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Ml® CODE COMPLIANCE
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DEPARTMENT OF REGULATORY AND ECONO IPE �®��
BOARD AND CODE ADMINISTRATION DIVISION
i
NOTICE OF ACCEPTANCE (NOA)
Gardner Asphalt Corporation
4161 W.'7tb-Avenue
Tampa, FL. 33605
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
Miami, Florida 33175-2474
T (786) 315-2590 F (786) 315-2599
www.miamidade.eov/economy
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The .
documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
(In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product
or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the
manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use
of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements
of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Gardner Underlayments
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERNIINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for
sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of
this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA # 18-0409.06 and consists of pages 1 through 6.
The submitted documentation was reviewed by Freddy Semino `<
NOA: 18-1109.03
Expiration Date: 03/28/23
Approval Date: 01/03/19
Page 1 of 6
ROOFING COMPONENT APPROVAL
Catesory Roofmg
Sub-Cateeory: Underlayment
Material: Asphalt
I TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Test Product
Product Dimensions Specification Description
I
APOC Tuff -Felt 26 36" x 72' rolls ASTM D 226 Type II Asphalt_ Saturated Felt underlayment, 2
Manufacturing square #30.
Location #1, 2
United FGUR20 36" x 72' rolls ASTM D 226 Type II Asphalt Saturated Felt underlayment, 2
Manufacturing square #30.
Location #1, 2
APOC 25
36" x 72' rolls
ASTM D 226 Type II
Asphalt Saturated Felt underlayment, 2
Manufacturing
square #30.
Location 91, 2
No. 30 ASTM
36" x 72' rolls
ASTM D 226 Type II
Asphalt Saturated Felt underlayment, 2
Manufacturing
square #30.
Location 91, 2
APOC Tuff -Felt 46
36" x 144' rolls
ASTM D 226 Type I
Asphalt Saturated Felt underlayment, 4
Manufacturing
square # 15.
Location #1, 2
United FGUR10
36" x 144' rolls
ASTM D 226 Type I
Asphalt Saturated Felt underlayment, 4
Manufacturing
square # 15.
Location #1, 2
APOC45
36" x 144' rolls
ASTM D 226 Type I
Asphalt Saturated Felt underlayment,,4
Manufacturing
square #15.
Location 41, 2
No.15 ASTM
36" x 144' rolls
ASTM D 226 Type I
Asphalt Saturated Felt underlayment, 4
Manufacturing
square #15.
Location 91, 2
United FGUR70
18" x 72' rolls
ASTM D 226 Type II
Asphalt Saturated Felt underlayment, I
Manufacturing
square #30.
Location #1, 2
NOA: 18-1109.03
Expiration Date: 03/28/23
Approval Date: 01/03/19
Page 2 of 6
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Product
GatorSkin
1 Manufacturing
Location #3
f
GatorSkin-10
Manufacturing
Location 95
Test Product
Dimensions Specification Description
42" x 285.8' rolls ASTM. D 226 Type II Synthetic roof underlayment comprised
of layers of polyolefin film.
42" x 285.8' rolls ASTM D 226 Type II Synthetic roof underlayment comprised
of layers of polyolefin film.
Weather -Armor CX-L
37.25" x 145'rolls ASTM D 226 Type II High strength hybrid underlayment
Manufacturing
comprised of two layers of polyolefin and
Location #3
polyester synthetic fabric with a thin layer
of modified bitumen between the two
plies.
Weather -Armor SB-1
36" x 65' 8" rolls ASTM D 1970 Glass fiber reinforced, polymer modified
Manufacturing
asphalt, granulated self -adhered
Location #4
underlayment.
Gard -Lock
36" x 65' 8" rolls ASTM D 1970 Glass fiber reinforced, polymer modified
Manufacturing
asphalt, granulated self -adhered
Location #4
underlayment.
