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Oct 23 03 01 ; 43p Children ` s Home 5ociet !j 561 - 595 - 6867 pa4 <br /> Tata ccrtirscate is cxas is affotded by thole cp+twardes. . <br /> Certificate orinsuranee <br /> This acttificata it issued as a trwtrter at Womsation only and c=kn rw iltptaa uytta ywa• tn, pcnifeaw bP&We. . Thr+ ce.tfitaM it ms an insunnee policy <br /> uW docs not mr, od, esterA or slier tit: rprepel <br /> afforded ey she eelicie3 t:atcdbdow, - <br /> This is to ccrary that (,Uaerta and add rrss of Insured) <br /> CHILL) MY5 HOME St7CWLTY OP PLORJDA { <br /> lass S. s � uaRArl 13LVd , A <br /> _- �1 �,�'� ex't� <br /> 50 ,7E 1446 t * u11 9 .M <br /> =are, 'utsuscd by rhe Coriparty w+dertht policy(its) listed!kki%v. T},e uqur%r%43 alfotdeA by the Hsled polcy(ici) is tubjecs to el' 'htir lancet., exclusions <br /> awid :ooditione <br /> and iii o•,�aliered b a rc uirc t 14" t or tondivart of atlhich d.is LU0196re t�bcet,Lsued <br /> f Expiracion. Ty tom[ — Ex iratforr Dat s Policy NLimits of Limbitity <br /> C "7` Contin,tcus • Vi0112004 ! WA6 • 15D- 280351 .013 t._ovcregeliffordedunder wCtnwof �— FnlployersLiablity <br /> rIwing ssattit godil Injury l; .Accident <br /> Extended I �„•the rollu ` y IJ Y <br /> IX I <br /> Policy Tesco j 5500 ,000 _ E : ch Acridtnt <br /> Bodily injury By Disease <br /> — 5500aC00 Policy Lirait <br /> Worikers Compensation Bod3y Injury Or Disease <br /> t 55000000 Each Pemvr. <br /> —. .. � - <br /> Gancral -Aggrgat Otherthan ProdtCam leted Operations -- <br /> General LialWify <br /> l <br /> Eocctlrmncc <br /> ProductsiCompleted Operations Aggregate <br /> Claims Made Bodily Injury anti Proper tv Dskmage. Liability Per <br /> i <br /> Occurrence <br /> � Retro Date Personal and Advetrtising Injvty Per Person I <br /> �� � Oreatli�atlun <br /> Other r uJibilJtp Other Lhbility <br /> P-Ach Aoridetrt - Single Limit 3; • I . and P. D , Combined <br /> AutOM041le LixWl7 - - <br /> I ( Each Person <br /> Owned <br /> ,t:,st. OwmG Each Accident or Occurrence <br /> Hired — <br /> ���� I I` Each Accident or t1e urrr- nee <br /> C — <br /> 0 <br /> rV( <br /> yl {{{ <br /> !i <br /> N <br /> T <br /> slrthcnnifiwte exyirr: r data is cantr.u= *r extended term, yea vri '.I be nosificb it eovenV is termimfed ct redncCd btfort ) t ctr,ifit3te ezpsrsUo—�n <br />Cser.Ffuwavrr, yva . +lt rwr � •�>•if cd aM atlp <br /> otthe rotNinuarion of tover3cc. <br /> Slicc, &I Nolice • Crhio . Anyperwn who, with jjtpnt ,0 defMymf Mrkttowine shat he 7 the- is :hcittW1irW a .fraud aga'asIt an 'r-surer, iwbnets an 3t1P; <br />:Calipn 0r 51cs s elarn coat uNLIKA Also of <br /> te� epf itY Stuee.ent U guilsy Ofiaiauuea fives!. <br /> ur4wruat in"bMalinn to Plwids polieyholden acrd ocniSeattiwtden n the svetsr yol hs any rl texhant or nted utrbrstwtiyn aoav t6 a er riFev . G>c <br /> +ro T+t, rkaa contact yewrtocol sales <br /> prod tter, whose ayse and tcteghstx etunbcrappean w dw lower kfr eomerofthis Gtnillr.rr.. slit epprolaritte local $Stet efface mailing addicsi may atse tx <br />cbuuxd by ealUll this nembcr <br /> Nosict of l:snccllation' (root apr4r7blt sagest a t111tI1bCf of days to tatertd tselaw) . 9, rote the rtaled expintlen date Clic covVioly will not dotal <br />or redue kh aQOr(lad U11deC the Above <br /> invrt4nte <br /> pterin until v !east jo days norire of such nstcetlotion has been Trailed to: _ - _,��-- .,.,,^•�..—_�.—... - <br /> - Office . JACKSONVILLE, FL Phone! 944- 36310099 < <br /> Ccrtirlesta Holder; Scott Carnes <br /> Dk%TT HOOD Autltcr " rd fir sreicnladvc <br /> CH : LDArN, S komg SOCIETY . . ..—w <br /> AR *Z: 15JRE CIJHST O = VISION <br /> 415 AVE" A <br /> SUITE 101 <br /> BT . rc2RC9 , FL 349 ` 0 Datefssued : 07/C2l2uft) Prepared By: TH <br />