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97-6520
Zephyrhills
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1997
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97-6520
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Last modified
3/4/2009 3:06:07 PM
Creation date
8/2/2006 6:21:35 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
97-6520
Building Department - Name
1ST PRESBYTERIAN
Address
5510 19TH ST
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<br />COMEGYS INSURANCE CORNER <br /> <br />..........II.llllllj:IIIII..II.i.!IIIIII.IIIIIIIIII'11:lil;;..:1;itll,lilllfj:I;I;I!I,i~I!!!illlll'lililii:I::1:.;;;.I,!il,\I\iil;....... ;~~~~ml~~ .. <br /> <br />... .. . ...... . ... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br /> <br />. A CORD.. <br /> <br />PRODUCER <br /> <br />POBOX 60309 <br />ST PETERSBURG <br /> <br />FL 33784 <br /> <br />COMPANY <br />A <br /> <br />GENERAL ACCIDENT INS CO <br /> <br />INSURED <br /> <br />BURTON FENCE INC <br /> <br />COMPANY <br />B <br /> <br />1900 34TH ST SO <br /> <br />ST PETE <br /> <br />I <br />..9qy~~~~~...:i:ii.:...iii.. ,:.,...:........... :::. ...'....::.......,...: :':,..'...ii"i,i::i':::'.'.'..:m:m::...::i:iii.m:...':.:..::m:m....im:.:...:mm.mm:..i.m::...m::.....:mm..m:m:m:m:m'.:mm.:.n.:...:.:m:m;nmmmmm:mm:...mm:::t..:.;':::.m..m...:...:m.m:mm....m:.:m:...:.m.m.....::....:mm.m.:....:...:..m.m.m:..mm:m:w...:..im:.m::.::::mmmm.m.m]:.:..w.nmmm.::'.i.{:.:.:mm: <br /> <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 /> <br />COMPANY <br />C <br /> <br />FL 33712 <br /> <br />COMPANY <br />D <br /> <br />CO <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLlCV NUMBER <br /> <br />POLlCV EFFEC11VE POUCY EXPIRATION <br />DATE (MMIDDIYYI DATE (MMIDDIYYI <br /> <br />LIMITS <br /> <br />~ 'GENERAL LIABILITY CPP114 81 0 9 <br />X COMMERCIAL GENERAL LIABILITY <br />'~_ __J CLAIMS MADE [j{] OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br />-~ <br /> <br />r--- <br /> <br />1/01/97 <br /> <br />1/01/98 GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COM PlOP AGG $ 2 0 0 0 , 0 0 0 <br />PERSONAL & ADV INJURY $ 1 0 0 0 0 0 0 <br />EACH OCCURRENCE $ 1 000 000 <br />FIRE DAMAGE (Any one fire) $ 5 0 0 0 0 <br />MED EXP (Any one perlOn) $ 5 , 0 0 0 <br />1/01/98 500,000 <br /> <br />~ AUTOMOBILE L1ABIUTV BAa 2 52007 <br />X I ANY AUTO <br />I ALL OWNED AUTOS <br />i SCHEDULED AUTOS <br />~ X ! HIRED AUTOS <br />X NON,OWNED AUTOS <br /> <br />I <br /> <br />1/01/97 <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />EXCESS L1ABIUTV <br /> <br />lUMBRELLA FORM <br /> <br />: OlliER lliAN UMBREllA FORM <br /> <br />A. I WORKERS COMPENSATION AND <br />EM PLOVERS' LIABILITY <br /> <br />, lliE PROPRIETOR! I ~11N <br />: PARTNERs/EXECUTIVE __ CL <br />i OFFICERS ARE: EXCL <br />OTHER <br /> <br />WC0138115 <br /> <br />5/21/96 <br /> <br />EACH ACCIDENT $ <br />AGGREGATE $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />5/21/ 9 7 X I TORY LIMITS I I~W'\ ....................... ...... <br />El EACH ACCIDENT $ 1 0 0 , 0 0 0 <br />EL DISEASE.POLlCY LIMIT $ 5 0 0 , 0 0 0 <br />EL DISEASE-EA EMPLOYEE $ 1 0 0 , 0 0 0 <br /> <br />DESCRIPTION OF OPERATlONSILOCATlONSNEHICLESISPECIAL ITEMS <br /> <br />~EATlfI9~r~%.'ffQ.tP~R..... <br /> <br />", .. . ....., . .... <br />..,..,................................................. <br />. . . . . - . . . . . . . . . . . . . . . . . . . . . . . . <br />........... ............... <br /> <br />'.:.:'):rrri::::..:::.rmm:.:::m:m:m:::w:m::'.:m:.:::r::.:~~~~~np".:t::....::t::.{::mmm..:..:::.m:...:trrr:m:mt.::m.{{'..r:m.m:{::::::.:{:m.rmmtrtt.:m:m.::ri:m{.::tm{:tm:m:::r?: <br />SHOULD ANY Of' THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOf', THE ISSUItG COMPANY WILL ENDEAVOR TO MAIL <br />.:LL DAYS WRrnEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAIWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENI'ATlVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />. I .. .... ... ...... .... . .. <br />ACOfU)~~h$.n~$)'<>..".. <br /> <br />.-.-..,.. -...P..,...... <br />. . , . . . . . . . . . , . . . . . . . . . . . <br />.......................... <br />................ ......... <br /> <br />....,""',........................:.,. .:,.....", ...... ..::::\:}./:mm:::':.~:~i.:m.:i:::i.t.:.:0:~:;.i~:.~i:f:r''.:':"'~:0:'~' m~iii.ijdijij:.:.C.t~QMlib.Nm.l.ji <br />
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