Weather -Armor HT3 39" x 65' 8" rolls ASTM D 1970 60-mils. thick (nominally), self -adhering
Manufacturing membrane composed of elastic polymers,
Location #4 bitumen, glass reinforcements and a cross
laminated sheet surfacing.
.Weather -Armor FT 39" x 65' 8" rolls TAS 103 60-mils. thick (nominally), self -adhering
Manufacturing membrane composed of elastic polymers, .
Location #4 bitumen polyester and glass
reinforcement.
Eagle -Armor by Apoc 39" x 65' 8" rolls TAS 103 60-mils. thick (nominally), self -adhering
Manufacturing membrane composed of elastic polymers,
Location #4 bitumen polyester and glass
reinforcement.
MANUFACTURING LOCATIONS:
1.
Tacoma, WA.
2. -
Eutaw, AL.
3.
Hangzhou, China.
4.
Springville, .AL.
5.
Tampa, FL.
NOA: 18-1109.03
Expiration Date: 03/28/23
Approval Date: 01/03/19
Page 3 of 6
EVIDENCE SUBMITTED:
Test Azency Test Identifier Test Name/Report Date
PRI Construction Materials GGI-100-02-01
ASTM. D 226
06/22/12
Technologies GGI-101-02-01
ASTM D 226
06/22/12
GGI-132-02-01
ASTM D 226
04/28/15
GGI-176-02-01
ASTM D 226
09/26/16
GGI-178-02-01
ASTM D 1970
10/25/16
GGI-194-02-01
ASTM D 1970
08/04/17
GGI-196-02-01
TAS 103
08/08/17
GGI-206-02-01
ASTM D 226
03/09/18
GGI-207-02-01
ASTM D 226
03/09/18
GGI-201-02-01
ASTM D 1623
01/29/18
GGI-178-02-01
ASTM D 1970
01/29/18
GGI-178-02-02
ASTM D 1970
01/29/18
GGI-199-02-02
ASTM D 226
12/12/17
GGI-202-02-01
ASTM D 1623
08/09/18
APPROVED ASSEMBLIES:
Deck Type 1: Wood, Non -insulated
Deck Description: 19/32" or greater plywood or wood plank
System E(1): Anchor sheet mechanically fastened to deck.
Anchor Sheet: One or more plies of APOC Tuff -Felt 26, United FGUR20, United FGUR70, APOC 25, No. 30
ASTM, GatorSkin, GatorSkin-10 or Weather -Armor CX-L with a minimum 4" headlap and a 6"
end lap mechanically fastened to deck with approved nails and tin caps 6 inches o.c. minimum
at all laps and three staggered rows fastened at 12 inches o.c. minimum in the field of the roll.
Nails shall be driven flush and 90 degrees to the roof deck.
Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry
slate, metal roof applications, and as an anchor sheet in roof tile applications. Must Comply with
applicable Roofing Application Standards and Building Codes.
Deck Type 1: Wood, Non -insulated
Deck Description: 19/32" or greater plywood or wood plank
System E(2): Anchor sheet mechanically fastened to deck.
Anchor Sheet: Minimum 2 plies or more of APOC Tuff -Felt 46, United FGUR10, APOC 45, or No. 15 ASTM
with a minimum 19" headlap and a 6" end lap mechanically fastened to deck with approved
nails and tin caps 6 inches o.c. minimum at all laps and three staggered rows fastened at 12
inches o.c. minimum in the field of the roll. Nails shall be driven flush and 90 degrees to the
roof deck.
Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry
slate, metal roof applications, and as an anchor sheet in roof tile applications. Must Comply with
applicable Roofing Application Standards and Building Codes.
NOA: 18-1109.03
Expiration Date: 03/28/23
Approval Date: 01/03/19
Page 4 of 6
Deck Type 1: Wood, Non -insulated
Deck Description: 19/32" or greater plywood or wood plank
System E(3): Anchor sheet mechanically fastened to deck, membrane adhered.
Anchor Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4" headlap and a
6" end lap mechanically fastened to deck with approved nails and tin caps 6"o.c. at the side lap
edge and in a grid pattern spaced 12"o.c. in the field of the roll.
