Loading...
CERTIFICATE OF INSURANCE (7) '.. ~ '1 "-DNa OT:5TAM FRC>>-ALLEY IIlEIIlSAW CAPES :~.lllt. ~I=RTII=I~ATI= nl: IIARI ~... .~. .. . 'r-s,~ P.OVDl ~-€.tJ I DA Ie ~'J;;/, ,j ---- I +T~T-TUT-B6D5 E'( !\&lBAUM & CAPES ,. SllJJWlCE, 1He. , 0. BOX 46:lO 'iARW:'1'ER P,. ~ INQJlER A "'~'flERIt IIISN"C: INlNR I) NlJREA . ~"-'~"." , a..t"~,,,'_.... '~~ Inc. ~ ~ SIvd. ae.r.- R. TI'E POUO!ti ~ IN~ USTI;C ElELON I1o\II! &WI :~!I:) TO THE INSUflEO NfNEO OOJE FOfI TH!! I'OlICV PEF'JOO 1N0000Tm ~-mAHDING ~ IIWJIF~ENT, J!R,I OIl CCtOT~ Of HtN CONT'RAGT OA OTl-lEA OOClIJeNT \IrfT)i FESl'ECi TO 'ftHCH 7)olJ$ tJITIFlCATe WAY BE ~l) OR tMY PEfr'AIN, Thl: INSUAA~~ AFFORPal 8Y 1M! POUCli:S DE6CFllBEO I'!EFi!~.!S iUBJ~ 'TO ,l,'J, TIE '!'ERhlS, EXC..USIONS AN) CONDlTIOt-lS OF SUCH ~Cles. ~T! LJMIT~ SHOIMI ~v HAVE BEEN REDUCED BY elAlC CL.u.I$ ~ l't'PI or ~J~ee POl.IC~ Nur.l9iR _W . lIMITS A ~NE1'W. UAiLIlY R:P92041 C~/311SS o.sJaUllO.,~~ EIoQt 0CCl.lRRENC! I _~1Al GENERAL lIAIlLIT1 ~!i$lIi !'II! ~e WY _ ft_! . _ ~ ClAN:! MAIlE [!] 0CClJIl IIEtl !Xt /My _ piIlIM/ I J PEIlSCNAL & AD\ KllJRV $ '9I!flAl. ~TE $ PIlOWeI8 . OOI.IP.<lP AOG . - - ~1. AGGREGATE UllT ~EI\; I POU,"Y n ~ I I L.OC ~u l.N'IJTY ~ "f(f I\IJTO ~ ACl. OWIIEO AUTOS l-- !l();f!)ULED I\IJTO& _HlIIE'JAlJf:)! _ tQW,\)B ALTOS ~8lNGLE uurr I I I -++-- I ~ylllolUR't ""'-J 1,000,000 5Q,IJIJ\1 5,000 1,000,000 I,OOll,ODO 1 ,O~:J. 000 s I -------....-......-....- -.---...- . CAHCELLAlION /PlOW) A/ft ~ T"C AIOYI ~~ ~~a a! ~u.:c flU~ TlIe exMtTICN DA':'E TIlEREO!', K 5&U1'lG 1Ila.fIi'l wtJ. ihDlAVOIl TO lW. -!L 01.\'& _''"I!~ ~ m 'D<l! ClRTFICI.1'! IO.llSl \WIlD TO THi 1.EllT. rlJl' FALUIIe TO DO so ~u IIIl'Cse I<<l O!lU6ATlOll Q.<\ LWIUTY Of .w!' KIt) UPON TIIIIN8U~1.1o r. ~~~lfIv (_, RCPAESEIr. A11'tS I AlmIOflImD REf>fUI!~ATI'4J 'J-t I ,,I , i ~" , a:lOl y 1IWIlY. I"'~ '~ ~~ ~ ANY N.ITO ExCelS LIA8ii.1IV :J OOOJR AJr.O ~~ \' . EA Aa:fOEI(;' eAACO ,. ~Ot.~ o ClAIll& MAllE E-'CH oc::JlREIG AG3R!<lAl'I -, telIC1m IFlrnNTlON s ~Mfl$ COtI~*~ HID EMPLaI'eR8' LIA8LIYY ~L I~ iACH ~ 1.1., ill$!J.$l . !A 1!IP.0Yel! II. OiNMI ' "OIGf LM'l' OTtlM B 3ailding - bel. ~n~c ~~~~~ . Content.. Excl, WillQ ~2041 A liquor Liability ~~j2? D~~ 01 onAATiOI&D::AT()!lSI'IEI1IClE:wtClUSiOll8 AllCfl) BY INOQR$!lIWIIJIIClA:. Ce:t I f I Caler HoI""lf"Mdfmra:r'mli-,Ici-f~rpo.t.!C' fl:P92041 per form CG2az6 '\:il;,;'~,;;., -,.......>.-.....,............., .. ..... ...~ :S/31/;; ~o;3ii~v Oveo)l~ Fo"" - ~ 05!31/oo Sp.oial Form - RC 06/81100 05/31/99 OS/31illll H(lllI;R -- I I AOOt"'1OIW. NWAEll: IlSl.R8\ LETTEit f1J.: ~ 26~ CIearwaIr FL 33781 I AOORD t60S (7J1fl) //.J Jf ,'J ve ACORD.v ~ AGO . S . , . . IIW c . . 2~. 400 188,600 1 000 000 :noN 19&8