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. ._. ..- . . . , . . . . <br /> _ � . <br /> 91i Otl+ 177c 11 : 64 1 ! r [ 4b ? 'LiL6Naa HEALA hi'.' START <br /> m : PAGE: I. <br /> IN <br /> COMMON POLICY DECLARATIONS <br /> ..:OI INSURANCE COMPANY relten & 4440ctete9 <br /> 9201 FOREST HILL AVENUE 2011 Cacdisul Drive POLICY NUMBER <br /> P900 Sax 3*88 <br /> RICHMOND, VA 2325$ V6re Seschs n , 32964- R <br /> 3488 ENEW97__ <br /> RENEWAL QF <br /> NEW <br /> UnderwI by Colony Mm+ogemenlService, Inc. PROGRAM CODE : ~-- �- <br /> 1 , NAMED INSURED AND MAILING ADDRESS; PRODUCER: 09012 �— — <br /> KIDS CGNNEC"I BY DESIGN, INC. <br /> 117 ATLANTIC AVENUE ROEHRIG $ MACOUFF (ST PETE) <br /> FORT PIERCE, FL 34850 111 2Nd AVE NE <br /> SUITE 810 <br /> SAINT PETERSBURG , FL 33701 <br /> 2. POLICY PpbOO: From r 200 to 7tak2b0 <br /> 7 12:01 A. M. Standard Time al your Mailing Add.•ets above. <br /> p RE1LetN ROR ' pATMEN7 THE PREUIUN, J 6§IJ ECT TOAit OA THE TFRNS OF TMIS POLICY, <br /> "OVWE TNF aISURAII AS 87ATED IN TMS POLICY;— NE AORE:E Wn'H VOU <br /> 3• THIS POLICY CONSISTS OF THE FOLLOWING COVERA - <br /> THIS PREMIUM MAY 86 SUBJECT TEN <br /> O ADJUSTMT, OE PARTS FOR WII 1 AxP "IUM 15 INDICATED, <br /> 1 It WAMAJF i+F_. V 11I <br /> ------ ��_ COVERAGE <br /> UC�Nsr ar x;F PREMIUM <br /> CCMERCIAL GENERA:. LIABILI "_'Y COVERAGE PARIw <br /> ublwnw: 1 �,q �6ys .. SG , b6b . UO <br /> i� <br /> POA <br /> ROININI , IN3t4Axr+r0 6ur..rtµ rC1 I i 14[ IY 11; N . <br /> 4 <br /> ,.1. WL/11 (k A&MVEM Mr. . r .. ;., 11114 •. .a . n ;. 1 , <br /> Premium Charge for coverage ofrbfted Acts of terrorism : is <br /> (Per POlicyholder Discl )sure TRIA2002N060a• 1202 atWohed . ) j <br /> COVE er <br /> rage for certified acts of terrorism hes been 11"00cf0d; exclusion attached , <br /> (Per POlicyhoider Disclosure TRIA2002NOtiC¢- 12pQ attached ) <br /> _ ISSUED DB / oe /2006 SG I+ <br /> `_ PremWm shown 4 06rabh at Inception. v TORI Policy Prsmlumy— 56 , b65 . DO <br /> 4. FORMS APPLICABLE TO ALL COVERAGES: Irapsetion Fee: $125.00 <br /> 1`4960160 . 00 <br /> See Fam UOD1 - Sohedoe 6f Gama aro £ndorteman;s Tavas 1334 . 93 <br /> _ TOTAL 070180 . 95 <br /> 59 BUSINESS DES TPICR IDN SOCIAL SERVICE CASE MANACEMENT <br /> Au rw.aen4llrs ""��-- <br /> w'�rtrP>1N1M wrwyef Yvurlw i.,viq+ On +. va ,� A-.wvn <br /> DCJ6650 (07102) <br />