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09 / 07 / 2009 22 : 09 7722874744 PHIL WHITE STATEFARM PAGE 04 / 05 <br /> ACORD„, CERTIFICATE OF LIABILITY INSURANCE °0910x" 9 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Phil White Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2480 SE Willoughby Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 9 y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Stuart, Florida 34994 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: State Farm Mutual Automobile Insurance Company 75178 25178 <br /> CREECH ENGINEERS INC INSURER e: State Farm Fire and Casualty Company 25143 25143 <br /> PO BOX 327state Farm Florida Inauftnte Company 10739 10739 <br /> STUART FL 34995.0327 INSURER C: <br /> INSURER D <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1RSR D POLICY NUMBER POLICY EFFEC'FNE Pp}.ICVIR/1TION LIMITS <br /> 7 <br /> C �9/ERERAL UA61L1T' 98-TN -1898-8 B 12/18/2008 12/16/2009 EAGH OGCURRENGE s 1 004 000.00 <br /> COMMERCIAL GENERAL LIABILITY PREMISES E S <br /> CLAIMS MADE ❑X OCCUR MED EXP (Any Ona We*n) S 57000. 00 <br /> PERSONAL & ADV INJURY S 1 ,000,000.00 <br /> GENERAL AGGREGATE S 210001000 .DO <br /> GeN'LAGGRCGAYCLIMIT APPLIES PER., PRODUCTS - COMP/OP AGG S 29000,000 .00 <br /> POLICY 7 <br /> JSCT F7 PRO- LAC <br /> A AUTOMOBILE LIABILITY 543 2558431649 08115/2009 08/15/2010 COMBINED 5INGLE LIMIT <br /> ANY AUTO (Ea aooroent) S <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULEOAUT03 (Forperaon) . S 1 ,000,000.00 <br /> X HIREDAUTOS BODILY INJURY <br /> X NOWOWNED Auros (Per aczWentl $ 1 ,000,000 .00 <br /> - -.. .. .... _ . .. .. .. . ' _ . PROPERTY DAMAGE s 1 ,000,000.00 <br /> (Per aacldem) <br /> GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ <br /> ANY AUTO OTHER TMAN EA ACG $ <br /> AUTO ONLY: AGG $ <br /> C MCESSIUMDRELLALIABILM 98-LC-0288-8 0 12/21/2008 12/21/2009 EACH OCCURRENCE s 32000,000. o0 <br /> X OCCUR F7 CUVMSMADE AGGREGATE S 30000.00 <br /> S <br /> DEDUCTIBLE 8 <br /> RETENTION $ 10,000.00 S <br /> THM <br /> B WORKERS COMPENSATION AND X WC STATU- ER <br /> EMPLOYERS' LIABILITY. 984X42044 04/29/2009 04/29/2010 121, EACH ACCIDENT S 1 ,000,000. 00 <br /> ANY PROPRIETORIPARTNERtEXECUTIVE <br /> OFFICERMIEMBEREXCLUDED? EL DISEASE FA EMPLOYEE S 1 ,000,000 . 00 <br /> If yyeess deacri,e under EL DISEASE POLICY LIMIT >; 1 ,000,000,00 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CARCEL,LEO BEFORE THE EXPIRATION <br /> INDIAN RIVER COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> 180127TH ST NOTICE TO THE CERTIFICATE HOLDER NAMM TO THE LEFT, BUT FAILURE TO Do 00 SHALL <br /> VERO BEACH , FL 329604388 <br /> NO OBLKtgT10N OR LIABILITY OF ANY KINb UPON "IE tRsuRER. rr6 AGENTS LIR <br /> R9rRr; NTATIVES. in <br /> U o gkp�e� w e <br /> ACORO 25 (2001 /08) (( ® AC RD CORPORATION 1988 <br /> �o5v;ay <br />