CERTIFICATE OF INSURANCE
;li!U;I@qV'~
2133 D PAS 42379421
" BRANCH SB SOUTHWEST FLORI
r!ri,Ar::(::~,N(J~r:r::{
M013835485-001-00001
NEW BUSINESS EFF 08/01/2003
@
ZURICH
ASSURANCE COMPANY OF AMERICA
PRECISION PORTFOLIO POLICY - COMMON DECLARATIONS
PRECISION AMERICA
OFFICE PROGRAM
This policy consists of the declarations as well as the coverage forms and endorsements
listed on the Forms and Endorsements Applicable List
:lH ~j).MED INSURED AND MAILING ADDRESS r H
GULFCOAST LEGAL SERVICES INC
641 1 ST STREET NORTIf
ST PETERSBURG FL 33701
IHA~EI\J~~HNAMEJ\ND MAILING ADDRESS IH
...... .....' .... :.>..;.... .:.;.:. ~ .:.:.:-. -:. '.;.: .;.:<.:-: '.:.:- - ," ,'.:.;.;........ . . . .
STAHl & ASSOCIATES INSURANCE, INC.
8200 SENINOLE BLVD
SEMINOLE FL 33772-4809
(727) 391-9791
-:!,,] "
BRANCH NAME AND ADDRESS
'HH H'(:::.i.
HI
POLICY PERIOD
..... .-...-......
.....-..............
. . - - . . . . . . . . . . . . . . .
....................
.. ...... . .... ........-.
. . . . , . . . . . . . . . .. -...........
................. ,.."...........
..................,...................-...-.-..........'....,......
.......--.... .. .-......... P'
......,................'.'.............................'
..... ,. -.... ......."......
. .........,...,.........
, ",.""'1..
SOUTHWEST FLOR I DA
4010 BOYSCOUT BLVD; SUITE 600
TAMPA FL 33607
(800) 633-2344
FROM
08/01/2003
12:01 am
TO
UNTIL CANCELLED!
NON-RENEWED
I BUSINESS ENTITY: CORPORATION
POLICY PREMIUMS
In return for the payment of the premium, and subject to all the terms of this policy,
we agree with you to provide the insurance as stated in this policy.
This policy consists of the following coverage parts. This premium may be subject to
adjustment
COIllERCIAL PROPERTY AND GENERAL LIABILITY
TOTAL TAXES AND SmCHARGES
PREMIUM
S 5,671.00
S 5.00
PRBlllAI SIZE CREDIT
FEDERAL TERROR I SU PREY I UU
TOTAL ANNUAL PREMIUVI
S 116.00-
S 114.00
S 5,674.00
Countersigned by
COMMON
Includes copyrighlad ma'.ri.1 ot Insur.ncI Services Offic., Inc., wilh its p.rmission.
Copyright, Insur.nce Services OUiCI, Inc.. 1984.
Copyrigh\ Maryland Casualty Company. 1992.
955007 Ed. 3 -00
INSURED'S copy
111
07/20/2003
nt By: STAHL ASSOCIATES;
7273935623j
J ul- 1 7 - 03 8: 38 j
Page 3
...--;.
./~
~urich North America Small Business
~recision America@ Finalize Quote Proposal
.
Z.URI:CH
::Iremium Summary
Jrepared For GULFCOAST LEGAL SERVJCES INC
641 1ST STREET NORTH
ST PETERSBURG, FL 33701
)resented By STAHL & ASSOCIATES INSURANCE, INC.
8200 SEMINOLE BLVD
SEMINOLE, FL 33772-4809
~uotation Number Q00868360
Jnderwritten By ASSURANCE COMPANY Of AMERICA
-roposed Policy Period from 08/0112003 To 0810112004
(12:01 8.m. Standard 11me at your address as stated herein)
Coverage and premium IllfOrmatloll
'his i& intendc.d only all a brief outline:ll1d docs not alter any of the coverages, cunditions. exclusions or provi:lions contained in thc pulicy.
Type of Covera~e
Package Policy (propcrly &. 01.)
