Loading...
Assignment/Assump. of Sublease ASSIGNMENT AND ASSUMPTION OF SUBLEASE KNOW ALL MEN BY THESE PRESENTS, that in consideration of the sum of Ten and Noll 00 ($10.00) Dollars and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, BUDGET RESERVATION SERVICE CORP., a Florida Corporation (the "Assignor"), does hereby assign, set over, and transfer to VACATION TOURS OF SOUTH BEACH, INC., a Florida corporation (the "Assignee"), all ofthe Assignor's right, title, and interest in and to that certain that certain Anchor Shops at South Beach Retail Sublease, dated August 12, 1998 (the "Sublease") between MB REDEVELOPMENT, INC., A Florida corporation, as Sublandlord, and Assignor, as Subtenant, in connection with that certain space consisting of approximately seven hundred and twenty one (721) rentable square feet in the Anchor Shops at South Beach, Miami Beach, Florida. By its acceptance of this Assignment, Assignee does hereby assume and agree to perform all of the Assignor's obligations under the Sublease, and shall indemnify and hold harmless the Assignor against any claims or damages which Assignor may sustain by reason of Assignee's acts occurring subsequent to the date of this Assignment. Assignor shall indemnify and hold Assignee harmless against any claims or damages which Assignee may sustain by reason of Assignor's acts occurring prior to the date of this Assignment. '" i This Assignment and Assumption of Sublease may be executed in counterparts, each of which shall constitute an original and all of which together shall constitute one and the same agreement. This Assignment and Assumption of Sublease may be executed by facsimile signature which shall, for all pUrposes, serve as an original executed counterpart of this Assignment and Assumption of Sublease, with originals to be forwarded promptly following any such facsimile execution. In order to induce the Miami Beach Redevelopment Agency, a public body corporate and politic (the "Agency"), as Landlord, and successor in interest to MB Redevelopment, Inc., the former landlord, to consent to this Assignment and Assumption of Sublease, Assignee shall deliver to Landlord that certain Guaranty with respect to Tenant's obligations under Sublease, executed by Vacation Tours of South Beach, Inc., a Florida corporation. IN WITNESS WHEREOF, Assignor and Assignee have duly executed this Assignment and Assumption of Sublease as of the day of to be effective as of December 19,2001. ASSIGNOR: WITNESS: Budget Reservation Service Corp, a Florida Corporation Name: Title: ASSIGNEE: Vacation Tours of South Beach, Inc., a Florida Corporation By: Name: Title: GUARANTY THIS GUARANTY (the "Guaranty") is made of this 19th day of December, 2001, by VACATION TOURS, INC., ("Guarantor"), in favor of the NITAMI BEACH ,REDEVELOPMENT AGENCY (the "Landlord"), and is executed pursuant to that certain Anchor Shops at South Beach Retail Sublease dated August 12, 1998 (the" Sublease"), between Landlord and VACATION TOURS OF SOUTH BEACH, INC., a Florida corporation (the "Tenant") (as successor-in-interest to BUDGET RESERVATION SERVICE CORP). The Sublease is with respect to those certain Premises, as defined in the Sublease, located in the Anchor Shops at South Beach, located between 16th and 17th Streets at Collins Avenue, Miami Beach, Florida (the "Retail Space"). In order to induce Landlord, as successor in interest to MB Redevelopment, Inc., the former Master Tenant and Sublandlord, as Lessee, to consent to Assignment and Assumption of Sublease between BUDGET RESERVATION SERVICE CORP, and the Tenant, effective as of December 19, 2001, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Guarantor has guaranteed and hereby does guaranty the payment and performance of all liabilities, obligations, and duties ( including without limitation, payment of rent) imposed upon Tenant under the terms of the Sublease, as if the Guarantor has executed the Sublease as Tenant thereunder, irrespective of the expiration of the Sublease, the invalidity, or unenforceability the Sublease or any provision therein, or the insufficiency, invalidity, or unenforceability of any security interest which might have been, or be hereafter