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/ I <br /> • � � � DATE(MMIDDlYYYY) I <br /> ���R� CERTIFICi4TE OF LIABILITY�.INS.URANCE ` � <br /> �,.;.; 01/03/2017. ..... <br /> 4 . . .. . . .. . . . . . <br /> . . .. <br /> TIiIS CEIZTIFICATE.IS 1$SUED AS A MATTEft_OF INFORMATION ONLY,AND CONFERS NO RIGI-1T$_UPON THE CERTIFICATE,HOLDER: THIS <br /> CERTIFICATE.DOES NOT AFFIRMATIVELY.;OR NEGATIVELY AMEND, EXTEND OR. ALTER THE;COVERAGE>AFFORDED BY.THE:POLICIES <br /> BELOW:;l'FIIS CERTIFICATE OF: 1NSURANCE DOE$,NOT CONBl'ITUTE A CONTI2ACT BETINEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE NOLDER. _ _ , -� - � - • : <br /> IMPORTANT:.(f the certificate.holde:r is an ADDITIONAL:INSURED, the policy(ies) musf be:endorsed...lf SUBROG,4TION IS WAIVED, subject to <br /> the terms and conditions of the.policy,,certain.pblicies.may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). �• <br /> . � . . ... .. . . . . . .. . <br /> ... <br /> PRODUCER 1 � ' � CONTACT "� �" � �" � � � � <br /> � . . NAME: AfiCI�/MIII@f� <br /> Lee Reed Insurance . , ��NN �: (813)782-5502 a�No: (813)788-1996. . <br /> 38511 5th'Avenue � . no��ss: andy@leereedins.com ` � <br /> ; - INSURER(S)AFFOR➢ING COVERAGE NAIC# <br /> Zephyrhills FL 33542. �NsuReRa:..Owners Insurarice Company 09386. <br /> INSURED ,. INSURER B• <br /> Zephyrhilis Chamber of Commerce Inc INSURERC: <br /> 38550 5th Ave iNsuaeR�: ' <br /> � <br /> INSURER E� <br /> Zephyrhills FL 33542-4331. iNsu�zF:_:. <br /> COVERAGES _..- . <br /> - _..CERTIFICATE NUMBER: �. • REVISION NUMBER: <br /> THIS'IS TO CERTIFY THAT THE POLICIES OF.INSURANCE LISTED;BELOWHAVE BEEN,ISSUED TO THE INSURED NF,MEp ABOVE FOR THE.POLIGY PERIOD <br /> INDICATED. NOTIMTHSTANDING ANY�REQUIREMENT, TERM'OR`.GONDITION OF,ANY.CONl'RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFIGATE MAY BE ISSUED OR MAY PERTAIN, THE.INSURANCE�AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> IXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT.S SHOWN:MAY HAVE BEEN REDUCED BY PAID CLAIMS.• ; , ' <br /> INSR I ADDL SUBR . --��•- '� ' POLICY EFF POLJCY EXP_ � - � � ' ' � . <br /> L7R TYPE OF INSURANCE INSD NlVD -= ,.• � POLICY�NUMBER . : MMIDD MMIDD , <br /> LIMITS <br /> X COMMERCIALGENERALLIABILITY • EACHOCCURRENCE $ "I,OOO,000 <br /> :� ClA1MS-MADE ❑X OCCUR DAMAGE O RENTED. ' <br /> PREMISES a occurrence S 50,000 <br /> � MED IXP(My one person) $ 5,000 <br /> A ��: Y 864612-20343749 03/03/2016 03/03/2017 PERSONALBADVINJURY $ 1,000,000 <br /> GEN'L i GGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 <br /> X POLICY��Ea a LOC PRODUCTS-COMP/OPAGG $ 2,000,000 . <br /> OTHER: LIqUOf LlBblll�/ $ 1 Mii l.$2 Mil <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ " "" _ � <br /> I Ea accident - <br /> A�,n.q�p BODILYINJURY(Perperson) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) S � <br /> AUTOS AUTOS <br /> I NON-0NMED PROPERTY DAMAGE , $ <br /> Hll EDAUfOS p�pg Peraccident <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE � '� <br /> I <br /> DED RETENTION$ S <br /> WORKERS COMPENSATION � PER OTH- , <br /> AND EMPLOYERS'LIABILITY �,�N STATUTE ER <br /> ANYPROPRIETOR/PQRTNERlIXECUTIVE ❑ N�A ELEACHACCIDENT �. $ <br /> OFFICER/MEMBER EXCLUDED? � � • <br /> (Mandatory in NHJ EL.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below . EL DISEASE-POLICY LIMIT S <br /> i <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 701,Additional Remarks Schedute,may be attached'rf more space is required) . <br /> Special Event: 2017 7th Annual Zephyrhiils Pigz in Z'Hilis BBQ&Blues Fest,January 21,2017 <br /> Ciiy of Zephyrhills is named as additional insured with respects to Liability <br /> i ' <br /> � <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 5335 8th St. <br /> ' AUTHOR¢ED REPRESENTATIVE <br /> Zephyrhills FL 33542 = <br /> I <br /> O 1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />