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20-526
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20-526
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Last modified
3/7/2022 2:02:52 PM
Creation date
3/4/2022 8:23:17 AM
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Building Department
Company Name
SF ZEPHYR COMMONS OUTPARCEL LP
Building Department - Doc Type
Permit
Permit #
20-526
Building Department - Name
SF ZEPHYR COMMONS OUTPARCEL LP
Address
7490 GALL BLVD
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7 ® DATE(MM/DD/YYYY) <br /> ,acoRo CERTIFICATE OF LIABILITY INSURANCE <br /> 05/24/2021 <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: CONTACT Sharon Brubaker <br /> NAME: <br /> Strawn&Co.,Insurance. PHONE (770)357-0025 F (770)957-9720 . <br /> A/C o Emit• A/C No: <br /> 16 Hampton Street E-MAIL coi@strawninsurance.com <br /> ADDRESS: <br /> Post Office Box 38 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> McDonough GA 30253 INSURER A: Accident Fund General Insurance Co 12304 <br /> INSURED INSURERS: <br /> HonorBuilt;LLC. <br /> INSURER C <br /> 2010 Avalon Parkway INSURER D: <br /> Suite 400 <br /> INSURER E- <br /> Mcdonough GA 30253 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL20122837150 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 CONTRACTOR 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 ADOL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVO POLICYNUMBER MM/DD MM/DD LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS MADE F—TOCCUR PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $' <br /> PERSONAL&ADV INJURY $ <br /> GEN'LAGGREGATE LIMIT APPLIES PER: <br /> PRO- GENERALAGGREGATE $ <br /> POLICY❑JECT" LOC <br /> PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident)$ <br /> ANYAUTO BODILY.INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) .$ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per axideM $ <br /> UMBRELLALUIB OCCUR EACH OCCURRENCE: $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $. <br /> WORKERS COMPENSATION v PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N <br /> STATUTE ER. . <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE N/A WCV8018289 12/15/2020 12/15/2021 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L._DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under, - <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000. <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <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 /> Pasco County Building Construction Services ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Contractor Licensing <br /> 8731 Citizens Dr Ste 230 AUTHORIZED REPRESENTATIVE <br /> New Port Richey FL 34654 n 7 <br /> ©1988 2015 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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