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96-6229
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1996
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96-6229
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Last modified
3/4/2009 2:48:47 PM
Creation date
7/25/2006 9:23:36 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
96-6229
Building Department - Name
MURREY,PATRICK
Address
4841 18TH ST
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<br /> <br />PRODUCER ,. THI9 CERllF1CATE 19 IS9UED A9 A MATTER OF INFORMAll0N <br /> COMEGYS INSURANCE CORNER ONLY AND CONFER9 NO RIGHT9 UPON ntE CERllF1CATE <br /> j HoLbER. ntlS CERTIFICATE bOES NOT AMEND, EXTEND OR <br /> . ALTER THE COVERAGE AFFORDED BY ntE POLICES BELOW. <br /> P 0 BOX 6 0 3 0 9 COMPANIES AFFORDING COVERAGE <br /> ST PETERSBURG FL 3 3 7 8 4 COMPANy <br /> A SHELBY INSURANCE GROUP <br />-- -- <br />INSURED COMPANY <br /> BURTON FENCE INC B INSURA PROPERTY & CASUALTY <br /> ELLEN BURTON COMPANY sip <br /> 1 9 0 0 3 4TH ST SO C C R I M C A SOLUTIONS <br /> ST PETE FL 3 3 7 12 COMPANy <br /> I b <br />~g:Yl!tift~~$:nnl:::):Wn':':':',)m:,:www:'W:,w:::mn:':w:):itmWWWW::}::t)::::):::W]%:fWWtjlH'!fWMlMiWWP}{tt,}}:::miifW]t:WW:':::=tW::WlmttfNt:t:t:,:;tm=WrW:=irm:frW:lW:'{W:::)=:,tt'/??;:WMMMNtti: <br /> 1HIS IS TO CERTIFY ntAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE FOR THE POLICY PERIOD <br /> INDICAlED, NOTWI1I~STAND'NG ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI9 <br /> CER1Ir1CA1E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE Al=mADED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO All THE TEAMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE 'OUeY NUMBEn 'OUCY El"FEeTlVI! "OUCY upmAnoN lIMrn <br />Lm DAT1! (MMIDDfYY) DAll! (MMlDDfYYI <br />7\ GENERAL UAIlILO-Y AML7 9 2 8 7 0 5 0 1 0 5 0 1/0 1/9 6 0 1/0 1/9 7 GENEf1AL AGGREGATE .2 , 0 0 0, 0 0 0 <br />--- <br /> X COMMERCIAL GENERAL LIABILITY PROOUCTS COMPIOP AGG '2, 0 0 0, 0 0 0 <br /> - __J lKJ .1 0 0 0 0 0 0 <br /> CLAIMS MADE occun PERSONAl & ADV lNJuny , , <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 11,0 0 0,0 0 0 <br /> - _. <br /> FIRE DAMAGE (Anr - nrel . 5 0,0 0 0 <br /> -- -- <br /> MED EXP IAnr - !>erlOnl . 5 , 0 0 0 <br />3 AUTOMOBILE UAIlIUTY AB I 7 9 2 8 7 0 1 0 2/0 5/9 6 0 2/1 0/9 6 5 0 0 , 0 0 0 <br /> -- COMBINED SINGLE LIMIT . <br /> X ANY AUTO <br /> .- <br /> ALL OWNEO AUTOS 80DIL Y INJURY <br /> - . <br /> SCHEDUlED AUTOS IP.r penonl <br /> -- <br /> X HII1ED AUTOS AOD"-Y INJUny <br /> . <br /> X NON.OWNED AUTOS IP.r .odden!) <br /> -- <br /> - PROPERTY DAMAGE . <br /> OAnAOE UA8IUTY AUTO ONlY . EA ACCIDENT . <br /> -- , <br /> ANY AUTO ornER THAN AUTO ONlY: <br /> - <br /> -- EACH ACCIDENT . <br /> AGGREGA TE . <br /> EXCESS UA81UTY EACH OCCURRENCE . <br /> ~I,UMBREUA FORM AOGREGATE . <br /> OrnER mAN UM8REUA FOnM . <br />("1 WORKEnS eOMrEN9AnON AND 5 0 3 1 9 2 7 9 0 0 0 0 1/0 1/9 6 0 1/0 1/9 7 XI STATUTOny LIMITS . <br /> EMPLOYER9' UAIlIUTY .1 0 0, 0 0 0 <br /> R EACH ACCIDENT <br /> THE rnO"n1ETORl INCL DISEASE . POlICY LIMIT . 5 0 0 0 0 0 <br /> rARTNERS/EXECUTIVE , <br /> OFFICEns AnE: EXCL DISEASE EACH EMPlOYEE .1 0 0, 0 0 0 <br /> omEn <br />DE9CRIf'TlOH OF OPEnA nONSILOCATION9IVEHlCLES18PECIAL IT1!MS <br />E~frqm:~"'!~:?~9~~:'-a;~:~!r;!~;':':::::r~;{:"!r:J!/:I::::!:?!:!/~t:iI::II!JiiJtt:i:::Jit@it:@W!:it!m!m@mmt:J~!N~:_P9",t:J~J{f!i:t@Mt:J!::i:ii:(ttrIttf:t!t}i;Wttiff;{'fffi=:;:!=WW::=@=hi@l't@E <br /> C i tv of 7 e phvrhill R SHOUlD ANT 0.. 1lfI! ABOYI! Dl!.8enlBED 'OUCII!I II! CANCEll.I!.D IUORI! <br /> I" 1HI! <br /> B ui 1 eIi ng De partment EXPlRAnON DAn! ntEREO". 1HI! I8SUIflQ COMPANY WILL ENDEAYOR TO 1IIA11. <br /> .lL DAYI wnrm.. MOTICI TO THI! cmnncAn! HOlDm NAMED TO 1HI! t..IJrT. <br /> ~'3 '3 S 8th ~:;t . IUT I'All.Unl! TO MAlI. IUett MOTICI! lHAlL IMI'OSI HO OBUOATION Oft UAIIIUTT <br /> OF ANY kINO Upolf tHI! COMPANY, rn AOEHTI on nUnl!.8l!.HTAllVU. <br /> '-' e phyrhi 11 s , Ii' 1 . AumonlZED hl!I'nUI!H1'ATlVI! <br />.^eQijij.:.:.~.~!J..::.:(~/.j.~r.!{{::/{:}:::::{.:::{:?:::t!:!/:i:n:JIl:::{:i:ti!f?JWfi,t:mr:;f:\'fllf:t=i@MiWil::@lWr{i=l~l}~i;;\tij~*i;i~~:~;nWgg:ti!UJira:A~ijP::::::f;tA~O~flb~:n"i <br />
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