CERTIFICATE OF INSURANCE (4)
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i Oakes & Associates Insurance 'YC ?.I';~TS U~CN TEE C3RTIFE,n.TE :10LD:,~. T~IS CERTIFICATE DOES NOT .~~END, !
: EXTE.iE' elf. AL?ER 'fH3 CQ1fER.~GE _~??ORDED 5Y THE FOL.1CIES BELO~f, :
: 4111 Land O' Lakes Blvd. #108 --..----------..-.----.---------.---------..----------.,---------------------1
1 Land O'Lakes, FL :
I 34639 COMPANIES AFFORDING COVERAGE :
: PHONE813-996-7988 :
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: INSURED COMPANY lETTER A Au to Owners Insurance Co. :
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j FIRE DAHAGE
i i [] jH1Y ONE FIRE)
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! [ MEDICAL EXPENSE
i i I (.~NY ONE ?ERSON) 5
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: I AUTOMOBILE LIAB I
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, I ANY AUTO : BODILY INJURY
) .ILL OillED AUTOS (FER PERSONI
! SCHEDULED AUTOS _________.._________. .__________
1 HIRED AUTOS BOmy INJURY
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i , [j 1 ,I i PROPERTY ,
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: . EXCESS LIABILITY : I': : E.ICH OCC: AGGREG.\TJ
1 : I] U~BRELLA FORM i I Iii !
1 i _, J OTHER THM~ _UMBRELLA FORM t_ _ _ _ _ i, _ I'" 1 1_ i __ _ _ i
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1 1 1 1 1 1 1
i : ' 1 I 1 STATUTORY !
i I WORKERS I COMP : 1 EACH ).CC
i I AND i j DISEASE-POLICY LIlU~
! i EMPLOYERS' LIAB : i LlISEASE-3~.CH 3MtLGYEE
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: i OTHER 1
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: DESCRIPTION OF OPERATIONS/LOCATIO~S!VEj~CLES/SP~CIh: ITEMS
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: E. Palomino Dairy, Inc. COMPANY LETTER B ,
i n~~n ~:~~~n Lake Circle -COMPANY-LETTER.C----.-..----------------------.----------.-------.--..---i
: Odessa, FL --------------._____.______.u.________.u_________.____________.________._,
: 33556 ('JM?'!;Y E'E] D :
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I : ':ot{P~!lY ~3-nEF. E I
I) C OV ERA G E S {:::::::::::: =:::::::::::: :::::::::::::: ;::;::;::;::;:: ;::::::::::::;:: ;::;::;::;::;::::::;::;;;; =::;::;:: =;::=;;:::: ;::;;;::::;::;:: ;:::::::: :::::=;::::::;:: ;::;::=:::: ::=::;::;::::::=::=;;:: :::::;::;::';:: :::::::::::: = = == == = ;::;::::;::::;; = =;::=:: ;::::;:::::;:: =:::::: :
I THIS IS TO CEnI?':' T:L~~ rC~ICIES OF INSURAN':E LISTED BELOW HAVE BEEN ~SSUED TD TH~ nrSURED HAMED "~BOVE FOR T:1E ?OLIC~'
! PERIOD INDICATED. :IQT~IT~S?ANDING A~Y R~QuIREM~KTI TERM OR CONDITION OF ANY CONTRACT OR OTHER ~OCUMENT WITH RESPECT TO
I WHICh THIS CERT:FIC.;TE ~E BE ISSUED OR :trf PER'BIN{ THE :NSlJRAN:E AFFORD3D BY THE POLICIES DESCR=BED HEREEr IS SUB,JECT TO
I AIL TERMS, EXCLUSIONS, ANO CONDITIONS OF SUCH ?OLICIES. LIMITS SHOiN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ,
- ---- ~ j-'=''''',='''''''---.._-'''''"_-~''__'__;o__ - C"_~ - -.~--._~ -~" '-~ - - -~----~-- ---------~~-- - --- ~---- --..- ~=-'-.;. -------..........-.::--;;.;-;:. -----;;;; ;;~--= --:..,-- -...:-;;.: - .;;.~~-.;= - :...--~-:::-;.~;:--_ ___ _ __-:.-;., '.-1
r co i TYPE OF INSURAnCE : POLICY !iUMBER 1 POLICY EFF 1 POLICY EXP ALL LIMITS I){ TEOUSMIDS :
:LTRi j I c'nE : DA'rE i
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GENERAL LIABILITY : i GENERAL AGGREGATE 300 i
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IX! COMMERCIAL GEN mmm : 861912 20363781 07/21/90 07/21/91 PHOD3-COHPiOPS .\GG. 300 :
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[ j ':IAI~f M.~,DE J{) OC':.
FERS. & ADVG. INJURY
OiNER'S & CON~RACTOR5
PRom mE
EACH OCCURRENCE
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j) CERTIFICATE HOLDER {==~~;::=;:::::=~::=;::=;::;::~~=~~~;::=;::==::==:::) CANCE1~A~ICN {=;::=====::;::=;::;::;::====;::==;:::::;::::==::=::==~;::===;;==;::==~=====~==;:::;:=~:;:====
i SHOUjD HY OF THS ABOirE DESCRIED POLICI8S B3 CANCELLED BEFORE THB SX-
i ~ :;: FIRA?IO:f DATE 7F.~R[Oj r THE ~~~1"ING Cot!?ANY WILL ENDEAVOR TO l{AH 15
1 Cl.ty of Clearwater :: DAYS WRIT~E]i lWTIC::: TO TH3 CE~TIFIC.~T3 HOLDER IAKED TO THE;L3FT, 3FT
: P.O. Box 4748 0 F.\lLUJE ~o M.\!L SUCH 1I0TIC, 5,-\;L!M?00R 110 OBLIGATION OR LLiEILITY OF ;
! ~~~f~water, FL ~--~~~-~!~~-:::~_:~~_::,~,":~~:I-!:!-~?L, ~:,~D,:,'R "~~::V'E~E~~j:~T!~~:~---.----------..!
i :;: Al1'~:.C?,:ZZ~ F.2PR~SEr!TAT1~ rt-,', !
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