given to the Landlord to secure Tenant's obligations contained in the Sublease. Guarantor hereby acknowledges, and waives notice of acceptance of this Guaranty and all other notices in connection herewith or in connection with the liabilities, obligations, and duties guaranteed hereby, including, but not limited to, notices of default by or to Subtenant under the Sublease, and waives demand for payment, protest, diligence, presentment, notice of protest, and suit on the part of the Landlord in the enforcement of any liability, obligation, or duty guaranteed hereby. Guarantor further waives, to the fullest extent permitted by law all defenses given to sureties and guarantors by statute at law, or in equity. Guarantor further agrees that Landlord shall not be first required to enforce against Tenant or any other person any liability, obligation, or duty guaranteed hereby before seeking enforcement thereto against Guarantor. Suit may be brought and maintained against Guarantor by Landlord to enforce any liability, obligation, or duty guaranteed hereby without joinder of Tenant or any other person. The liability of the Guarantor shall not be affected by any indulgence, compromise, settlement, or variation oftenns which may be extended to Tenant by Landlord or agreed upon by Landlord and Tenant, and shall not be impaired, modified, changed, released, or limited in any manner whatsoever by any impairment, modification, change, release, or limitation of the liability of Subtenant or its estate in bankruptcy, or any remedy for the enforcement thereof, resulting from the operation of any present of future provision of the National Bankruptcy Code, or any similar law or statute of the United States or any State thereof Landlord and Tenant, without notice to or consent by, Guarantor, may at any time or times enter into such extensions, amendments, assignments, subleases, or other covenants respecting the Sublease as they may deem appropriate, including but not limited to, an increase in the rent due under the Sublease or any other obligation thereunder; and Guarantor shall not be released thereby, but shall continue to be fully liable for the payment and performance of all liabilities, obligations, and duties of Tenant under the Sublease as so extended, amended, assigned, subleased, or otherwise modified. This Guaranty is absolute, unconditional, and continuing in any event, and shall not terminate until the payment of all sums and the performance of all obligations evidenced by the Sublease. It is understood that other agreements similar to this Guaranty may, at Landlord's sole opinion and discretion, be executed by other persons with respect to the Sublease. This Guaranty shall be joint and several and cumulative of any such agreements and the liabilities and obligations of Guarantor hereunder shall in no event be affected or diminished by reason of such other agreements. Moreover, if Landlord obtains the signature of more than one guarantor in this Guaranty, or obtains additional guaranty agreements, or both, Guarantor agrees that Landlord in Landlord's sole discretion, may (i) bring suit against all guarantors of the Sublease jointly and severally or against any one or more of them, (ii) compound or settle with anyone or more of the guarantors for such considerations as Landlord may deem proper, and (iii) release anyone or more of the guarantors from liability, Guarantor further agrees that no such action shall impair the rights of Landlord to enforce the Sublease against any remaining guarantor or guarantors, including Guarantor. Guarantor agrees that if Landlord shall employ an attorney to present, enforce, or defend any or all of Landlord's rights or remedies hereunder or under the Sublease, Guarantor shall pay any reasonable attorneys' fees incurred by Landlord in such connection, whether such fees are incurred before or at trial or on appeal. In the event the Landlord or any successor owner of the Retail Space, sells , conveys, or otherwise transfers the Retail Space or the Sublease, this Guaranty shall not be abrogated thereby, and shall continue in full force and effect. The Guaranty shall be governed by, and construed in accordance