CERTIFICATE OF INSURANCE (07)
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COMPANY
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- ',AME AND ADDRESS OF AGENCY
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National Insurance Associates, Inc.
5136 Central Avenue
St. Petersburg, FL. 33707
National Indemnit Co. of Florida
Effective 12:00 pm 01-31-86 ,19
Expires 0 12:01 am 0 Noon 03-03 ~'. 86
D This binder is issued to extend coverage ~~ the above named
comp_ny per expiring policy"
(except as noted below)
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NAME AND MAILING ADDRESS OF INSURED
Step'n Out Limosine Service,
8190 66th Street North
Pinellas Park, Florida 33565
Ine.
Description of Operation/Vehicles/Property
985 Lineoln lLVB96FOFY624280 (1)
982 Cadillac IG6AF3395C911576l
$31,000
(2) $14,000
Type and Location of Property
Coverage/Peril sl Forms
Amt of Insurance Oed.' eo.:-.
Type of Insurance
Coveragel Forms
Limits of Liability
Each Occurrence
Bodily Injury $
P
R
o
P
E
R
T
Y
L
I
A
B
I
L
I
T
Y
D Scheduled Form 0 Comprehensive Form
D Premises/Operations
D Products/Completed Operations
D Contractual
D Other (specify below)
D Mec!. Pay. $
D Personal Injury
Aggregate
$
Per
Person
$
Per
Accident
DAD B Dc
Property Damage $
Bodily Injury &
Property Damage $
Combined
Personal Injury
Limits of Liability
Bodily Injury (Each Person) $
Bodily Injury (Each Accident) $
$
$
$
A GJ Liability D N.on-owned
V [X] CeRlF/reRensi.8 Deductible
3 >lXI Collision-Deductible
o [X] Medical Payments
, [X] Uninsured Motorist
L ~ No Fault (specify): Basie
E D Other (specify):
D WORKERS' COMPENSATION - Statutory Limits (specify states below)
o Hired
$ 500
$ 500.
$ 5,000
$ 300,000
(as required
Property Damage $
by law
Bodily Injury & Property Damage 300,000
Combined $
D EMPLOYERS' LIABILITY - Limit $
SPECIAL CONDITIONS/OTHER CO\lERAGES . tl SPECIFIED PERILS
Comprehensi ve is replaeed Wl. I
Collision $500.00 deductible
$500.00 ded per oeeurrenee
NAME AND ADDRESS OF 0 MORTGAGEE
o LOSS PAYEE
D ADD'L INSURED
LOAN NUMBER
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