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<br />ij <br /> <br />Philadelphia Indemnity Insurance Company <br />One Bala Plaza, Suite 100, Bala Cynwyd, Pennsylvania 19004 <br /> <br />COMMON POLICY DECLARATIONS <br /> <br />Policy Number: PHSD565142 <br /> <br />Named Insured and Mailing Address: <br />Keefe, McCullough & Co., LLP <br />6550 N Federal Hwy Ste 410 <br />Fort Lauderdale, FL 33308 <br /> <br />Producer: 5528 <br />THE PLASTRIDGE AGENCY, INC. <br />9660 W. SAMPLE ROAD #103 <br />CORAL SPRINGS, FL 33065 <br /> <br />Policy Period From: 10/11/2010 To: 10/11/2011 <br /> <br />at 12:01 A.M. Standard Time at your mailing <br />address shown above. <br /> <br />Business Description: CPA <br /> <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS <br />POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br /> <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS <br />INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br /> <br />Commercial Property Coverage Part <br />Commercial General Liability Coverage Part <br />Commercial Crime Coverage Part <br />Commercial Inland Marine Coverage Part <br />Commercial Auto Coverage Part <br />Businessowners <br />Workers Compensation <br />Accountants <br /> <br />PREMIUM <br /> <br />49,676.99 <br /> <br />Total <br /> <br />$ 49,676.99 <br />863.99 <br /> <br />Total Includes Fees and Surcharges (See Schedule Attached) <br /> <br />FORM (S) AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE <br />Refer To Forms Schedule <br /> <br />.Omits applicable Forms and Endorsements if shown in specific Coverage Part/Coverage Form Declarations <br /> <br />CPD- PIIC (01/07)~~Q] ;l~".<"~_,,-. <br />Countersignature Date Authorized Representative <br />