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co v' JL D <br /> CERTIFICAr- OF LIABILITY INSURAN E OP ID A7E(MMfDD/YYYr7 <br /> RKCON-1 03/05/10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Kearns Agency of Florida Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P 0 Box 1849 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Jensen Beach FL 34958 <br /> Phone: 772-334-5822 Fax:772-334-0940 INSURERS AFFORDING COVERAGE NAICA <br /> INSURED INSURERA: Owners Insurance Company <br /> INSURER B: Auto owners Insurance Company <br /> R K Contractors Inc. INSURER C: southern owners Insurance Co. 10190 <br /> 2860 S Brocksmi.th Rd. INSURER D: <br /> Fort Pierce, FL 34945-4446 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ATION <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD TIVE DATE MMIDPOLICY-EXPD LIMITS <br /> GENERAL LIABILITY DAMAGE Ta-RENTEEF-- <br /> EACH OCCURRENCE $1,000,000 <br /> A X X COMMERCIAL GENERAL LIABILITY 72698658 10/03/09 10/03/10 PREMISES(Eeoca,rerce) $300,000 <br /> j CLAIMS MADE l—!OCCUR MED EXP(Any one person) $10,000 <br /> i PERSONAL d ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s3,000,000 <br /> —X7 POLICY 7 <br /> JPERO LOC <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $1,000,000 <br /> B ANY AUTO 95-434-709-00 10/03/09 10/03/10 (Ea accident) <br /> t <br /> ALL OWNED AUTOS i BODILY INJURY $ <br /> t(Per person) <br /> I X SCHEDULED AUTOS <br /> 1 X HIRED AUTOS BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> IPROPERTY DAMAGE $ <br /> (Per accident) <br /> i <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO I OTHER THAN EA ACC S <br /> 'AUTO ONLY: AGG S <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> S <br /> DEDUCTIBLE <br /> RETENTION $ I S <br /> WORKERS COMPENSATION TORY LIMITS ER <br /> AND EMPLOYERS LIABILITY Y/N <br /> ANY PROPRIETORIPARTNEWEXECUTNFD E.L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? u E.L.DISEASE-EA EMPLOYE $ <br /> (Mandatory In NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> The certificate holder is also listed as an additional insured in regards to <br /> the General Liability only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> OATC THCRCOF,THC 1"VIN0 INOURM WILL CHOCAVON TO MAIL 30 DAVC VMIT " <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Schulke, Bittle 6 Stoddard LLC REPRESENTATIVES <br /> 1717 Indian River Blvd. AUTHORRED REPRESENTATIVE <br /> Suite 201 Lawrence E. Kearn <br /> Vero Beachf FL 32960 <br /> ACORD 25(2009101) O 1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> 2000/T000lin Xbd 9T:TT OTOZ/80/EO <br />