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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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ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM1ODNYYY) <br /> 5/24/2021 <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 be endorsed. If SUBROGATION IS WAIVED,subject to <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 /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER- CONTACT <br /> NAME: Ellen Wright <br /> Manry 6 Heston, Inc PHONE (770)939-3231 A(C NO: (770)939-8978. <br /> Charles McCollum E—MAIL ewrighti manryheston.com <br /> .ADDRP.O. BOX 49607 INSURERS AFFORDING COVERAGE NAIC# <br /> Atlanta. GA 30359 INSURER A:Massachusetts Bay Insurance Co an '22306 <br /> trlsutzED INSURERB:Allmerica Financial Benefit.. 41840. <br /> BonorBuilt, LLC INSURERC:Hanover Insurance Co an 22292 <br /> 2010-Avalon Parkway INSURERD:Hiscox/Underwriters at Lloyd's/London 10200 <br /> Suite 400 INSURER E: <br /> McDonough GA 30252 INSURERF: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 /> ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POO/LIICY EFF DDIYYYYI MM IC EXP LIMITS <br /> YYYI <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A CLAIMS-MADE FX OCCUR ZDAH408234 11/5/2020 11/5/2021 DREM ES(RENTED 100,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY . 1,000,000 <br /> GENIAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY O PECT LOC PRODUCTS-COMP/OP AGG $ 2,000;000 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY -COMBINED SINGLE LIMIT <br /> Ea accident $ 1;000',000 <br /> B X ANYAUTO AWAR408241 11/5/2020 11/5/2021 BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED (JURY IN Per accident $ <br /> AUTOS AUTOS BODILY ) _ <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $. <br /> AUTOS Per accident <br /> $ . <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE. <br /> $ 5,000,000 <br /> C EXCESS LIAB CLAIMS-MADE UHAR408239 11/5/2020 11/5/2021 AGGREGATE $ 51 000 000 <br /> EXCESS <br /> I X I RETENTION$ NIL $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY. YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? El <br /> N/A <br /> (MandatoryJnNH) E.L.DISEASE-EA EMPLOYEE $ <br /> Ifyes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $ <br /> D PROFESSIONAL LIABILITY 1�L2382845.20 11/5/2020 11/5/2021 EACH CLAIM/AGGREGATE $ 3;000,000 <br /> CYBER LIABILITY EACH CLAIM/AGGREGATE $ 3,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> "THIS CERTIFICATE OF INSURANCE REPRESENTS COVERAGE CURRENTLY IN EFFECT AND MAY OR MAY NOT BE IN <br /> COMPLIANCE WITH ANY WRITTEN CONTRACT." <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. ' <br /> PASCO. COUNTY-BUILDING CONSTRUCTION THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN. <br /> SERVICES ACCORDANCE WITH THE POLICY PROVISIONS. . <br /> CONTRACTOR LICENSING <br /> 8731 CITIZENS DRIVE AUTHORIZED REPRESENTATIVE <br /> SUITE 230 <br /> NEW PORT. RICHEY; FL. 34654 C McCollum/ELLEN <br /> ©1988-2014 ACORD CORPORATION. Alldghts reserved. <br /> ACORD 25(2014161) The ACORD name and logo are registered marks of ACORD ' <br /> INS025(2014o1) <br />
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