with, the laws of the State of Florida. If any provision of this Guaranty should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this Guaranty shall not be affected thereby. This Guaranty shall be binding upon Guarantor and Guarantor's successors, heirs, executors, administrators, and assigns, and shall inure to the benefit of Landlord and Landlords's successors, heirs, executors, administrators, and assigns. GUARANTOR HEREBY WAIVES TRAIL BY JURY IN ANY ACTION, PROCEEDING, OR COUNTERCLAIM BROUGHT BY LANDLORD AGAINST GUARANTOR ON ANY MATTERS ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE LEASE OR TillS GUARANTY. EXECUTED as of the day and year first above written. WITNESSES: ~. ~ GUARANTOR: Name: '- Title: Address: \..QO l<a st- ~~A~ ~ o~\~'1 STATE OF ~) )ss: COUNTYOF~~ ) Th~oregoing instrument was acknowledged before me this 2001, by (\LoSQ one. ro. \..(tfl~ ' as TOURS, INC. a Florida corporation, who is personally kno m5~ 1'oo5<b~O as identification. Co ~ day of .Qbt'UO~ of VACATION e or has produced ." fI", IVE1TECHAVARRIA ~ ~~ MY COMMISSION' CC 908695 . EXPIRES: February 8. 2004 BonOed Thru Nalary Public Undtrwrillnl Name: --:I:\Jd\€- (),CW4("(;a Notary Public, State of -RondCt My commission expires: --- CONSENT OF AGENCY RE: Anchor Shops at South Beach Retail Sublease, dated August 12, 1998 (the "Sublease") between THE MIAMI BEACH REDEVELOPMENT AGENCY, a public body corporate and politic, (the "Landlord"), and Budget Reservation Service Corp, a Florida Corporation (the "Subtenant"), in connection with that certain space consisting of approximately seven hundred and twenty one (721) rentable square feet in the Anchor Shops at South Beach, Miami Beach, Florida. The Miami Beach Redevelopment Agency ("Landlord"), as successor-in-interest to MB Redevelopment, Inc., as former Sublandord, hereby consents to the foregoing Assignment and Assumption of Sublease between Subtenant and VACATION TOURS OF SOUTH BEACH, INC., a Florida corporation; provided, however, that this Consent shall not be deemed to waive, or render inapplicable, the provisions of the Sublease with respect to any Transfers (as defined in the Sublease) subsequent to the date hereof As provided in the Sublease, Tenant is not relieved any liability under the Sublease, whether accrued to the date hereof or hereafter acc i g. Robert Parcher Secretary REDEVELOPMENT ATTEST: tltLw.d' (J ~ ""NWmM1O FORM&LI-.NGlUMI a FOR IXECU1DI '~~I GInIiIII 0Il11i11 ~ of Miami -- October 8, 2001 Miami Beach Community Development Corporation 945 Pennsylvania Avenue Miami Beach, F1. 33139 Attn: Roberto Datorre President Dear Mr. Datorre: As per your request, we are enclosing copies of the following documents: - Copy of Certificate ofIncorporation by Vacation Store of Miami - Copy of Certificate ofIncorporation changing the name of the Corporation to Vacation Tours, Inc. - Copy of By Laws of Vacation Store of Miami - Copy of Exemption authorized by Florida Department of Agriculture & Consumer Service, which certifies that we are in business for more than three years Therefore, exempt of Travel of Seller Bond. - Copy of Occupational License Tax by Miami-Dade County - Copy of Occupational License Tax by City of Coral Gables - Copy of Certificate ofInsurance of Vacation Store of Miami - Copy of Resume of Principal sent to ARC We would like to indicate that Vacation Tours of South Beach, Inc. will follow the steps of the Main Office. The purpose of the business is selling tour packages, airline tickets, ground tours, cruises, land packages (including hotels, transfers to hotels), car rentals, train tickets, and all related travel business. Vacation Tours of South Beach, Inc. is the only approved ARC agency on the South Beach area, also, as part of a much larger corporation is also involved in the promotion to the Caribbean as the tour operator with the larger number of plane charters to this market. 