CR24414900 (3/01) I pk f fi EFTA01709869 A.IMCLIW ASC.!. " R i k 7 4 1 ; i W i I Insurance \gent Name: \gent Address: \gent Phone #: South Beach Ins Agency P 0 Box 39-8119 Miami Beach FL 33239 AGENCY CODE:411647 famed Insured: Railing Address: ee, FL 33470 )olicy Number: insuring Company: Americ