Propeny and Lillbilily
Tax/Surcharge
TOLaI Package
Total Premium
$5.671
$5
$5,676
Premium Size (:redit
Federal Tcrrorimn Premium
-s 116
$114
Total Proposed Policy Premium *
$5,674
. premiwl1 quotation valid for 30 rlaYJ: from the date shown below on the left. Ihutumobilc coverage has been selected, quote ill subjcct to
review of lIutumobile underwriting and rating infi.umation.
ILFCOAST LEGAL SERVICES INC QUOIe No. Q00868360-1 Propo~ J'olicy EffcctivcOHJO 1 12003
y 16,2003 . Quote Zurich Norlh America Sml1l1 Business
, ia D ~I 1'", insurance. It is Dol m i."uranc:c policy. Ooly Ibe PUUIo')' I~r I""yida CCM:CJI&'l:. T~ c..v........:a offered in this pl'OJl'_1 uc based on ;n r",m.:a1ron
:ivcd througb .he ~l:L""I..",1 ""'J not include nil ~il;,hl" wvcnaca. The c1ic:m an4lheir "lJ'Id1 dwuld dilICu6Ii lRI)' ;VIditional or optimlJll f.l\verap n-W. C.overage
:ripti,_ an: abbrcYloled IInd do rult indicate in force COVn;J1:"- Thil pmpnuJ is not 8 pen ur aod is 1101 incorporatal. mID lhc: iuslJl'apcc policy. Iflherc is any c:cmfli':t
NCCIllhc cnvcragc dcsCtiptiUIIs sbuwn in tl1i5 proposal and Ihe IlCluul ~ policy, Ihe iDiUlilllCC policy pn.'Yaik. 1bc inlllUllo~ pulicy !lupcrccdea this P[opl>S~1.
~, '0"'" ~.' , 7273935623j
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ich North America Small Business
ision America@ Finalize Quote Proposal
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ZURICH.
ercial Building and Personal Property Schedule
Customel" <1nd agent IIlformalion
GULFCOAST LEGAl. SERVICES lNC
STAHL & ASSOOATES INSURANCE, INC.
('
The ti llowing mJ11lmarizcs the: proposal fQryour insurancc. Thill is not a contract. Thc tc:rm:l oHhe policy form:; will cuntrol the insurance
contn l without regard to any statement madc below.
Limit
$1,000 $25,000
~~~g _:-~E: =:>
~. N/A
.~ -"- ~
/~.tio. t\ddros;' -.-....<
I 1750 l7TH STREET )
\ SARASOTA. Jo'l /'
" J'~,,/
"..-""
__' _...M'Offillget'O:
L... P.Y~:
Limit
S25.000
<E~~
N/A
Valuation I
RA K-UP OF SEWERS & DRAINS \
EO lPMENT HREAKDOWN
SC DUI.H" "ER;:,~~~ERTI- IlEPLACEMENT COST
THEfI,.OF-PER-90 RTY
/"W'i1fOSTOltM OED CTfBLE ..--.~
........',.. ~
~..~_.. .... - ! I
Dedudible
$],000
$500
$500
"
\
I
,
GUI,F QAST LEGAL SER VIeRS me Quote Number - QOO868360-1 Proposed Policy Effective 08/01/2003
Julv 1 .2003 Quote :Lurich North America Smllll Business
Thill ill plVpOSlll r\'d' illRUf8l\CC. It i& nut aD imul1lllclC policy. ODly tile poJic;y ilalr 1'1'01I00 eoVCl'llllc:. 'Ibc c;vvVotp 1lff'eI1~d in tbiA propoal an: lluCd on InfomwliuII
thrvugh the i1t:~t IIl4 I\,ay not iDdudc 11I1 i1Vil,lah~ Dl-18CI- 1l1cclialt IlmIlheir i1g.e"\.Muld discu" allY uddillUlllllll1 "lltiUI18I.-;ovcr~~~ ncalcd. Co_age
uc Dbbn:via h:d IInd ,I.. lI"t indicate In torn coY..... Thi. propoa&l iA not a po" or and Ii nol iac:ocponled inlU th.. d.uaDCC policy. Ir tben: is any conflict
\he olOvcragC d~iption" ,h..- ill thii propoI81 and IIoe ad,,,,1 insur.\nec palicy. the inaurilm:c policy prevails. The mllT.llIlX pnllcy 1i1l'Pc:n;~S thi$ prn(Kllilll.
