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,�', ROOFOFT-01 JFAVA <br /> • ACG�RO� CERTIFICATE OF LIA�ILITY INSURANCE DATE(MMIDD/YYYY) <br /> �� 12/8/2016 <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 NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER I NONTACT <br /> ASSOCIATES AGENCY,INC. PHONE Fax <br /> 11470 N 53�d St (Fuc,No,eM:(813)988-1234 ac,No:(813)988-0989 <br /> Temple Terrace,FL 33617 Ao A'E .certs@associatesins.com <br /> I INSURER 5 AFFORDING COVERAGE NAIC q <br /> i INSURERA:GBRll�11��1SU�8�1Ce CO. <br /> INSURED I iNsuReR s:AUTO OWNERS INSURANCE CO. 18988 <br /> Roofsmith of Tampa Bay,Inc. iNsuReR c:Commerce and Indust Insurance Co. 09410 <br /> 6089 Johns Road Suites 9&10 INSURER D: <br /> Tampa,FL 33634 <br /> INSURER E. <br /> INSURER F: ' <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR I 7ypE OF INSURANCE ADDL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> I <br /> I A X COMMERCIAL GENERAL LIABILITY ��OOO�OOO <br /> EACH OCCURRENCE $ I <br />� j CLAIMS-MADE a OCCUR GGP002299 09I24/2016 09�24�2��7 DAMAGETORENTED $ 100,��0 � <br /> I <br /> MED EXP M one erson $ <br /> PERSONAL&ADV INJURY $ �rOOO�OOO <br />' GEN'LAGGREGATELIMITAPPLIESPER GENERALAGGREGATE 2,000�000 <br /> POLICY��E�T �LOC PRODUCTS-COMP/OP AGG $ Z,�OO,OOO <br /> OTHER: $ <br /> B AUTONOBILE LIABILITY COMBINED SINGLE LIMIT $ 'I�OOO,OOO <br /> i <br /> X ANYAUTO 5022555300 12/23I2015 12/2312016 gpDILYINJURY Per erson $ � <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $ <br /> X HIRED �( NONAWNED PROPERTY AMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br />, j PIP $ 10,000 <br /> I r+ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ �,OOO,OOO <br /> X EXCESS LIAB CIAIMS-MADE EBU080744586 09/24/2016 09/2412017 qGGREGATE $ �'���,��� � <br /> I DED RETENTION$ g I <br /> WORKERS COMPENSATION PEA OTH- � <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED7 � N/A <br />� (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ � <br /> i I <br /> DESCRIPTIO i OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 701,Additional Remarks Schedule,may be attached if more space is requlred) <br /> I <br /> i i <br /> i <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> i � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I' <br /> I City of Zephyrhills-Building Dept. ACCORDANCE W TH THE PO ICY ROVIS ONSCE WILL BE DELIVERED IN <br /> , 5335 8th Street <br />' � Zephyrhills,FL 33542 <br />, � AUTHORIZED REPRESENTATIVE <br /> c:;'��1/ V . <br /> ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> � The ACORD name and logo are registered marks of ACORD <br /> i <br /> I I <br />