EVIDENCE OF PROPERTY INSURANCE (2) CAFE TMM2fDTYYY)
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EVIDENCE OF PROPERTY INSURANCE 13
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW, THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRAc'r BETWEEN THE
ISSUING INSUREPI$),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST,
AGENCY PHONE
INC.No Exft IR 13.639,30 00 COMPANY
i
Commercial Lines-(813)639-3000 Phoer&lnsLwairce Company
2502 N.Rocky Point DrIve,Suite 400
Tampa,PL 33607
FAX 8 13 6,39 7'18
AGENCY
WAN NUMBER
POLICY NIUMSEP
Barefoot Seach House EFFECTIVE DATE GIKMRAT�WJ DATE
PO Box3337
CleaAvater Beach,FL 33767 SID4581766 916/2013
PROPERTY INFORMATION
I,oc I v 81dg'1 332 South Gulf&vd.; Loc, 1,Bldg 21332 South,GulfCWd
THE POLICIES OF INSURANCE L1$1ED BELOW HAVE BFEM ISSUED TO THE iNSURED NAMED AB(.YVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQWREMENT, TERM OR CONDITION.OF ANY CONTPACT OR OTHER DOCUMENT WITH RESPFCT TO WHIci-i THIS
EVIDENCE OF PROPER1,FY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOPI)ED BY THE POLACIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE FERMS,EXCLUSIONS AND CONIDITIONS OF SCUCH POLICtES, LIMD'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAAMS.
COVERAGE INFORMATION
COVERAGE�PERILS i FORMS AMOUNTAF INSURANCE DEDUCrIBLE
CANCELLATION
—W13 T—� B 0 �E D��E:�ll:ER�rr�,�IIOILIC�l':IlI
ADDITIONAL INTEREST
25 Cau-seway Blvd
Ciearwiter,FL 33767'