -20x0 OR CORPORATION . All rights reserved . <br /> The ACORD name and logo are registered marks of ACORD <br /> Produrxd usmq FOrms EII Plus S011WJro . waw.Furn*zuosi .com; 111115 eNL Publlshine Soo•20B-191 <br />