HomeMy WebLinkAboutfax10/10/2014 01:34 FAX
:a A 1 IONAL
CCMMERCXAL
1 N$ U Ii A iM t 6 CONPANY
t:ORAL 0A9Lu$, FL 33134
GENERAL ''LIASILX
DECLARATIONS
ACCOUNT.NVENAER
NAICED INBURIC) AND I“/LT.IQG ADDRESS
A & 3 EQUIPMENT CO 9PANY, Inc,
ANDY FER.RER; ., JR .
1900 NW: 95711 AVE.,
MIAMI FL 33172
Polley f'rrric�i:'Pram 9l2 )roa w 9/29/2005
LXTB OF INSURANCE
err►. _ .
POLICY NO. CLP-0102512
ACdENCY AND MAILING ADDRESS
MACNEILL COMMERCEAL UND
1300 8AWGRAG8 CORP PARKWAY
SUNRISE FL 33323
GENERAL AG C I i GATE
➢'AooUCT9-CC'MPLETEr OZ,BRATIONA AGGREGATE
PERSONAL IDIOURY & ADVERTISING INJURY
RACE 0CCUR�F;ENC E
FIRE DAMACI+;
MEDICAL EXPENSE
aisti=mimmip=1ss
PROPERTY DAMAGE ,DEDUCTIBLE: See Manuscript Forma
$ 1,000,000
$ 1,000,000
$ '1,000,000
$ 1,000,000
sED 2.Ig
$ 100,000 ANY ONE I' 1'RF
$ 5,000 ,ANY ONE PERSON
LOCATION OF ALL PIRNXSZS YOU OWN, RENT 03t OCCUPYa
LOC E 1; SANE Al I'AiLIYQ
LOC CLASSIF I:ATION CODE,
1 �..`+
MAMMY OR I:IJIP UT - t R U !AMAL. tNVALLAtION, t3FNPAYROLL
97222 PAYROL
OR REPAIR
Addltiortal Inilured
1
City ofMirii 4T22Z—.--PAYRQLL
maw
�444 SW 2" , venue 66 FI Crr
!am', Fl. 33 130
AVANTE 110IP',ANI A6ENCT. :Nc, R(UW M6d0
PREMIUM BASES RATE yang
ln.urrd copy
t63.804 2:4.961 21.e42
PER €ORM:. CO2012 (11-brf )
342