Membrane: One or more plies of Weather -Armor SB-1, Gard -Lock, or Weather -Armor HT' self -adhering
membrane adhered to the anchor sheet with a minimum 3" headlap and 6" end lap.
Surfacing: Shall be acceptable for use in approved asphaltic shingles, wood shakes, & shingles, quarry
slate, and metal roof applications. Must Comply with applicable Roofing Application Standards
and Building Codes.
Deck Type 1: Wood, Non -insulated
Deck Description: 19/32" or greater plywood or wood plank
System E(4): Anchor sheet mechanically fastened to deck, membrane adhered.
Anchor Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 with a minimum 4" headlap and a
6" end lap mechanically fastened to deck with approved -nails and tin caps 6"o.c. at the side lap
edge and in a grid pattern spaced 12"o.c. in the field of the roll.
Membrane: One or more plies of Weather -Armor FT or Eagle -Armor by Apoc self -adhering membrane
adhered to the anchor sheet with a minimum 3" headlap and 6" end lap. or
Surfacing: • Weather -Armor FT and Eagle -Armor by Apoc Shall be acceptable for use in approved
asphaltic shingles, wood shakes, & shingles, quarry slate, metal roof, and mechanically
fastened roof tile applications.
Weather -Armor FT' and Eagle -Armor by Apoc may be used with any approved adhered
roof tile system as specified in their current NOA using the following tile adhesives with
current NOA:
■ The Dow Chemical Company's TILE BOND Roof Tile Adhesive
■ ICP Adhesives and Sealants, Inc.'s ICP Adhesive Polyset AH-160
■DAP Touch `n Seal Storm Bond Roof Tile Adhesive
Must Comply with applicable Roofing Application Standards and Building Codes.
LABELING:
All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city,
state and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County
Product Control Seal as shown below.
APPROVED
NOA: 18-1109.03
Expiration Date: 03/28/23
Approval Date: 01/03/19
Page 5 of 6
I
BUILDING PERMIT REQUIREMENTS:
Application for building permit shall be accompanied by copies of the following:
1. This Notice of Acceptance.
2. Any other documents required by the Building Official or applicable building code in order to properly evaluate
the installation of this material.
LIMITATIONS:
1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for
fire ratings of this product.
2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance
with applicable building code.
3. Weather -Armor SB-1, and Weather -Armor HT' shall not be hot mopped; refer to manufacturer's published
literature for product compatibility.
4. Gardner Underlayments-listed herein are components used in roof assemblies. Roof assemblies are approved
under specific assembly Notice of Acceptance.
5. 'APOC-Tuff Felt 26, United FGUR20, APOC 25, No. 30 ASTM, APOC-Tuff Felt 46, United FGUR10,
APOC 45, No. 15 ASTM, United FGUR70, GatorSkin, GatorSkin-10 and Weather Armor CX-L listed
herein shall not be left exposed as a temporary roof for longer than 30 days of application.
6. Gard -Lock and Weather Armor SB-1 listed herein shall not be left exposed as a temporary roof for longer
than 90 days of application.
7. 'Weather -Armor HT3• Eagle -Armor by Apoc and Weather -Armor FT3 listed herein shall not be left exposed
as a temporary roof for longer than 180 days of application.
8. Gardner Underlayments listed herein may. be used with any approved roof covering Notice of Acceptance
listing Gardner Underlayments listed herein as a component part of an assembly in the Notice of Acceptance.
If Gardner Underlayments listed herein is not listed; a request may be made to the Authority Having
Jurisdiction .(AHJ) or the Miami -Dade County Product Control Department for approval provided that
appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire
testing results.
9. For fire classification of specific roof assemblies using Gardner Underlayments listed herein refer to a
current Approved Roofing Materials Directory for fire ratings of this product.
