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COlW,. CEHTIFICATE OF Ll /\l::HLITY IN!:iUHANCE 11 1\11 jMf,III IIUtq <br />ICJ/Jr,/1111 <br />1100UCFR <br />,anier Upshaw, <br />L '<; US llwy 98 <br />I IH'. <br />SouLh <br />Box 468 <br />,akeland, FL 33002 <br />~· neo <br />r i Sure Corporation <br />>.o. Box 653 <br />\11 bur ndale, FL 33823 -06 5 ~ <br />I IIIS Cr:it lll'ICI\I C is iS SLJFU /IH /I M/1 11 Flt Of IPlfUiiiA.-i IION <br />UNI Y /\Nil CONrEllS NO RI GIIIS 111'014 lllC CERllflC/\l C <br />IIOLOCn. 1111S CF.ll TIFIC/\l E llOES t/Of /\IA CNll, EXlEtlO Oil <br />. <br />:T. ~2~VOOEO D AI.ICII lllE coy~g !lr!OllUCU DY_~IIE POLICIES BEi.OW. <br />1 INSUnEnS /\ffOllUll'G COVf:11/\Gll <br />i,,.,•,u11u1A /\111 c 1·i c n11 E111pJ uyP L s <br />m•.u11111 n<.:0111111 e r c ial Urd o n l11sura11t:c <br />1'111s1111tt"' 1-'CC l l11sura11cc C o 111pa11y <br />jm~UIUI\IJ <br />l IN'olllll.llt <br />1>VERAGES <br />ll<E l'OllCIESOf INSUll/\NCI: LISI Ell nEI O W 11/IVI Ill.I II ISSUI U '" 1111 Ul5UIU II IIAl.11 IJ /111',VI I 0 1111,r l'O1";Y l'I 11')1) 11 11),CMI II 11r 111•11111s11111uum <br />I • llEOUIV"M(Nf, THIM on COUl>IIIOU or J\IIY COUII\I\C t (.111 O lllf II ()(JCUt.11 llf Wllll IIJ ~rr r , IQ WIUC II Ult": ti fll ll k.:l\lr t.11\Y ur l'iSUI U 0 11 <br />I ( l'ERI/IIN, IIIE 11SUIW1Cl /lffOlll)fl) IIV lllf l'OI ICl"S I ll SIIINII I) Ill I U v, IS Sllfl ~ t"I l tl /Il l "" II m.,c.. 1 1,;11,~•~l~/lllllf:Clflllll lOIISOr SlJCII <br />r _.ICIES. I\COIIEO/IIE UM II S SIIOWN W\Y 11/IVI Ill fN 111.IIUCI ll llV l 'lllltt;t lllfJS <br />'1Wl t YPEOF INSUnANCl! --·• -· l'OLIOYNUMllr 1, jrnA1,1~",U,~MiU~.~1'.''<t,~~:~[M~~ihJ:~{:. . LIMII C ,. ___ _ <br />fl OENERAlll/\OllllY AZW/'./.;).090 ! U'//01 /00 i (J'//01 /0 l :c,1:11 oi:c:u1111u1cr-,•1, 000, 000 <br />X co~MCRcw..oENERALLU\Ul.llY I f j rinrn11MflUC (r'\•1v011 e l •e slOO , 000 I I Cl/llMSMAOEI X I OCCU'l P.OC O ()(l'Cllny one "'"""' s5, 000 <br />I PERSOtllll&AOV INJ UnY sl,000,000 <br />j j ocNrn111 .110011eo111e s2 , 000, 000 I : l'ltOUIJC I S-COMl'IOl'AOO ,2 , 000, 000 <br />-J..!..>=.!.L.-'-""-""-'-~'4f---------·---!