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From:Angelica Del Rio FaxID:Wasson Bay Area Ins Page 2 of 2 Date:10l7/2015 09:50 AM Page:2 <br /> ��:� OP ID:A <br /> �CU��� DATE(MMIDDIYYYI� <br /> - _ ��� CERTIFICATE OF LIABILITY INSURANCE �oio�,2o,s <br /> 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 NEOATiVELY AMEND, EXTEND OR ALTER THE COVERAC3E 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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WP11dED, subject [o <br /> the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certlBcate holder in Ileu of such endorsement�s . <br /> PRODUCER CON7ACT <br /> Wasson Bay Area Insurance nu+ME: AngeltCa Cantu <br /> 9067 Belcher Road AIC No eM:727-544-8841 N� No: 727-544-8842 <br /> Pinellas Park,FL 33782 E� AIL <br /> BAY AREA INSURANCE INC aoo�ss:angelica wassonbayarea.com <br /> cus°r°oenER io r:REECE-1 ' <br /> INSURER S AFFORDING COVERAGE NAIC/ <br /> INSURED ReeCG BUIIfJ2fS-WIflCIOWS I�1C. INSURERA:WEStEffl WO�IC� 13196 <br /> 309746th Ave N �r,suRERS:Depositors Insurance Company 42579 <br /> St. Petersburg, FL 33714 �r,suReRC:Allied P 8 C Insurance Compan 42579 <br />' INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES � CERTIFICATE NUMBER: � � � ' � "- '�� � --- � REVISION NUMBER: <br /> THIS IS i0 CERT!FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOTWITHSTANDINO ANY RE�UIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR b9AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMffS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIRAS. <br /> I SR �YPE OF INSUP�ANCE POLIC F OL C E P <br /> LTR POLICY NUMBER MMIDDlYV MMfODIYYYY LIMI75 <br /> GENERAL LIABILITV EACH OCCURRENCE $ 'I,OOO,OO <br /> A X COMMERCIAL GENERAL LIABILITY NPP832022b 10/05/2015 10J05/2016 pREMISES Ea occurrente $ �00,00 <br /> CLNMSMADE �OCCUR MED EXP(Any one porson) S $,0� <br /> PERSONAL&ADV INJURY $ �,OOO,OO <br /> _ GENERALAGGREGATE $ Y�OOO,OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 'I�OOO�OO <br /> X POLICY� jE� LOC � $ <br /> AUTOMOBILE LIRBILITY . COMBINED SINGLE LIMIT $ �OO�OO <br /> (Ee ecciden[) <br /> ANY AUTO <br /> BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS BODILY INJURY(Per acciden[) $ <br /> B X SCHEDULEDAUTOS CPBAPD5935130567 �� 09/22/2015 �9/ZZ/Z0�6 PROPERTYDAMAGE <br /> HIRED AUTOS ' ' (PER ACCIDENT) $ <br /> NON-OWNED AUTOS - $ <br /> , $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> E%CE99 LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTI6LE $ <br /> RETENTION � $ <br /> WORKERSCOMPENSATION . WCSTATU- OTH- <br /> AND Eh7PLOVER3'LIAB�LIT� Y�N TORY LIMITS ER <br /> AI•N PROPRIET071PARTN�R/F�CUl1VE 'E.L.EACH ACCIDENT $ <br /> OFFICERMIE��SUEF�Eh::LUDEU^ N�� <br /> (PiznJatory fn NH) E.L:DISEASE-EA EMPLOYEE $ <br /> If yes,desaibo ur,der <br /> DESCRIPTIO�J 0�=OF'ERA'i I=•:d�b��ow E.L.DISEASE-POLICY LIMIT $ <br /> OESCRIPTION OF OPeFATIO�dS f LuLdTIO+JS!VEF9CLES (Attaeh ACOR�701,Additional Remarks SeFiedule,if more spaze is requiredj <br /> Michael D Shrenk CGC-1507607 <br /> CERTIFICA7E HOL���iW _,� CANCELLATION <br /> � <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN <br /> City of Zephyrhills ACCORDANCE WITH TME POLICY PROVISIONS. <br /> 5335 8th Street AUTHORI2ED REPRESENTATNE <br /> Zephyrhills, FL 33542 <br /> ,�---_�--- <br /> � � � <br /> i <br /> O 198B-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br /> �ECEIVED 10-07-'15 09;35 FF30M- U�assonBayAreaIns TO- I�eece Builders P002/002 <br />