10. . All products listed herein, shall have a quality assurance audit in accordance with the Florida Building Code
and Rule 61 G20-3 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
NOA: 18-1109.03
Expiration Date: 03/28/23
Approval Date: 01/03/19
Page 6 of 6
MLCM-DADE.COUNfY
PRODUCT COMOL SF,CnON
I1805 SW 26 Stree, R06m'208
:1fi.mi, Florid. J3I15-NU
T(786) 3B5 2590 FJ7R6) 3 t5-2599
KY.40202 '
SCOPE:..
This NOA is being issued under the applicable rules and regulations governing the.use ofconstruction materials. The
documcntationsubmitted has been=viewed and accepted by Miami -Dade County RER - Product Control Section to be
used in>Mmami Dade County aid other areas where allowed by the Authority,Having Jurisdiction (AHD).
This NOA shall of valid after the eiph'athon dive stated below. TheMhanti-Dade County Product Control Section
(In Miami Dade County) and/or the A -Xin areas other than:Miamt Dade County) reserve the right to have thus product
or material tested for quality assurance`purposes. If thisproduct or material>fiilsto perform in the accepted maiuer, the
manufacntrer wrltincur the; eapeoBe of such testis and the AHJ ma finniediatel revoke, modify, i ' p
g Y Y _ d�'y, or sus endthe use
of such,product"o matenal'within their jurisdiction. RER reserves the right to revoke this acceptance, if it is
detemtined by Ivlamt Dade fcl'nnty Product Control Section that tliis jnoduct or material fails to meet the requirements
of the applicablisbuildiu.g code'.`
This product is approved as described herein; and has'been designed to:comply with the Florida Building Code
incluiling'the High Velocity Hurricane Zone of the Florida Building Code.'
DESCRIPTION: 5V Crimp Metal Ranf ing,3ysfeln
LABELING: Each unit shall bear a permanent label with the manufacturees name or logo, city, state and following
statement: "Miami -Dade CountyProduct Control Approved", unless otherwise noted herein.
RENEWAL of tbs-NOA shall be considered after a renewal application has been filed and there has beenno change
in the applicablebuilding code negafiyely affecting the performance of this product.
TERMINATION of this .NOA will occur after: the expiration date or if there has been a revision or change in the,
materials use al d/qY.manufactiireoftheproductorprocess.-MfsusoofthisNOAasanendorsementofanyproduct,..for
sales, advertising or Bay purposes shall automatically terminate this NOA. Failure to comply with any section of.
this NOA shall be cause for termination andremoval of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may, be displayedln advertising literature. If anyportion of the'NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entireNOA shall be provided to the user by the manufacturer or its distributors and
"shall:be available for iimspectioo at the job'site of tiie'reguesfof the Building Ot5cral. -
Thus renews and revises NOA1113-0627.02 and consists ofpages l,thuough 9.
The submitted documentation was reviewed by Freddy Sernino •
NOA•No.:1B-031302
Exprnhou'Date:0M0;23
�. Approval Date: 05/03/19
Pare 1 of 9
160FING SYSTEM
zCstt�orv� Roofing;
title Le=: MetalVnels(Non-Structural),
Muhl Stidel
Deck -e Wood
Mrtdmtmr� Pressure: -196:15,p3f.
NAW'S:0F PRODUCTS- tANUFTURED 01i'tABELiD BY APPLICANT:
Test
Product
Prod
merimp Metal 1 vanes TA",0
Corrosion resistant, g ized, preformed,
Roof
coated; prefinished, "Panels.
Min. Thickness,0.0179".
(26ga.)
Mitt. Yield Strength. 60ksi
Trim Pieces 1= varies' TAS 1110
Standard flashing and trim pieces.
W vanes
Manufactured for each panel width.
Min. Thickiiess 0;01791'.
