Laserfiche WebLink
r <br /> ` Trns fnsr ray _ <br /> Surplus lino Agmt's Name: T to r' . i 'a SuVu it LaA s Pu, o <br /> S 1343 I!= hut's Adm: mrm V C=ian QLfA01 by Su f p!us Lm ai '.er <br /> Aspen "Ped . Ity - FL 33433 P. nlncdon or re ria da j a <br /> Surplus hues Agent's license• AI <br /> 0 'fa extent oany -gv Co y Ic e <br /> V Prodreing Agent's Name: ' Ihgator of an jr solves a iic rl, s <br /> Producing Agent's Address: / $o 1 <br /> lfJ'1 Pf"r . <br /> POLICY NUMBER: SS000011 TOtalPremiu0 2 T �02�> CG DS 01 10 01 <br /> $crvicc Fee: 0 <br /> Agents t"Q'amcc <br /> COMMERCIAL GENERAL & PROFESSIONAL LIABILITY <br /> DECLARATIONS <br /> ASPEN SPECIALTY INSURANCE COMPANY CRC Insurance Services, Inc. <br /> 99 HIGH STREET 30 Jericho Executive Plaza, Suite 200C <br /> BOSTON, MASSACHUSETTS 02110-2320 Jericho, NY 11753 <br /> NAMED INSURED : United for Families, Inc. <br /> MAILING ADDRESS: 10570 S. Federal Hwy., Suite. 201 <br /> Port St. Lucie, FL 34952 i; <br /> POLICY PERIOD: FROM 03/15/2005 TO 03/1512006 AT 12 :01 A. M. TIME AT <br /> YOUR MAILING ADDRESS SHOWN ABOVE <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br /> POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br /> LIMITS OF INSURANCE <br /> GENERAL LIABILITY <br /> l EACH OCCURRENCE LIMIT $ 19000,000 <br /> DAMAGE TO PREMISES <br /> RENTED TO YOU LIMIT $ 100,000 Any one premises <br /> MEDICAL EXPENSE LIMIT $ 50000 Any one person <br /> PERSONAL & ADVERTISING INJURY LIMIT $ 1 ,000,000 Any one person or organization <br /> GENERAL AGGREGATE LIMIT $ 39000,000 <br /> PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $ 1 ,000,000 <br /> Surplus Lines Tax: 44LJEI0 to <br /> PROFESSIONAL LIABILITY FSLSO Tax: <br /> Each Medical Incident Policy Fee: _ $ 11000, 000 <br /> Aggregate Insp. Fee: <br /> Company Fee: — $ 3,000,000 <br /> Retroactive date (If Applicable) FL EMPATF: —�— N/A <br /> Deductible NONE <br /> Each Medical Incident or Claim (including ALAE <br /> A-04 ,S 6758 <br /> 3 9 <br /> DESCRIPTION OF BUSINESS <br /> FORM OF BUSINESS: <br /> ❑ INDIVIDUAL ❑ PARTNERSHIP () JOINT VENTURE ❑ TRUST <br /> ❑ LIMITED LIABILITY COMPANY X ORGANIZATION , INCLUDING A CORPORATION (BUT NOT <br /> INCLUDING A PARTNERSHIP, JOINT VENTURE OR LIMITED LIABILITY <br /> COMPANY) <br /> CG DS 01 10 01 © ISO Properties, Inc. , 2000 Page 1 of 2 0 <br />