CERTIFICATE OF INSURANCE (15)
~07/11/2005 11:10
8139268682
SMITTY'S RENTALS INC
PAGE 02
..... .'
ACORD..
, PRODUCE~
Oak.. , A..ociate. Insurance
4111 Land O' Lake. Blvd. '108
Land 0' Lakes rL 34639
".NO.
INSURED
FlIX "10.
COMPANY
^ Auto ONn.ra InauJ:&nc. Co
COtI/II/INY
B
E. Palomino Dairy, Inc.
pat.sy Slaith
12220 Gard.n Lake Ci:cle
Ode..a I'L 33556
cot,\P/INY
C
COIIIP/INY
o
.cOVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSUR.ANCE LISTED BELOW HAVE BEEN ISSUE;D To TtfE! INSURiO NAMED ABOVE "OR THe J20LICY PE;Rtoo
INDlCATEO. N01WITHSTANDINa /W'( REQUIRI!!MENT, TEJW OR CONDITION OF NlY CONTRACT OR OTHl:M OOCUME;NT WITH Rl!SpeCT TO WHICH THIS
CERTIFICATe MAY BE I$S\.ec OR MAY I>ERTAlN, THE IN&URANCE AFFORDI!!D BY Ttfl!! POLICIes DESCRIBED HI!!REIN 1$ SUBJeCT TO ALL THI!! TERMs,
EXCLUSIONS AND CONDITIONS OF SUCH POLlCICs. LIMITS SHOWN MAY HAVE IEI!!N REDucED BY PAID CLAIMS.
CO
LTA
lYPE OF INSURAHOe
POLICY NIJII4IlER
POlICY ~ POUC'I" IiXfltRA 110N
Dt\~~ ~~~
Lllilrts
QI<NERAL L1Alilll.fTY
A X COMMERCfAlGEN5HAl.UABILI'IY 861912 20363781
CLAIMS MACE [!] OCCU~
OWNER'S I CONTAACToR's PAOT
ALrr0M09~E LIABILITY
ANY AlI'tO
ALL OWNED AUTOS
SCI-IEOULED AUTOS
HIREO AUTOS
NON-owNED AUT08
}.
GENERAl. AOlMEGATe $ 300000
07/21/05 07/21/06 ~OOUcrs . C:OUPIOP AOG $
PERliIONAL I Al1V INJURY $
EM::H OOCURRENCE $ 300000
FIRE OAMAOE (Afty _ nNll $
/.AEO Exp (Any <me -.J $
COMIllNED SINGLE UMIT S
BODilY If\IJ~V S
(PM_l
I!ODI~ V INJuRy S
(..... .....
PROPERTY OAMilG& S
GARAGE L1ABlllTV
ANY AlITO
EXCESS LIABILITY
UMBRELLA FORM
OTHER TrlAN UMMau. FOfW
WORKERS COMPENSATION AND
EMPl-OYeRS' LIABILITY
AGOREOATE
EACI-t OCCUIlftENOE
AOGRlioAT1S
AUTO ONLY. EIII\CCIOENT S
OTHeR 1)41\N Al.m) ONLY;
EACI1 ACCIDENT $
S
$
S
THE PROPltiETOAl
..ARTNeRSiEXEClJT1Ve
OFFK;:ERS ARE:
OTHER
N:L
EXCl
EI. EACH ACCIDENT
EL DISEASE. POLICY LIMIT
EL DIseASE - Ell EMI'lO'tEE' I
OE5C!'iIP11ON OF OPERAnON8ll.OCAT1ON8I\/EMK:L.e5I&OfCIAL ITeMS
500 acre. - .ec~ioft 17 th~ 20, TRP 278., 17.1
Hillsbcrou9h County, rlor~da
CERT/FICAT~ HOLl:)e:~;',:.
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City o~ Cl..~.t.a~
Enqin..rinq Depar~t
P.o. Box 4748
Cl.arwat.aJ: rL 33758-4748
lI,CORD'2S-;S'(1tQ$) ':'