1 427 Ponce De Leon Boulevard . Coral Gables. FL 331 34 Tels. (305)774-0040' Toll Free 1-888-774-0040' Fax(305)774-0044' Email: vacstore@bellsouth.net Vacation Tours of South Beach, Inc, will be part ofa multimillion promotion using the following tools: - STRATEGIES: Added to the Media usually used to promote the destinations (newspaper, radio, TV, Brochures and flyers), By using the advertising as a "Vehide" we will create a much more Important awareness and recognition of the destinations and motivate the customers to Buy our products, - CONSillvIER & TRAVEL INDUSTRY PROFESSIONALS CONINfill.I1CA TIONS: Newspaper, specialized magazines, radio and TV, the first part of the program will be Advertised in different major cities in the US. Eventually a Marketing program will be Prepared to reach other markets, such as Canada, South and Central America and Europe. - Direct mailing to the public in key US regions. - Web site with destinations description, pictures. Reservation capability, Contest and Chatting on line. Special packages "auction" on line. The Web site plays an important Role in our Marketing approach. Advertising on the Web... banners, contest, editorial, Chatting. - ADVERTISE1\tIENT: Organization and participation to different Trade shows, seminars and presentations for Corporations and companies, in order to incentive traveling to their employees. We will appreciate your comments and acceptance of our request at your earliest convenience. so we can proceed and launch this attractive program. We want to thank you in advance for your collaboration, we can assure you that Vacation Tours of South Beach, Inc. will become one of the assets of the City of Miami Beach. <::\~:2~" Rosanna Metz-Mendez President o 1427 Ponce De Leon Boulevard. Coral Gables. FL 33134 Tets. (305) 774-0040. Toll Free 1-888-774-0040' Fax (305] 774-0044. Email: vocstore@bellsouth.net RESTATED ARTICLES OF INCORPORATION OF VACATION STORE OF MIAMI, INC. ARTICLE I - NAME The name of this Corporation is VACATION STORE OF ML-\.MI, INC. The business address of this Corporation sh:lll be 1427 Ponce de Leon Boulevard, Coral Gables, Florida 33134. , " ARTICLE n - DURATION The Co.rporation shall h:lve a perpetual existence. ARTICLE III - P1JRPOSE The purpose of this Corporation is to e~gage in any activities or bus,iness pennitted under the Laws _ of the United States and of the State of Florida, including, but not limited to, providing travel related services. ARTICLE IV - CAPIT i\L STOCK The ma"<irnum number of shares which this Corporation is authorized to have outstanding at any time is I 00 shares of common stock having a par v<!-lue of $1.00 per share. ARTICLE V - INITIAL REGISTERED OFFICE AND AGENT The initial registered 6ffice of this Corporation shall be 1427 Ponce de Leon Boulevard, Coral Gables, Florida 3313~, which address shall be identical to the business address of this Corporation, and the initial registered agent of this Corporation at such office shall be ROSANNA METZ MENDEZ, an individual, who upon accepting this designation agrees to comply v.ith the provisions of Section 48.09, Florida St~, as amended from time to time, with respect to keeping an office open for service of process. ARTICLE VI - INITIAL BOARD OF DIRECTORS The initial Board of Directors shall consist of one (1) members, who shall be a shareholder of the corporation. The number of directors may be increased or decreased from time to time by vote of the shareholders, but in no case shall the number of directors be less than one (1) nor more than ten (10). The names and addresses of the directors constituting the initial Board of Directors are: ~ ROSANNA METZ MENDEZ Address 3228 S.W. 62 Court Miami, Florida 33155 ARTICLE - VII. MANAGEMENT OF CORPOR.!"TION BY SHAREHOLDERS \ All corporate powers shall be exercised by or under the authority of. and the business and affairs of this corporation shall be managed under the direction of. the sh:lreholders of this corporation. INCUl\ilBENCY CERTIFICATE WITH CERTIFIED RESOLUTIONS . The undersigned, as secretary of Vacation Store of Miami, Inc., a corporation organized under tlJe laws of the State of Florida ("Corporation"), hereby certifies as follows on behalf of the Corporation: 1. The Articles of Incorporation for the Corporation as certified by the Secretary of State of the State of Florida on October 10, 1996, are current, and the same are in full force and effect this date without modification. 