My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
21-1380
Zephyrhills
>
Building Department
>
Permits
>
2021
>
21-1380
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/9/2022 1:58:18 PM
Creation date
5/9/2022 6:59:29 AM
Metadata
Fields
Template:
Building Department
Building Department - Doc Type
Permit
Permit #
21-1380
Building Department - Name
RAMNARINE,SANMATTIE
Address
6988 SIVLERADO RANCH BLVD
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
10
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACCMEO CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDIYYYY) <br /> 1 1 1/14/2021 <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 <br /> Insurance by Ken Brown, Inc. PHONE K Derek Brown FAx <br /> 707 Pennsylvania Ave Ste 1300 A/c No.E :1321-397-3870 1 ac No):321-397-3888 <br /> Altamonte Springs FL 32701 ADDRESS: certificates@insbykenbrown.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:White Pine Insurance Company 11932 <br /> INSURED RONLA-1 INSURERB:Old Dominion Insurance CO 40231 <br /> Ron-L-Aluminum, Inc <br /> 3122 McIntosh Road INSURER C: <br /> Dover FL 33527 INSURER 0: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:16549614 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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADD L SUBR POLICY EFF POLICY EXP <br /> LTR POLICY NUMBER MM/DD MM/DD LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY WPCP008122 3/11/2020 3/11/2021 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE FK OCCUR DAMAGE TO <br /> PREMISES Ea occurrence $500,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY E ECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY B1T9394V 3/1/2020 3/1/2021 Ea awl ideDtSINGLE LIMIT $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY Per accident $ <br /> AUTOS ONLY AUTOS ( ) <br /> X HIRED Ix <br /> NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per acc dent <br /> X PIP$10,000 $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> Y/N <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBEREXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) <br /> I <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 /> Building Dept 1 <br /> 5335 8th Street AUTHORIZED REPRES TTATTIVEE <br /> Zephyrhilis FL 34248 �r�.-"�— <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.