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ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY <br />09/20/2007 <br />PRODUCER (305)822-7800 FAX (305) 362-2443 <br />Collinsworth Alter Fowler Dowling & French Group <br />P. 0. Box 9315 <br />Miami Lakes, FL 33014-9315 <br />Attn: Anna Ramirez, ext 120; aramirez@cafdf.com <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Post, Buckley, Schuh, & Jernigan, Inc. <br />d/b/a PBS&J <br />2001 NW 107 Avenue <br />Miami, FL 33172-2507 <br />INSURER A'. Lloyds of London A XV <br />INSURER B. <br />INSURERC' <br />NSURERD' <br />INSURER E'. <br />CI <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />ILTR <br />D' <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE aiHi <br />POLICY EX%RATION <br />DATE UIUMIDDMI <br />LIMITS <br />Annex <br />M-20 <br />GENERAL LIABILITY <br />­ <br />Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />EACH OCCURRENCE $ <br />Meade Collinsworth/ANNA <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ <br />CLAIMS MADE ❑ OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL& ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGRECATE LIMIT APPLIES PER <br />PRODUCTS - COMPfOP AGG $ <br />POLICY JE� LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBNE LIMIT $ <br />ANY AUTO <br />Eeaccl ideDt)INGLE <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />SCHEDULED AUTOS <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY $ <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANYAUTO <br />OTHER THAN EAACC $ <br />AUTO ONLY AGG $ <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR CLAIMS MADE <br />8 <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />WC STATU- FH <br />ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E. L. JISE 15E-EAEMPLOVE $ <br />-- <br />E L DISEASE -POLICY LIMIT $ <br />SIf PECIAL <br />SPECIAL PROVISIONS below <br />ISIO <br />PROVISIONS <br />�o <br />LDUSA0700811 <br />09/30/2007 <br />09/30/2008 <br />$2,000,000 Limits <br />AFollution <br />essional/ <br />Liability <br />,'Ep CLi'i+n"�''tind Annual Aggregate <br />CLAIMS -MADE FORM <br />11/11/1961 Retrodate <br />DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL`P OVI 31ONS' <br />Ref: All Operations <br />ame Insured includes EIP Associates a division of PBS&J <br />CERTIFICATE HOLDER CANCFI I ATInN <br />ACORD 25 (2001108) ©ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Santa <br />Ana, City of <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Attn : <br />Toni a Zerba <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza, Rose <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Annex <br />M-20 <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa <br />Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Meade Collinsworth/ANNA <br />ACORD 25 (2001108) ©ACORD CORPORATION 1988 <br />