CERTIFICATE OF LIABILITY INSURANCE (3)
10/27/03 MON 11:21 FAX
GUl.F COAST JEWISH
1lJ002
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POlICIES. AGGReGATE LIMITS SHOwN MAY HAVE 8EEN REDuCEO BY PAID ClAlMS. DAn!~
Ill'1.\' TYPE OF INSURANCE POLICY NUM8Efl DAfi!- .It lIMITs
~ERAt. UA81LllY EACH OCCUAAENCE $1,000,000
A ~ nOMMERCIAl GENERAL LIABILITY .R.2SP243818 08/23/93 08/23/04 FIRE DAMAGe fAnr_ 1Ve, $300,000
CLAIMS MADe ~ OCCUR MEn ElIP (Any _ P8/IG'I) SIO.oOO
I--- PeRSONAl &ADV INJURY 11.000.000
-
GENERAl AGGREGATE S 3.000,000
/il'l AGGREGATE~~ APnS PEA; PRooocrs - COMPIOI' AGG '3.000.000
X fIOUCy n -JECT Loe
~TOM08ILE LlA8/UlY ~ SlNGt.e lJMfT $1,000,000
A IIJo/YAUTO R2Si'420074 08/23/03 08/23/04 lEa 8CCiIIentJ
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~ AlL ~EO AUTOS 8901L Y ltfJI.IRy $
~ SCHEDUlED AUTos (P8t~
..!. HIRED AUTOS lIOOll y INJURy .
~ NOH~EOAUTOS I""'~
PAOPERTY DAMAGe s
lPer -*'enI)
RAAAGr: LUl8/LllY AUTO 0Nt. y . EA ACCIDENT $
ANy AUTo OTHEft THAN EAACC $
AUTOOHlY: AGO $
EXcEss LlA8lUTY EACH ClCCuIulEHcE ,
r:JOCCl./R 0 CLAIMS MAoE ACOReGATE $
S
R !lEOUCTIBLE .
RETENTION S S
WORIu;Rs COMPeNsATION ANO X I roftYl.IIIITS I I~
I eMPLOYERs'LlA81LITY 1002-02825-00 07/01/03 07/01/04 E.L EACHACClOeNT 1100,000
E.L. DISEASE. EA EMPLOYEE , 100.000
EL DISEAse. POLICY lIMIT S 500.000
OTHeR
PROFESSIONAL LZAa R2S1'420075 08/23/03 08/23/04 EA OCCUR 1,000,000
AGGREGATE 3.000 000
lCltIP1lON.OF OPERA1'IOH$ii:0CATloNSI\/E~SION8 ADDm BY ENDDRiEiiHTISPECIAL PACMslOiiii
fTlFICATE HOLDER I R I ADOITlONAl NiISUREo; INSURER LETTER: CANCEUATlON
l!IItOUt.D ANY OF 1JtE ABove Dl!ICRI8ED I'OU:IEs lIE CANCaa.eo IlEFORE THI! EllPIRATION
DATE"IMERI!DF, ntElSSuINGlNSlIftst W1U ~VOR 10 IIAIl ...1L DAYS WRmEH
NOncE TO TtII!C8fnFJcAn; HOLDn fWll;O 10 11tl! lEFT, BUT FAILURE TO DO &0 SHALL
lIIP08E NO OIlUGAlION OR lMIIILnYOF ANY IUNO lIPOtIlH5INSIIAER./TS AGans OR
~A1MS.
I A"r~"'r'~
ACOIy).. CERTIFICA TE OF LIABILITY 'NSURANC~lg .~ DATE IIUIIDaInJ
08/20103
PAoDiiCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown , Brown Insurance ONly AND CONFERS No RIGHTS uPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOes NOT AMEND, EXTEND OR
111 2nd Avenue R.E. Suite 610 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
St. Petersburg FL 33701 INSURERS AFFORDING COVERAGE
Phone: 727-456-1800 Fax: 727-S23-1988
INSUREO INSURER II: Roval Insurance Co.
Gulf Coast Jewish Family IHSURE:R 8: AmeriTrust Insurance COrD.
SeJ:'V:i.c:es, Inf.' INSURER c:
14041 Zoot B vd INSUReR 0:
Clearwater FL 33760
I INSURER E:
COVERAGES
RO 25-8 (7197)
CACORQ CORPORATION 1988