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<br />JO'd llj-10l---- <br /> <br />Th18 c:ertlfles that <br /> <br />CERTIFICATE OF JN5URANCI: <br /> <br />iii STATE FARM FIRE AND CASUALTY COMPANY, BlOomington. llfioois <br />o STATE FARM GENERAL INSURANCE COMPANY, Bloomington. Illinois <br />Insures the following policyholder for the coverages indicated below: <br /> <br />Name of poIICyhOldei- <br /> <br />KEN HOPE AIR qONDITIONING AND HEATING. INC. <br /> <br />AddreSa of poReyholder <br /> <br />811 6... tl....vel s .Road ~ <br /> <br />Riverujew, FL 33569-~7?~~ <br /> <br />Location of operations <br /> <br />POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY <br />EftllCtlve Oa.. Exphtlan Date <br /> ~ Cornpretlen$Ive : o Dual Limits for; BOOIl Y INJURY <br />.m..g.8-Gi-~5a:].....4J . .....~.~!l!Ym....... ..1.0l0.1./.9.4.... ..;. .1.010.1/..9.5 __. <br /> :/ti'Manufacturers and i Each Occurrence S 300,000 <br />................ ........ ...n........ ____..99!:'~~r~U:~l!~y....... ............. ............l................ ... ....., Aggregate $ 600,000 <br /> o Owners. l.andIords. i PROPeRTY DAMAGE <br />..................................... ......!l.~.I~!!'.!-:I.~.~.. .... ...... ............ ......t... ... ....... ........... <br /> Each 0c:x:urTence $ <br />Thla In$urance inoludes: iX Products - CompletG<l Operations Aggfegat.. <br /> a Owrtei$ or Contractors Protective Liability BODILY INJURY AND <br /> e Contractual LIabIlity ~ Combined Single Limit for. PROPERTY DAMAoe <br /> XX Prof8SSlonal Elrors and OmIssions <br /> il Broad FOI'm Property Damage Each 0ccumln08 <br /> e Broad Form Comprehen6ive General Liabirlty Aggregate <br /> POLICY PERIOD CONiRACTUAL UABIUTY liMITS (If different from above) <br />POUCY NUMUR TV" OF INSURANCE E"ectIve De" Exphtion Date BODILY INJURY <br /> , Each Occurrence <br /> , <br /> . <br /> , <br /> PROPERTY DAMAGE <br /> , <br /> Each Oocurrence <br /> Aggregate <br /> EXCESS LIABlUTY . BODILY INJURY AND PROPERTY DAMAGE <br /> . (CombIned ~ LknIt) <br /> . - <br /> . <br /> . <br /> . <br /> 0 . <br /> Umbrella . Each Oocun'enoe $ <br /> o Other , Aggregate S <br /> . Part 1 STATUTORY <br /> Xl WcntWS' Compensation . Part 2 BOOIL Y INJURY <br /> . <br />98-G7-S010-81 . <br /> and Employers liability 1 Each Accldent $ <br /> , <br /> . <br /> , OIseeee Each Employee $ <br /> Disease . Poley LImIt $ <br /> <br />......naI......-.Ownon,!M-..., "'T_~-"-_ <br />, ...................... _ ~...-.. <br /> <br />THIS OERTIFICATE OF INSURANCE 18 NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMlNOS. EXTENDS, OR <br />ALTlR$ THE COVERAGE APPROVED BY ANY POLICY DESCRUIED HEREIN. <br /> <br />CITY OF ZEPHYRHILLS <br />5335 8TH STREET <br />ZEPHYRHILLS,FL 33530 <br /> <br />::t.::tI.- ul ~ <br />__III.. ___ <br />AGENT <br /> <br />ntI-'j j I ~ J q6 -' <br />- I <br /> <br />Name and Address of Certificate Holder <br /> <br />..... CadI..... <br />",ion .IUJ.lftw '993 <br />J..e 2110 <br />M. Machlse 9767 <br />L8nlz <br />.n".,..RR586 <br /> <br />....1410 n... M1 Fltr*Id In U.s.A. <br />