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18-19715
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2018
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18-19715
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Last modified
2/7/2019 1:51:52 PM
Creation date
2/7/2019 1:51:52 PM
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Building Department
Company Name
RURAL KING
Building Department - Doc Type
Permit
Permit #
18-19715
Building Department - Name
BEAR STEARNS COMMERICAL MORTGAGE
Address
7422 GALL BLVD
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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br /> �...�' 11/1/2018 5/8/2018 <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 endorsements). <br /> PRODUCER Lockton Companies CONTANAME:CT <br /> 3280 Peachtree Road NE,Suite#250 PHONE <br /> NE No <br /> Atlanta GA 30305 E-MA IL <br /> (404)460-3600 ADDRESS: <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A:Everest Indemnity Insurance Company 10851 <br /> INSURED American Promotional Events,Inc. INSURER B: <br /> 1359629 DBA TNT Fireworks,Inc. INSURER c: <br /> P.O.Box 1318 INSURER D: <br /> 4511 Helton Drive <br /> Florence AL 35630 SNSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 12067058 REVISION NUMBER: XXXXXXX <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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDLSUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD LIMITS <br /> Y A X <br /> COMMERCIAL GENERAL LIABILITY N SI8GLt}p242-171 111112417 1111/2018 EACH OCCURRENCE $ 1 000 000 <br /> DAMAGE TO <br /> CLAIMS-MADE o OCCUR PREM IS RENT <br /> Ea ocauence $ 500,000 <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY❑JERCOT- FI LOC PRODUCTS-COMP/OP AGG $ 2,000 000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ <br /> Ea accident XXXXXXX <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED <br /> AUTOS ONLY AUTOSULED BODILY INJURY(Per accident) $ XXXXXXX <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX <br /> $ XXXXXXX <br /> UMBRELLA UAB OCCUR NOT APPLICABLE <br /> EACH OCCURRENCE $ XXXXXXX <br /> REXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX <br /> DED I I RETENTION$ $ XX7Y—XXX <br /> WORKERS COMPENSATION NOT APPLICABLE STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y/N '—" <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ XXXXXXX <br /> OFFICERIMEMBER EXCLUDED? N 1 A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $If yes,describe under <br /> XXXXXXX <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXX,XXXX <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED. <br /> City of Zephyrhills and Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,conditions, <br /> and exclusions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> 12067058 <br /> Rural King SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> #0101 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 7422 GALL BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ZEPHYRHILLS FL 33541 <br /> AUTHORIZED REPRESENT T E7 <br /> 0198E-201 ACORD CORPORATION. All rights reserved. . <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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