7273935623;
Jul-17-03 8:43j
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u ich North Ameri a Small Business
re ision America@ Fi alize Quote Proposal
.
ZU.RI;CH
ercial Building and Pe sonal Property Schedule
Localiod Address:
641 I ~'T STREET SOUTH
ST PETERSBURU. l'L
lUTed Inlcr~(: OWNER
CoDlltl'Uction: JOISTED ~SONU. V
ry (kcuJNlucy: LA WY I::R~ OffiCES
~ \
.'~" .
Mo
Lou Payee:
Deductible
$1,000
NONE
$500
$500
$500
$500
SSOO
<"~'-""
Umit
$25.000
$50.000
INCLUDBD
~p;~ ,.)0'" ~
L'IN~i1?D~~
N1A
I' . .... 0' ..____......
./'.' 'Location Addrels: "-
IdlngNumber: 1 // 314SMlSSOURI AVE \
lUred Introrest: TENANf / a...nAR W ^ TER, FL ;
ConJtrudio.,: MASONRVNON-COMllUS'~l.l:: \. ..-/
Oc:cupaDcy: ~WYERSOPFTCES ~
Lots rayee;
Valuation
RA. .UP OF SEWERS & DRAINS
EO IPMENT RREAK.OOWN
S. ~DULED PeRSONAl. PROPERTY - REPLACEMENT COST
T 'TOE,pF.R~TV
W . STORM DEDUCTIBLE ")
Deductible
S1,000
$500
$SOO
i-'~
~ .
N/A
.......-.. .. ~.---
aliun N'uwber: 3 ~dY"Illi' --
diugJ'oiulllbcr: 1 /...--430~ 12TH ~;-.)
I '._. BRADENTON. FL
llSured Il1t~rnt: TENANT ....
COD!llrllctlon: JOISTED MASONR V -,. , -------
P,T~~ LAwY"~",'. OFFICES Mortgagee;
, Lo&s Payee:
GUL .OAST LEGAL S~RVl Quote Numbcr- Qt)0868360-1 Propo.~ Poli~y Effective 08/0In003
Julv 1 ,2003 Quote Zurich Nonh America SOla II UUSinC55
This is proposal for in.\urancc- IllillQl iusurfIICC ~y. OW, Jbc policy itIcIt'provida ,--uvcraac- Tbc Covcr~ge5 (lffcrcd in thiI JlIUIll'w arc bB&cd on inf_,aUu"
tbtvuj:b .he al',ClIt and may not . .n .vailablc llOYCI1IpL 'Cbo cIi<<Il and their 8pllibuuld c1i$(1lWl allY addiliooal ur optiMal covc:mgcs lICCdcd. CCJVCI"l1&C
ODlIUC abbR'\iuled .....d dllllClt' -catciu I"o~ C0WI1IJ"o 111M. prllp06&I is lICIt ap;utofaud i. lICIt iocorpalIIlcd mw lhe illlW'UlCCpolic;y. If then: is my CClDn~:1
dK: .:ovccoSC dC&Cripriooll ~........ Ihia PJOPOAI and tlw 1I<:11JA1 m..utaIICC pellier. the imunllu.:1! 1l'1Iicy prevailR. The illSlIIDncc policy sllpl:l'tCllt:llbiSl'rnpcul.
ASSOCIATES;
7273935623;
Jul-17-03 8:39;
Page 5/12
4 North ArPerica Small Business
sion Americaf Finalize fluote Proposal
mercial Property Goverage (continued)
.
ZURICH
A<lclitIOf\ill Proposed
^mollnt Amount T 01<1 i
Additional Property Cover<lges Dcductil)le Included Increase limit
O,FF"l' RMISF.S I'OWF.R OR WA1R PAlIrllRF.+
I'AlI .RNS, DIF.S &. MOLDS" !
