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AGM CERTIFICATE OF LIABIL
Pna0IICIR
MANN S GRAY INSURANCE ASSOCIATES
100 S . C MDEN AVE.
Fruitland MD 21626-
INSURED
Davie, Steven Cropper
10025 MAPLE AVE.
Columbia
IC 21046-
THIS cERTIFICA I UED AS —A. MATTER OF 1NF per'
DOB 8 NOT AMEND, MEND CERTIFICATE
HOL.OER N HM CONFERS
ALTER THE COVERAGE AFPQi1DEO BY THE PO JCI53 BELOW.
INSURERS AFFORDING COVERAGE
14SURER A, NATIONAL QIUWGZ MUTUAL
-
401,9140 t
Imam C:
INSuRIR D;
IN$URCS I'
COVERAQU
THE POLICIES OF INSURANCE uric) BELOW NAVE YREN ISSUED TO THE INSURED NAMED AIOVE FOR THE POLICY F'ERI00 SNDICATED. NOTIMTM$7ANDINOAN1
REOUIREM1NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY NI ISSUED OR MAY PERTAIN
THE INSURANCE AFFOROED BY THE POLICIES DISCRIBRD HEREIN IS SUBJECT TO ALL THE TERME, EXCLUSICNS AND CONDITIONS OF SUCH POUCIEB
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TYPO OP INIURANC1
POWCs NUMIIER
POLICY IFFECTWi``
OAYR INMIpC1YV1
Paws IIAPIRAT7oN
DATO tU WODIYYI
LIMITS
A
DINIRALI.IAULITY
_COMMERCIAL CIENER 1ABILITY
iCLAIM MOON IX OCCUR
a8P63530
01/25/2003
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01/25/2004
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MNacouRAINrcl
S 1,000,0E
P RI DAMAOII 1M ins AN)
1 500OC
NED E P (Al f sos!m w]
1 5,0C
2;R40NAL S ADV INJURY
S 1,000,0C
C BNORA: AGDIiIOATE _I
2,000,0C
g A0 00CI'S • COMPIO P AGO
1 2 , 000, 0:
GBI.IL
7
A4ONBOATI LIMIT ►PPLAIS PER:
PgLCY n « n
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— AL
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TOMOSILE LIA/161TY
ANY Au7O
ALL OWNED AUTOS
ICrEDULED AUTOS
HtRED AUTOS
NON.OWNE AUras
U
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$ 0 if
4 MANNED SINGLE LIMIT
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1 DOILY INJURY
i 2A, parsem
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PROPERTYDAMAGE
testIcassAn
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LOAAADE
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UAIILITY
ANYALITO
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4
()TN ER THAN 14K ACC
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AUTO ONLY. A00
1
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E]ICESsuABIUTY
OCCUR E CLAIMS MACE
DEDUCTIBLE
RITEN7i P 1
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I',ACet;CCUJIPENCE
1
13CAECATE
1
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1 1,000,0(
Critti alicMAtiYTI0NA"
wca6353B
01/25/2003'
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01/25/2004
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^E L EACH ACCIDENT
r:L.71SEAS1•IAEMPLOYEE
1 1,000,0:
`1 L 0isaAsU • POLICY LIMIT
1 500 01
OTHIR
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DESCRIPTION OP OPIRATION$ILOCATIONBIVEHIC1.111XCLUSIONI ADDt4 CY ENDORuuMINTIPICIAL PROY1SIQNI
CITY OT X IriS AB ADDITIONAL INSURED
R!Q Men n 01-02-212 :IVELOPN:WO Or COMPIIIHWEIvL' EIGAGENCY 11A)IA0il0:1T PLAN
TO INCLUDE PRAT C I UVICIS
CERTIRICATEHOLDER j IACOrONALINURED .INIURIJILRTIR;
CTY OF MIAMI/JULIA MARTIN ADM. ASSISTANT
DEPT. 0P rim -RESCUE
444 s.w. 2103 AVENUE 10TH S'L00R
MUM' FL 33130-
ACORD 254 (71417)
�.. IN50255I1Sra] at
CANCELLATION
IHOULD ANY OP TI41 AIOVF DEECRIISD POUCIR BS CANCELLED SP IS" OIII1 1H
LIPIRATICN OATS THEREOF, 714E $KRUING INIURIR WILL 1NDIAMOR TO MAI
10 0AT1 WRITTEN NOTICE TO MI CERTIFICATE HOLDER NAMED TO TNT LIFT.OV
FAILURE TO CO SO 11 ALL IMPOSE NO OIUOATION OR LIAIItITY OF ANY KIND UPON Th
INIURIR, ITI AOENTI OR RIPRIMIN1ATIVII.
AUTH7OSRBSINTAVVE
- ELE,TRCNIC LAMA FORMS INC • 11001427 c14s
ACQaD CORPOPAT
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PoloOliCtir
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Mann & Gray Insurance Aaaociatea
100 S. Camden Ave.
Fruitland, MD 21826
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INf1}iito
Davie Logic Inc, DBA
A11 Hands Consulting
10025 Maple Ave.
Columbia, MD 21046
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rills is TO CERTIFY TI1Ar THE POLICIES OF INSURANCE uSTED BELOW F(AVE BEEN IS$LIEO TO THE INSUnEo NAMED ABOVE rOR'Flip Pa.
INDICATED. NOTWITHSTANOINO ANY REQUIREMENT. TERM On CONOITrON OF ANY CONTRACT OR OTHER DOCUMENT wITFI nEspECr TO w}II I
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE I NSUFlANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEr:r `r0 ALL Ti I'ErI1C
EXCLUSIONS ANO CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY Pnin rLAIIds C I T i II
Lilt $ TEF1M
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ONLHam. ANO R ATE polo Nor 1[
ALTER THI covEnAOE AFFORDED aY AMrMd
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;insurance # MED: 02106100
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.FQ Number 01-02-222 Development
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POLICY NUMnRR
:ERTIFICATE HOLQER
2ity of Miami
pulls Martin Adm. Assistant
)apt. of Fire Rescue
44 S. W 2nd Ave loth Floor
(iami, FL 33130
%CORO 25.S (3/93)
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1/24/03 1/24/04
Retroactive•
'Date
11/24/03
nr'n .Ir•r:u,R.1,
f}I$It IS; . rot Ir)•/ Limit
15
pl$FACF • K,ACl1 FMrtJ 1YFp t
Claims Made basis
Each Claim $1,000,000
Aggregate $1,000,000
Deductible $5,CC0
s
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of Comprehensive Emergency Management Plan.
CANCEL LATZQIV '
il1OI11 O ANY nr nal AAOVA. I/F4CnrRFn rcI rr:IIR np CAsI(:fl r It nFr•!RR •Ira
J rtnAr10N nAr1! Ui1npor, nIF insult*: c(MP•ANY WII,I, FNl, A'!r}n rn ,A Alf
��.. OArS wrnfrFlN NUIIce rn trip CEnnricArp nOLOen NAMI I) rU OM 1 F,ri.
slur rAltunp ro MAIL sows NotICE
or ANY MHO UPON nil
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