(26ga-)
MANUFACTURING LOCATION:
1. Jacksonville, FL.
EVIDENCE SUBMITTED:
Test,Agim Test Identifier
no Date
Tist,Nanre/Re-
Akio Coatings
ASM G 21
ASTMB.117
Valspar Corporation
ASTM G,23
ASTM B 117
Underwriters Laboratory R9097
UL 790 October 2016
PRI Construction Materials MSMC-6103-02-01
TAS-100 June 2006
Celotex Corporation Testing MTS 520103
ASTM E8 Jan. 1999
Sevices
Tog Laboratory, Inc. 0103-07,1.2-09
TAS 125 sept2009
Diiurrieane
Fambaugh Engineering and T240-',09
TAS 125 Sept 2.009
Testing, Inc.
NOA No.,.:18*313.02
Fpl-tion Dat-06120tA1
Approval Date: 05/03/18
page 2 of9.,
'AiP.PROVED, A]SsEMLWW,�
Sis sv_crimp Metal Roof Panel.
W04 Non -insulated
Now Construction 'i9/32" or greater plywood or wood plank or for re -roofing 1S/32" or
greaterp yWm(L
kimmisaiUplift See Table A bil6w.
Deck Attachment:
In accordance with applicable Building Code, but in no case shall it bc,Ws than 8d ring
shank nails apac6d 6" o.c. In reroofing, whdre the deck is less t.h,Em 19/u7l thick (Minimum
`/,2")'the above attachment;;ctQ awthe "in addition to existing attachment.
Underlayme-nt-
h&hiimum,underlaymeiitshaU:beanASTUD226Type llitistalled ;with a minimum 4" side-
•
4110.12
lapv end -lips. Unaerlaymintalisli be fastened corrosion resistant tin-,dapbarid'
gauge Y." annuiar ring -shank �nails, 'spaced 6"'ci.d.' at all laps two staggaridimirs 12"
'6.c.* inA6-field of the roll. Or, any approved underlayment having a currebtNOA. -
Fire Barrier:
Any approved fuelai erhaving.acnrrentNOA. Refer to a current fire directory listing for
-fire ratings ofthis roofing systeifi assembly As well as the location of the fire barrier within
the assembly., See Limitation# 1.
Valleys:
Valley construction shall be.in,compliance with Roofing Application Standard RAS 133 and
with Metal Sales Manufacturing Corporation's current;published, installation instructions.
Metal.Panels and
Install the "W-Crimp Panels " and accessories in compliance with Metal Sales Manufacturing
Accessories:
plalration's current,'publishedJustallati.oll instructions and details. Flashing, penctrations,
valley constniefion, and other details shall be constructed in compliance with the 11111unlum
1equiiiiiients; provided mi"Roofirig Application Standards RAS 133.
Panel fakenefs shall be #9-15 x I-V2" self drilling' , self tapping,- hex head screws with sealing
washer ofs,ufficient length topenetrate through the sheathing a minimum gf?/ms inch'.
Fasteners sbill,be installed at a maximum spacing as listed in Table A, below parallel to the
slope. Fasteners shall be installed at a maximum of 12" o,d. at panel edge, See ditall herein.
.. .............
TABLE
. ....... MAMMUN DESIGN PRESSURES
' �if-ArOA
Feld
I
Pressures
167^c._
8"-6 C..
A. Extrapolation sliallmot.be allowed
NOA No.: 18-0113.02
:Exphv&n Date,,06/29/23
Approval Date: 05103119
Pop 3 of
Deck Attachment:
Underlayment:
WdML Non-mn&ted
New Construction 1913z-or greater pl" wood a wood �T� of
plank, or for,
grcqt---PIIIywqod- . . . .....
See Table R lie)6%
ca 6 Building, Code o case shall it be less tban'8d ring
In accordance wl(h.ippli applicable de, but in
shankan naig spaced 6 1 ` fii It— the,ddck is less than '9/3
k i space n reroofing, w el� i .. z" thick (Mi0finturl
"/,Y) the rne�ihoifmusfbo in addition to existing attachment.