1'RRS NAT. F.FFF.C.TS OF OTHRRS &. PF.RSONAL PROPRRTY OF F.MPLOYF..f.S
I'RRS7N^, U'R,OPF.RTV, AT NF., .WT.Y ACQIJIRRD OR CONST. RinGS. . IljO DAYS
I'llitSrNAL PI<OI'I'I(TV ^1'(rffUlR L.oc^110N.~ (lNCU.IDlNG r.:XJlTTcmONS)"
rRRsrNAt PROPF.RTY f1\I TRANSIT"
POu.ynoN CLLAN-UP AND R.f.MOV 1\1. . ~Cll LOCATION
SAr.F.~J>F.R!\ON!\ SAMPLfl.'\ - S2,500 MAX. EACH EMPWYEE
SIUN~
tiPO GE"
TOO "I!l. EQUIPMl::NT IN(;LUUINCi c..'OMMUNICA TION DEVICES - DLANI<ET"
1'1\F.P.s, SHRURS, ('r.ANTS AND I.t\WNS. $1,000 MAX. EACH ITEM
UNAI THORIZEI> HUSINbSS CAJU) US!!. S1.000 MAX. rER. OCCURRENCE
-- ... ....------~-------)
......
-"
-
) ,
51,000
510,000
510,000
550U 55.UUU
$500 52.S0U
$5UO $2S0,11l1O NJA
$500 $25,000
$1,000 S2.500
$$00 SIO,OOO
U.OOO 510.000
SSOO S5.ooo
$1,000 55,000
5500 SS,OOO
$500 SIO,ooo
$5.000
$2.500
5250.000
$2j;000
$2,500
$lO.Ooo
$10.000
$5.000
$5,000
55,000
$10.000
~~.._.__..~5.:.~
--"- ---..
....- NONE S2~,ll(lO ~
"-
--_..~
$5,lllKl
U~,ot)o
. The il! Ilmilii (1l1ll0Un Inducl.lld) for tbese coverages IDlY be i.~. COdtal!t your AlrDt.
GlJLPi :QAST LEGAL ERVICES INe Quote Numher-QOO868360-J Proposed Policy Effcctivc 08/01/21103
July 1 .2003 Quote Zurich NQrth America Small BusincSll
Thill ill pn..",..w r.lI'illsllI'lIIIcc. It is DDt aD iD&unInec polic.-y. 001)' die polK,. itR:lrprovidalll:C'lIa2Ilc. The COYIXBgt5 ofkmliu thili pRIpO$IIl arc bued 011 iufOlllUltilln
rec;r.i_ lhn1ll(.h Ihe al'.cnt and m..'lY nnt include all available 1:OYCOllCS. The dialc aod cbeir u_ ~oll14 cli...:uu any additional or optional WY4:t'i\t:t$ rlccd<<l. C.aYIXBllC
dl:lalp II aN abh,cviatcd and do nnt iadiall: in fon:c COYCI1IJ:G. Thiii prllJlOIBl i& Dul a paIl uland jj IIIX in~ratcd illto dill in.,WIIIICC policy. Iflhm: ~ any CO/Iflict
lv;twc:~ the ,ovcrap.c d~riptians allown ill this propoul and the Ktual iunrulcc pulicy. Ihe in5UI'UICC pvlicy p1Cvilils. The insldn~ policy SUpcrcedllll this pl'OJlOliilL
ASSOCIATESj 7273935623j
.. North America Small ~USiness
.sion America@ Finaliz~ Quote Proposal
Jul-17-03
,mmercial Property Coverage
8:38j
Page 4
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Z'URICH
NllJIIed insured: OULFCOAST LEGAL SEltVlCES INC
^~Dt a.mt.: STAHL & ASSOCIATES INSt."RANCE, INC.
The following summarizes the proposal for your insurance. This i:; not II contract. The tenTlll ontle policy formS will eO(l~\'ot the insurance
contract without rcl!a.rd to any ,.tlltemcnt made below.
ANlllNNAR ANU SATRurn!S.
(i' It EE _UE1'F.NDEN1' I'J~OPERmS. 30 DA'iS
81 &. EE _ Nt.'WL'l I\CQ\lllUIDl'ROPEJ(fIES -1110 UAYS
DEBlUS RF.MOVAL- P.ACH Wt:ATION
DEFEluUm rAYMgNT!'
,,-" ....,. ....,... .' '''.. .. ...,..,..-.. ..... .. ...-.......,
., EDl' RQUIPMF.t.'T ANDMBDlA. DLANK~-""'"
"""-. ~ __.... .___..__'---oI.~""
BMPLOVRB DlSlI(lNF_'lTV.