2. The following persons hord the offices in the Corporation which are designated beside their respective names: ( . 3. The following is a true and COrrect copy of the Resolution adopted at a duly called J~int meeting of the Shareholders and Directors of the Corporation held on September 8, 1997, at which meeting a quorum of both Shareholders and Directors were present and voting throughout: Secretary Alexandra Alvarez Office Incumbent President Rosanna Metz Mendez Vice President Alexandra Alvarez WHEREAS, the Corporation is facing litigation over the use of its corporate name; and the Corporation would benefit both directly and indirectly by changing its corporation name to "Vacation Tours, Inc.". NOW, THEREFORE, BE IT RESOLVED, that the Corporation, through its Directors, execute ail such documents as may be required to change its corporate name to Vacation Tours, Inc. BE IT FURTHER RESOLVED, that the Stock Certificates issued to the shareholders, Rosanna Metz Mendez (400 Shares) and Alexandra Alvarez (600 Shares) be tendered to the Corporation and new shares in the like amount be reissue for under the Corporation's new corporate name. 4. The above Resolutions were duly and regularly enacted at a meeting of the Board of Directors called for that purpose in accordance with the Articles of Incorporation and By-Laws of the Corporation and the laws of the State of Florida; the Directors of the Corporation have full power and authority to bind the Corporation pursuant to the foregoing Resolutions; and the Resolutions are in full force and effect and have not been altered, modified or rescinded. IN WITNESS WHEREOF, I have affixed my name as secretary of this Corporation and have affixed the corporate seal of the Corporation this 8th day of September, 1997. Ii {~y. ~~~ ( '~ f> I Se etary approval of this amendment in accorcance with the Articles of Inc9rporation and By-Laws of the co~oration. -- All.'l'ICLE III This ~~endment is executed, approved and made effective by the board of directors pursuant to the aforesaid shareholder actior.. IN WITNESS WHEREOF, the undersigned have hereunto executed this ~~endment to Articles of Incorporation this 3~ day of September, 1997, at Miami, Florida. ~~,& Rosanna Metz Mendez, D~re cor ~ A 2 3739811 MIAMI-DADE couNTY - StATE OF FLORIDA OCCUPATIONAL LICENSE TAX 2001 - 2002 APPLICATION 33134 (RENEWAL) LICENSE *:390468-8 STATE NUM8ER: ST25478 BUS. COMMENCEMENT DATE: 04/1997 SEC TYPE OF BUSINESS 213 TOUR/TRAVEL AGENCY 3 EMPLOYEE-S OCL TAX (INCL ECO.DEV.) AMOUNT BUSINESS LOCATION: 1427 PONCE DE LEON BLVD CORAL GABLES 45.00 OWNER/CORP, VACATION STORE OF MIAMI INC PHONE~: (305) 662 - 6090 VACATION STORE OF MIAMI ROSANNA MENDEZ PR:S 1427 PONCE DE LEON BLVD CORAL GABLES FL 33134 'IDUE ON OR BEFORE SEPT 30TH AMOUNT DUE: i 20010719 FE8-25~ + OCT-10'" NOV-15~ DEC-20~ ..JAN-25~ 100.00 i 45.00! , 49.50 51.75 54.00 56.25 156.25 INC PENALTIES AFTER DUE DATE APPUCATION IS HERESY MAOE FOR A LICENse OR P~~MIT FOR THE 3USlIlESS PROFESSION OR OCCUPATION OESCRIBEO HEREON_ I HAVE aEoN ItlFORMED CF "u. ZDNlrlG RESTIlICTIONS IMPOSEO ON THIS LiCENSE_I SWE,;R THAT THE INFORMATION IS TIlUE ANO CDRRECT_ . 20600 0100 003904688 00004500 00000000 SIGNATURE.REQUIRED SEE INSTRUCTIONS ON REVERSE SIDE ---- / ---- ...... ....VH..""U... I",;,A.r,L.t.~ BUILDING AND ZONING DEPARTMENT CERTIFICATE OF USE PO BOX 141549 CORAL GABLES FL "3'311t.-1"i:'C <<< CERTIFICATE OF USE RENEWAL NOTICE >>> 145.,j;47.MENORES AVE .I.' ',TRAVEL 'AGENCY' 4J-d80093396~:, ,,'::-';,; .,::' -.'cerd. :..:\;,6238,<.;., cCiRAL"'G~.BLES' DOUGLAS;_S5.F,,>..;<:_:~ _'l:xp~.Dat.a~'::JO'[28/0t"" -' '. ,~~~ ~ ~it9'~',^;:;'~,..B'~~i;.::~'2.'~~.'..::;gr",.~~}t~t~t~::"',~',r~~~~::~~~i~f~;:i~1~~;~~5:f~~," ..;.' ~:";? LO'1':'f51 ZE)1'1 O. OO(}"x-':ro8"~'.:: ':'~;".:'-::;"'-;-"'-R"etur'n :;Thfs~'Wi th."'Paymen t-To. OR 15923':3325 0593 1 . The City Of' Coral' Gables . New Occupant, Fill In Below Co Name Contact Phone Use CURRENT OCCUPANT VACATION STORE OF MIAMI, INC. 1:.27 PONCE DE LEON BLVD. CORAL GABLESFLORIDA 33134 -- ----- Floricla DepiHllllellt of .~!!ri("111111re '-': COIl,ulller S"'r\il'e~ BOB CR.