Minimum ,imri 6dayment,shaii be an ASTM D 22F Type H installed,,vith a minimum 4" side -
lap ntshall 'fiefastened wfth:c osi6nie's1iiatil'iin7capsandI2
ZuI W'Nrrm�hank-iatlsli,pic7-46' oc.at all laps and two staggered rows 12"
the field therout brAny ;;Wved iudflayment1idVng a current NOA iiire,fiarrier-- Any approved fire barrieffiavinga current NOX Refer to a current fire directory listing -for
fire - Ofthis roofing. ofin,g system assembly aswell"m the location ofihe firwbarrier•ioHiEu
the asaetublyj See Limitation i i.
Valleys: Vappy construction sballbe ii . icomplia I ncemith,R64ing Application, Standard-RAS 133 and
with'Metal Sales Manufacturing . Corporations curitht Oublished,iii§idllatioii'instruddons.
Metal'Pands and Install the "�w-C'irnp�F.oels"tand accessories id,c&Tliance with M&tal.Sales Manufacturing
'ration's 4ns Accessories: Corpora 's currc�t� publisb4in�laii6n'6 iton's and details. Fil'ashing, penetrations,
valley construction other details shall be constructed in compliance with the minimum
requirements provided in.Roofl;tgAppUoatiaii�8-i. ndnds RAS 133.
Panel fasteners shall be #9-15,x I-V2" 9.61fdrilling,,selftapping, hexIead screws with sealing
washer of sufficient length to Penetrate tfiroi`igh`&sheai&ng E. minimum ot'h6 inch.
Fasteners shall be installed at.amaximum spacing as listed in 'rablc,B below,parallel to the
slope. Pii,s.i6era ih4l be iftstalle:d at a maxintu-n"u"6f 6" o.c, at panel 'edge. See detkil herein.
q
TABLE 8
MAXLMUM'DESIGNPRMUAES
Areas . .....
Perlinebit ah(fCgehorl,
Maximum Des' gxPressure
MaxIdium, Fastener
7AII ox.
1. Extrapabdon shall not bq.altaiwed.
.. .... . ... . ..... . ...... ... -
-9
NOANa.t 194313.o2
&OIriatl6ii Date: 0&29123
Approvol Date: OSI03118
Page 4 of 9
w
Moisture+Barrter
Plywood Dedciitg (By.others)
(By others)
FASTENING -PATTERN 9,.W-CRIMPAT.EAVE
F
NOA No.18-0313.12
&spbatioq Dots: U6dW23
Approv2l Date: 016118
Pxv.4 O69
E
'
... SV=CiNMP`METALROOFPANE( ..
:
SeeTBbie A
Herein -for Maximum
Fastening Spacing
a
5V Panel
;a�
END OF THIS ACCEPTANCE
Policy Number; 20659371
Clyde Crouch. 11
Sefecti.0WRejection of coverage Paget of, 2
IfYou do not, want. 'Stacked Uninsured Motorisrcoverage equal to your Bodily Injury :liability limits, You
the options beloiw. you may select. Uninsured Motbrist coverage limits mustselect. one of
up to the Bodily Injury liability,li
or yvu may reject Uninsured Motorist coverage entirely. if you do not imits in pur, policy.
reject Uninsured Motorist coverag
select "Stacked (loinsured Motorist" or "Norrstacked. Uninsured e entirely you :.may
SVI
Please select one: mveraae action slaw acid a limit if listed under that option
. . . . . . . . .......
....wad Stacked.............
coverage..... linim as invaodi
(Noteii ffyou :s.ejedthis _o 11 the fl- h lfijury Pabilfty coverage:
paMgrap is., not �ap
form. apply.;
I want 'Wd[ U
niftsu" to
overagq� ve 9"k In 6541711P limits as my Bodily 1pitity Ill'bi ja lit
y-
a!!!ISO.cked'VrIInsumd:Motorist
.......at the below.
❑ 01000
. ............
............. ............ .............
U...................
.......... . . ........... .............
............ ... .... ......
EJ7 00: 0604300 000 .......
❑ ......... .................. ...... ..........
..... 50.,000j$50
. . ........
.......... ...... ......