FINE ARTS. l\IANKEr.
FIRE DEPARTMll!'lT SF,RVK.:t: CHARGE
flRF. IiXTlNOt /ISllL"<<i ~QIIl1'MENi RECHAllGE
FOROF.RV OR J\1.TF..RAllON.
F~E."~TANDlN(; FBNCEl) &. WAU.S.
I~'r Al.IATI(X'.
lNV~N (ORY ANIl APl'llAlSAl..
I.RASEHOln lNTl'~
ulCKAN{) Kh1 [(EI'I.ACl~
LOS.q OF BU~I1'WSS lNt:Ol\.4R (Bl) ANT> FJCI'RA 1~Xl'F.N~1i (lW) - 12 MUS
MONflY &:. SEL'lIKITIF.5 -INSIDE THE PRE~ISii.S10UTSml\ um l'RP.MLSt::io
MONl::V Ol<Det.S 8L (;()mrrnR~f.rr ClJRJu1NCY - $1,000 MAX. EAC:ll ITEM
NEWLY ACOUn(FDORl~ONSTRU<"''E08UIW[NG.'i - lKOUAYS $)UO 5S0ll,OOO
. TIle bMlc IUnltli (amoallt lDeluded) fot tbe- coveragalUY be inueaKd. ('..oa,tatC )'Ilar ,\CeDt.
GULFCOAST J .F.CIAL srn<V1C1lS ONe Quote _ - QOO86B360-1 ......,.ro pollO)' Elf""''' 0810112003
July 16,2003 0- Zurich """" AmoOO sm.1l B",;"~
Thi6. is;a JlMpoullilri ,"s11l2llCe,. 1\ il dOl IlII ~~nec policy. (,hIlt 1hc policy ludfpruvidl:S ~ 'rhc.:ovcrBJ:C$ lIcrcn:d ill this propo5IIl:m: hued on information
teQ:IVa{ through ll~ asent und mlI~ Dot i1Ic\udo; r.lavoi\Dblc~' ~ c1iOlllt lIIId tbci-r!lQCol Bboukl disI:uM uy uddi\ianal or uptional cuvCfJp lICad~oJ. COVCl'".C
lICM;1'1Slliun8 arc al>l>r~viatcd aoc! d\l ,,,'>1 iII4ica~ in forc:e covcmv- TlIiI praponI i. not 8 purl uf _ is DUl ~por&lcd iuw the inltallllce policy. If then: is any eontlid
bclwc\ll1 Lhc CO\'\'I'....'" dc:\Cripticms "'I)wn in tbiapl'UIIOtlllI aDd lID: 1Ii:t.-J inaunJlll;C policy,me iuwJ'enCC pofu;y ~il8. '1'be U1sprallllC puliey !I1Ipm;edes lbi5 pruposal.
NONE
AUTOMATIC BULLI>INGlNClWASF.
NONE
Pl?J\K SRASON rF.RSoNAL rROPEfl.TY INCRJlASE
SSOO
$)UO
SClllilJtJLED IllllUllNGS
s~Ot.ll.F.n PllKSONALPROI'ERTV
$SOO $1,000
NOl'ffi N/A 't'/A
NONll N1A N/A
NONE S\O,noo
NONF. SS,/lOO
,._._R..._...... .
$SOO Slo,ooo _..~~) -
'----- ....-.~..~....".,.
NON!: S10,OOO
S~OO SlO.ooo
'NONE SIO,ooo
NONE !i1.000
NONI1 SIO,OOO
$500 52.S00
$1,000 $2.500
NONE $5,000
N01'IP. $10.000
NONE $t,OOO
NONE Nt" 'NIA
NONE $10.000
NONE SS.OOO
!.'O
SOO.4. OF LIMIT
SHE sClIf.oULll
SHB SCllt:flllLE
$1.000
ACTUAL LOSS smn'AlNF.O
$250,OOU
S IO,nOIl
$S,OOO
SIO,nOll
$10.000
SIO,OOO
SllI,OOO
$1,000
$10,000
S2.,'iOO
$2.500
$5,000
$10,000
$1.000
^c:TUAL LOS~ SUSTJ\1NP.D
lilO,OUO I S2,SOll
!is,COO
N/A
$SOO,OOO