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4110
<br /> ® Client#: 13220 SYNAMAN3
<br /> ® ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE
<br /> 1W6/2011
<br /> ® s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> ® REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(iesl must be endorsed.If SUBROGATION IS WAIVED,subject to
<br /> ®
<br /> the terms and conditions or the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
<br /> certificate holder In lieu of such endorsementls).
<br /> ® PRODUCERCONTACT
<br /> alit
<br /> `T Suncoast Insurance Assoc I PHONE 813 289-5200 A' 813 2894561
<br /> ® P.O.Box 22666 1 A C,N Eeo: wn.Np)
<br /> ADDRESS:
<br /> Tampa,FL 33622-2668 PROUOCER
<br /> C
<br /> CUSTOMER IDC
<br /> 813289-5200 INSURERISI AFFORDING COVERAGE NAIL•
<br /> G INSURED IINSURERA MSA Insurance Company 11006
<br /> Manuel Synalovski Associates, LLC INSURERS:NGM Insurance Company 14788
<br /> ® 1800 Eller Drive#500
<br /> INSURER C XL Specialty Insurance Company 37885
<br /> Fort Lauderdale,FL 33316
<br /> I INSURER O:
<br /> 4 I INSURER E:
<br /> I INSURER F:
<br /> ®
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> ®
<br /> INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br /> ® EXCLUSIONS AND CONDITIONS OF SUCH POLICIES
<br /> S LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br /> j,n TYPE OF INSURANCE INSR WYORI F'OLICYEFF POLICY EXP
<br /> POLICY NUMBER PMMAbEYWI IMMJDOMWYII LIMITS
<br /> /a A GEN,ERAL LIABILITY BPG2189B '12123/2011 12/23/2012 EACHCCCUR==JC= €1,000,000
<br /> V� X Cek•J.•_=rNL GENES,/LIA61Ln Y I EFIR1 u.CHT_.
<br /> FPF LJSIFa..:.�nr-..-,1 5500,000
<br /> ® I I'_LANSk1FEt n JC CU-, I MED E%F SAPS Ore Pana:i 55,000
<br /> ® I RE=SCnaa S A;-Y eu.m.. €1,000,000
<br /> I GENEF:,=c.==E•:ATE €2,000,000
<br /> CC/IL.A DtOIE LUIIT aFRIESPEP Prr<,WQc-rsrn,=A&4 €2,000,000
<br /> 0 = Y I FRO, �I'-x I
<br /> ® A AUTOMOBILE LLABILITY
<br /> -N-cUTO BPG2189B 92123/2011 122WNI
<br /> 312012 COMEEDSS.BLEL I
<br /> IIEa a�zeertl 1-1,000,000
<br /> I BOOIL-Yi.l=Y Per Der>.c) I5
<br /> ®
<br /> ALL OILED AUTOS Bunn Y r JJ=r(Eer XX-](AI I 5
<br /> ECHEw'-ES,AUTOS PPOFERTi0=AFCE
<br /> ® [ X -EE:•FETOF IIF UOJCIC I
<br /> ® X OO AY..t:EDAUTOS I I E
<br /> II5
<br /> UMBRELLA LIAR I I OCCUR I EACH OCOJR-ENCE IS
<br /> ® EXCESS LIAB I CLAIMSHACE I AGGFEGATE I
<br /> ® }_UCTIBLE IE
<br /> = FN:CM 5 I5
<br /> ® B YORKERS COMPENSATION WCG2723B 12/23/2011 1223/2012 X (=F'�PpTi: �`"="I
<br /> AND EMPLOYERS'LIABILITY YIN
<br /> ANI PROPPIETORFAPTN'EP.£AECUTry=_❑ WA I E L EACs ACCEE%7 151,000,000
<br /> ® OFFICE.N£A£EP EXCLUDED'S
<br /> pi Anertery In WI
<br /> lre.OESOte'mNr IEL DISE/SE-EA EMF`_OYE-151,000,000
<br /> ._
<br /> _y `-cc'RIDT1(1Nr.=EIOFFATKINSS_, , IEL DISEASE-FOL Cr EMIT I51,000,000
<br /> ® _
<br /> C Professional DPR9698089 12/10/2011 12/102012 $1,000,000 per claim
<br /> Liability I I55.000.000 annl aggr.
<br /> ® DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AdatiensI Remarts ScDetII..P neve space Is egulne)
<br /> ® Professional Liability coverage is written on a claims-made and reported basis.
<br /> ® CERTIFICATE HOLDER CANCELLATION
<br /> ® For Proposal Purposes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> e THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> ® AUTHORIZED REPRESENTATIVE
<br /> ® OLS 7L 06,-O[. 40••-- •-.
<br /> ® 01988-2009 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br /> 0 #5355810/M355728 LWA
<br /> ® di
<br /> 4 10 RFQ# 12-04-02 5 ,,,A
<br /> MANBEL EY Ie.lrASSOCIATES,TLC
<br /> . - Y.11.'xc:a-rv., n-p;.enet
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