~ "'FORD. COll~l1lissiol1er The CClpitol · TClllalwssee. FloridCl Fsbruary 21, 2000 . VACATION STORE OF MIAMI 1427 PONCE DE LEON BLVD CORAL GABLES, FL 33134 Division af Consumer Services Second Floor. Ma'/o Build.ing Tallanassee. Florida 32399-08CC '-800-HELP-FLA FAX 850-487-4177 Dear SiriMadam: RE: VACATION STORE OF MIAMI 1427 PONCE DE LEON BLVD CO RAL GABLES, FL 33134 ARC#: iO-7'3't3/3 The information furnished to our office indicates you have been under contract with the Airlines Reporting Corporation for over three years, under the same ownership and control and do not offer vacation certificates. Based on this information, it appears you are exempt from the provisions of Sections 559.928 and 559.929, Florida Statutes, the Sellers of Travel Act. This exemption will continue in effect until there is a change in your status which would require you to register and post bond. Should the circumstances change so as to make you ineligible for this exemption, please notify this office immediately. Please be advised that a copy of this letter must be presented to the applicable occupational licensing officials to obtain your license. The Department will not be 'issuing this notice on an annual basis; therefore, you should retain this letter in order to renew your occupational license each year. In addition, this letter should be available to any Division in'/est!gator or l:;:..... enforcement oUicer upon request. If we may be of further assistance, please let us know. Sincerely, 808 CRAWFORD COMMISSIONER QF AGRICULTURE .e. w. ,,)/~ L. W. Harter Regulatory Consultant 850-410-3763/1-800-435-7352 (Florida Only) E-Mail: harterw@doacs.state.fl.us CITY OF CORAL..GABLES P.o. BOX 141549, CORAL GABu:SFLORlDA 33U~ RENEWALAPPUCATION Ai."iD NOTICE OF OCCUPATIONAL UCENSE TA-X DUE 2001-,2C;02 PLE4.SE CORRECT A NY MISTAKES AND PROVIDE 4. NY MlSSlNG lNFORlyfATlON SUBMIT A COpy OF YOUR CURRENT REGISTRATION CERTIFICATE FROM THE DEPT. OF AGRICULTURE CONSUMER SERVICES. 'lESS E \TION VACATION STORE OF MIAMI IN~ CONTACT PERSON ROS,~NNA ME rz MEND~Z 1427 PONCE DE LEON BLVD PHONE NO. 662-6090/774-0040 No. 21000220 LICENSE YE.oUt IS OcrOBER I THROUGH SEP'IL'\1BER 30. . LICENSES BECOME DELINQUENT AFrER SEPTEMBER 30. IT A.\fOUNT ACCORDING TO MONTH OF PAYMENT. ~l.ASSIfI9ATI9N No. UNITS UNIT DESCRIPTION 25600 rR.~'.)F.:L BUF:EAU ~'. 20::.00 T. 226.10 '-/ . 236. 15 C. 246.20 N. 2~6.2=: VACATION STCRE OF MIAMI INC 1427 PONCE DE LEON ELVD CORAL GABLES, FL 33134 Make check payable to: CITY OF CORAL GABLES Please sign and return form Date DATE ISSUED 02/22/01 PREFERRED NATIONAL INSURANCE COMPANY (A Stock Company) 210 University Drive Coral Spririgs, FL 33071 I I (800) 577-6614 (All Inquiries) I N,\.~1E ~ MAILING ADDRESS OF INSURED I I I COMMON POLICY DECLARATIONS 14079E HULL & COMPANY 2150 SOUTH ANDREWS FT. LAUDERDALE FL (954) 527-4855 09020 AVENUE 33316 VACATION STORE OF MIAJ.'1I 1427 PONCE DE LEON BLVD CORAL GABLES, FL 33134 POLICY NU1\.1BER 14079E POLICY PElUOD 01/23/01 TO 01/23/02 I:'CEPTION U:01 A.M. Standard Time at your mailing address shown here( .. ut(l(;IN;l L'i RETURN FOR PAYMENT OF THE PREMIUM, AL'iD SUBJECT TO ALL THE TE&\IS OF THis" POLICY, WE AGREE WITH YOU TO PROVIDE THE L'ISURA.i'iCE AS STATED L'I THIS POLICY. Leg~l Entity: Business Description: CORPORATION TRAVEL AGENCY THIS POLICY CONSISTS ONLY OF THE FOLLOWL'IG DECLARATION(S) AND COVERAGE(S) FOR WHICH A PREMIUM IS L'lDICATED. THIS PREMIUM l\-IAY BE SUBJECT TO ADJUSTMEl' $ $ Total Premium $ Florida Commercial Property Surcharge $ EMPA Trust Fund Surcharge $ Florida Windstorm Underwriting Association Recoupment $ Total Premium & Surcharges $ Premium shown is minimum premium and is payable at inception. Commercial Property Declarations-PN0003(7/96) and Coverage(s) Commercial Liability Dec1arations-PN0002(2/97) and Coverage(s) Premium 195.00 305.00 500.00 0.50 4.00 0.00 504.50 COINSURA."iCE CO~lRAcr - THE RATE CHARGED IN THIS POLICY IS BASED UPON THE USE OF THE COINSURA."ICE ClAUSE ATTACHED TO THIS POLICY, WITH THE CONSENT OF THE INSURED. Forms applicable to all Coverage(s): IL0003(04/98) IL0017(11/98) IL0021(04/98) WCSOCE(10/93) EHDT.ll(ATTD) PHC511 (10/98) Countenignature Date 02/22/01 This Dedarations Page mod the Forms and Endorsements listed above and attached hereto complete the above numbered 1>"-111001 n .r~/99)