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COMMON POLICY DECLARATIONS <br /> f <br /> Renewal of � POIICy Number <br /> SCOTTSDALE INSURANCE COMPANY` CPS1698659 <br /> Home Office: <br /> One Nationwide Plaza • Columbus, Ohio 43215 <br /> Administrative Office <br /> 8877 North Gainey Center Drive ■ Scottsdale, Arizona 85258 <br /> 1-800-423-7675 <br /> A STOCK COMPANY <br /> ITEM 1. Named Insured and Mailing Address <br /> GREE14E INVESTMENT PARTNERSHIP, LTD <br /> 51 S.S6d. FLAGLER AVENUE <br /> STUART, FL 34994 <br /> Agent Name and Address <br /> GRESHAM S ASSOCIATES, INC. <br /> 7108 FAIRWAY DRIVE, STE . 200 <br /> PALM' BEACH GARDENS, FL 33418 Agent No.: C9012 Program No.: HA <br /> ITEM 2 Policy Period From: 12/3 0,/_2_D 12 To: 12/3,)/ 13 Term: 365 DAYS <br /> 12:01 A.M., Standard Time at the mailing address shown in ITEM 1. <br /> Business Description: SHOPPING CENTER - LRC) <br /> In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the <br /> insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. <br /> Where no premium is shown, there is no coverage. This premium may be subject to adjustment. <br /> Coverage Part(s) Premium Summary <br /> Commercial General Liability Coverage Part $ 2, 2 P 7 <br /> w.. Commercial Property Coverage Part $ 6, 867 <br /> Commercial Crime And Fidelity Coverage Part $ NOT COVERED <br /> Commercial Inland Marine Coverage Part $ NOT COVERED <br /> Commercial Auto Coverage Part $ NOT COVERED <br /> Professional Liability Coverage Part $ NOT COVERED <br /> $ <br /> Total Policy Premium: $ 9, 154 .00 <br /> PCLICY FEE $ 35. 00 <br /> SURPLUS LINES TAX $ 459 . 45 <br /> SURCHARGE $ 4 . 00 <br /> FL HURRICA14E CAT FUND $ 119 . 46 <br /> SERVICE EEE $ 9. 11-9 <br /> CITIZENS PROPERTY INS EMER $ 91 .89 <br /> Policy Total: $ 9. 8-72 .99 <br /> Form(s) and Endorsement(s) made a part of this policy at time of issue: <br /> SEE SCHEDULE OF FORMS AND ENDORSEMENTS <br /> +rr PALM BEACH GARDENS, FL <br /> 12!18/2012 EQ <br /> THIS COMMON POLICY DECLARATION AND THE SUPPLEM ENTAL DECLARATION(S),TOGETHER WITH <br /> THE COMMON POLICY CONDITIONS, COVERAGEPART(S), COVERAGE FORM(S)AND FORMS AND ENDORSEMENTS,IF ANY, 81 <br /> COM PLETE THE ABOVE NUMBERED POLICY. <br />