-'-----l-------------------- <br />1 <br />0 ·1 /01/UO 1 <br />1 <br />07/01/01 coo,11111r n smolCt 11011 <br />l 0 EN1.11oone:0~1etIMn AN"'l.Icsrtn : <br />I POLICY I I ~~gj I I' n~ <br />!AZl\X07939F 1 <br />I <br />IIUIOMOOllE ll/\OILITY <br />Ix ANY IIUIO <br />All OWNED IIVIOS <br />sc11e out~O AUTOS <br />I~ IHREO/IUTOS <br />NON -OWNED AUIOS <br />X Drive Other Car <br />I OAHA.08 l1AOIUTY I /\NHUTO <br />B I excess u1101L1TY <br />X] occun I t Cl,.,IMS MI\OE <br />C ZO~I S J 202 <br />I DEOUC IIOLE 1 X nEIENIION 110000 <br />WORKERS COMPENSATION AIIU <br />EMPL01CRS-LIABILITY <br />OOHIC:OOM2919 <br />omen Leased/ IAZR'/22090 <br />"jRent al Equipme nL i <br />!Ins tall FloaL ~.i.:__1 __ <br />I I <br />I I <br />I <br />CEa&«ldt nll 11,000 , UUQ <br />000/L 'I' INJUIIY crcr P(fSOU) <br />OOO•L., nuvnr <br />(Per ac:chJrnlJ <br />rnorcn,, OAYAOE <br />("et I CCldcnlJ I ' <br />hUIO OUlV • (AACCIU(UI I <br />OIHCU 11•/\r, <br />I\U100Nl V <br />€11•c c s <br />/IO U I <br />07 /01/00 07 /01/01 c•c11 occunnrncr 12 ,000, 000 <br />1 1 <br />M, .. ,,." r 0 0 •• 000 <br />06/0J/OO ~0 6 /01/01 'WCSI MIJ · I"''' I l 10 1tY LIMII S t 111 i <br />, t L EAc11•cc,oru1 ,,5 00, 000 <br />I le 1 .0 ,slASr F AC'-"'10,c r 1500, 000 <br />·---------· ·---~l)l~l•§.~OLICY_t,JM.!!:J500 , OOQ_ <br />1 07/01/00 :O'l/01/01 1 Limil: <br />' I $100 ,0 0 0 w /$1000 Oe d <br />_; $I OU , 000 w/$ 1000_ Oe<.l <br />J :rnr JIOH o r OPE nAttON6 1lOCA I ION';IVE l i lC l r s,r>eC L USlOH ~ AOUl' IJ "' ruuo 11srM r NI l ';P(Cfl\L ''flU YIC.ION t; <br />\ : Dixie lle iS:jhLH Wat c 1 /\r:r;es nt11!'11l l'roj N:l lllJ\•19 1 JIii).', <br />lolder i s shown a s u ddili o 11a l .i 11 m 1re rJ wiLl1 1 r•qa1di~ L o Lia bi Ii I y •·uv<!r ayes <br />: ~•,rrCA rc IIOWEn I AllDIIIOtlAI lWiUllf o,•~•~CIH.C_l_ll ll ____ GA~~s:tLLA • •2~ <br />m.Jian River Cuu 11t y <br />•e;25 l 9 L h J\venul"! <br />J l"O Heilch, Fl, 17.9r.o <br />·--~l(UM,ror u1r liUU\'\ hl r-,e;,r nrUl'CJIIC"III •,111 l"I\W~ Ill UOI ft,111 Utr l M i,\AIK.)tl <br />111\l(flHrHtJf u o 1r;ru1·mn<1'iUnt l\WIIIIUIH AVOOtO,•A11 \U ,A'f'':¥,JllllllU <br />MJlf'f 1011.-t frU f lC,\0 l '(JtOCnN.AtJ'ff)l(>II I lf t t ,n u,ruuw 10DOOOr.ttAt l <br />,., ... \r.!. ,.u u :11 WJI\HU·~ l,U l 'I\Cl'l llf OIi ,.,..., 111 •1 0 ur,..,., O lf 1•1",JII[ f\llSAGl"Hl'-.Cll <br />ffl 11H '•' tlt"tllt •. <br />A1/ll•Oll•/1 ')11' • H I 'i' Nll\'1,,,.1 <br />.t_,. -r· , ...: /h &.:,~ ,