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<br /> ' CORD,. CERTIFICATE OF LIABILITY INSURANCE ROP C0 L DATEdRM/LID/
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<br /> �RC006 � 02 /25 / 04
<br /> PRODUCER
<br /> '-
<br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ' Huckleberry , Sibley & Harvey T ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE w
<br /> & Bonds of Brevard , LLC HOLMR. THIS CERTIFICATH DOES NOT AMEND, EXTEND OR
<br /> 1020 N Ory, ludo ,Ave Ste 2 DO ALTER THE COVERAGE AFFORDED BY THE POLICIES Or- LOW, 1
<br /> Maitland FL 32761 ., .» . . .» , « M . .... . «
<br /> Phone L 4 07 . 647 « 1616 Fax s 4 07 , 62 8 ., 163 5 INSURERS AFFORDING COVERAGE MAIC I
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<br /> INSURED
<br /> SaYC* Ytwuranow Qeioq)eay
<br /> INSURER, . .._...Aa,nr. ... ... . ..., . . ... ._ _. .... .,..
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<br /> Earth Construct�. on Inc . ..... . ........ __..._._._.... ...... .......
<br /> Attnr Phil Birth III ; INEURCRG :
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<br /> ' era Indian liverL329 Blvd . , 8# 202 { INSURERD
<br /> Vero Beach FL 32960 --•---.— ._—. _.._....____..'-.._..
<br /> ' INyUHI•I< L• :
<br /> COVERAGES
<br /> T'41F I K')1 II:IFt, OF INf 1,lkAN( x t,I;RT?lT ;<1rJ ,OW MAV{ BLCM E::UCD I'U 1111. IN::UI<LD NAMLUAUOVC rowll IL" POLICY PERIOD INDICATED. NOTWIT118TANDINC
<br /> ANY RL OUIRCML-N I. 1' CH11OR CONDIVION OF ANY CON 1 HAI; 1 ;}K t7 t H) H i}t1ClJN! N i' WLf H Hf;$J'EC7 'I U WMIGH 1 MLS Ct R 11111we* MA" RI:: 1li51JFl10R
<br /> ' MAY NFH )AIN , INF INJI)MANCt'. AI-h ;)MI)1-V My THI• r' UCII! 5 0C5f:RI8rD HrRCIN IS A(JOJCCT TO ALL THE TCRMS, C%CLU510145AND Cr„•NDMIONS or I;+
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<br /> LIMITS ZKOWN MAY HAVE OCCN REDUCED BY PAID c1 AIMA .
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<br /> TYM!! OF INSURANCI! I POLICY NUMBER+ --� DA7C MMIDCa" � DATE MMJDD YYO I UMRB
<br /> (IFNFRALLIABILITY I I { $ :ANIt7l:;%IJI7MF•NL%1: is 11DDD , DOO
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<br /> � IADUITY s GtL2008D39000000 ' 03 / 30 / 04 _ c ' " rrrs.:y,,,. ,• i s 50 , 000
<br /> -•_,i •• „ i GLALMS MADC X ' r 'LHl.ONAL !. ADV INJURY ! s 1 000 000
<br /> I C,rNCRAt. AGrRrGATr, ! ,4; 2 0001. 000 •.••• •-.•
<br /> GF RI, ArommoATC LWITAPPOrs Prn 1 -� i . - 1100 , 000
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<br /> POL , I ItOIkJCi .. . . . . . ... . . ..... . ........ .,. . I . ' . ) , ......._. -.. .. , . ..,..
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<br /> Ir•.�T LOC i
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<br /> ! AUTOMOBILELIARILITY I I y L;CJMFINCD 'INGLILMiIT ;15100001000
<br /> x ? X i ANY CA20DO036000000 ; 03 / 30 / 03 03 / 304/ 04 rruae RIrIq
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<br /> ALLOWNWAUTOG I 00p1l,Y1FJJURY
<br /> 1IVIEDULE'DAu1T)F1 I (Prrparvon) J
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<br /> 1 IIf)LriLYINJtJRY
<br /> NON•OWNW) AUTO!} I I ; IPrf accup nq,. . .........._............ _.-. . . .... .... .. ...........__.....
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<br /> t I . . ......... ...........�_.... : IPkf.W1'KIY L)AMAL)F
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<br /> IrGARACTLUOLITY
<br /> ANYAWO i I l )T} IERTwAN CA AOG,.I .. ._......... . . .
<br /> it%u 10 ONLY: AGG) S
<br /> 1000 iNMt1RdLLA LAL3LLLTv I t:ACH OCCURR U CE S 4 , D 00 , 000
<br /> �q II t)rI I ' 03 / 30 / 03 03 / 30 / 04 AGrArOAT044P000 , 000
<br /> GLAIM& MADL" CU2008041 r,
<br /> WO00ISCOWENSA 63o� aOC+ L'_LTGI?YLIMITG'ITA
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<br /> EMPLOYEW
<br /> ' WORKLRDGC+MPEHSATFQNAND t
<br /> ANY PROPRICTOR/p9ARTNt!wm1Gu'nVG 1 WC4008042 - 00 03 / 30 / 03 03 / 30 / 04 L_L. L'ACHACCIDDIT ! S100r00D
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<br /> QFIICG<IMI:!ML9_Y; U(L^LUDlD'? E I lil.. nliFASF - F,AFM} 1OYFF! $ 100 000
<br /> ny _`.,. •,......,....,� .__-. ... .. . I ( . ...•_-'__-_..._ .... ., _i ..,,.._.., ._. f . • •. . .».
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<br /> It m), dflnrrltla }mtlnr
<br /> ,.I1;41AI, PItI)VI,.IL}Ndppipry I�—LDL`";rt•AzT - POLICY LIMITMIT ; S 500 000
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<br /> DG6CRIPTION OF OPL RA1'IpNF i x.tjC� ftQnF r Vr"CLCO I CKCLUSIONS ADID96 BY 91i1V0R5EMEN7J 9rrGM. PROVISIONS ""--
<br /> ' RR : Worth County Park 'Phage Ile Certificate Holder is additonai
<br /> Insured for liability as respects to work performed by named insured
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> .TLAAmQ SHOULD ANY OF TILI? ALlOVE DC5CRRIL!D POLICIES DECANCELLUO HEFORI: TMY, V1100tATiON
<br /> ' VATC THEREOF, THE 155UING INSURER WILL LNDEAVOR TO MAIL_ 30 DAYS Wr1n7r.N
<br /> Flom, da Department of NOTICE TO THE CERTIFICATE MfaLOFA YANCO TO THE Lrm, aw. AILURC TO DO ,SO SHALL
<br /> Environmental Frotec ti O> 1 IMPOBI; NO orllaGATION Oft LIABILITY 13F ANY KIND UPON TH6 ` S�NTS OR
<br /> Central Division �'URA& ITS A
<br /> 33L9 MaGuire Zlird Suite 232 REPRESENTATIVE&
<br /> ' Orlando PL 3280311113767 AUTHORFF. REPR BFNTA
<br /> Lanita Wxi h �,.
<br /> ACgRD 25 (2001 )08) 0) ACORDORATION 1981
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