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<br />ACORDN CERTIFICATE OF LIABILITY INSURANC~PID DD DATE (MM/DDIYY) <br /> WESTC-3 02/02/00 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Roger Bouchard Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />101 Starcrest Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Clearwater FL 33758-6090 , COMPANIES AFFORDING COVERAGE <br />John R. Bouchard COMPANY <br /> A NORTHERN INS CO OF NY <br />Phone No. 727-447-6481 Fax No. 727-449-1267 <br />INSURED COMPANY <br /> B MARYLAND/ZURICH - MIDDLE MKT <br /> : COMPANY <br /> West Central Signs, Inc. C INS CO OF THE STATE OF PA <br /> 7720 Us Hwy 301 N : COMPANY <br /> Tampa FL 33637 ! D <br />COVERAGES <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 />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DDIYV) DATE (MMlDDIYV) <br /> , GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 <br />A i X : COMMERCIAL GENERAL LIABILITY CMM30747068 02/01/00 02/01/01 I PRODUCTS. COMP/OP AGG $2000000 <br /> ~ <br /> I , CLAIMS MADE X I OCCUR PERSONAL & ADV INJURY . $ 1000000 <br /> -----+- - <br /> , I EACH OCCURRENCE $ 1000000 <br /> i , OWNER'S & CONTRACTOR'S PROT I <br /> "---1 I FIRE DAMAGE (Anyone fire) $ 1000000 <br /> rl <br /> , I I I MED EXP (Anyone person) $ 10000 <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 1000000 <br /> f---- <br />A X ; ANY AUTO CMM30747068 02/01/00 02/01/01 i <br /> '----' i BODILY INJURY <br /> I ! ALL OWNED AUTOS i <br /> - i$ <br /> ~ SCHEDULED AUTOS i (Per person) <br /> I X i HIRED AUTOS i BODILY INJURY I $ <br /> ~ NON.OWNED AUTOS (Per accident) <br /> :---'l ! <br /> i PROPERTY DAMAGE I $ <br /> n <br /> GARAGE LIABILITY : AUTO ONLY. EA ACCIDENT : $ <br /> : I ANY AUTO I OTHER THAN AUTO ONLY: I <br /> n I EACH ACCIDENT i $ <br /> n i <br /> i , I AGGREGATE $ <br /> I EXCESS LIABILITY I EACH OCCURRENCE i $ 2000000 <br />B ~ UMBRELLA FORM UBA91805763 02/01/00 02/01/01 i AGGREGATE · $ 2000000 <br /> , OTHER THAN UMBRELLA FORM iRetention 1$0 <br /> WORKERS COMPENSATION AND X I t"gR~,TdWTS I ,OTH., <br /> ER' <br /> EMPLOYERS' LIABILITY $ 500000 <br /> : EL EACH ACCIDENT <br />C i THE PROPRIETOR! ~INCL WC4778540 05/10/99 05/10/00 EL DISEASE. POLICY LIMIT i $ 500000 <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: , ,EXCL i I EL DISEASE, EA EMPLOYEE $ 500000 <br /> OTHER : <br />A Equipment Floater CMM30747068 I 02/01/00 02/01/01 Leasd/Rtd $100,000 <br /> Equip-Ded $1,000 <br /> ! , <br />DESCRIPTION OF OPERATIONSiLOCATIONSNEHICLESlSPECIAL ITEMS <br />KH/ASST <br />CERTIFICATE HOLDER CANCELLATION <br /> CIT 281 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> CITY OF ZEPHYRHILLS ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> LICENSING DIVISION <br /> 5335 8TH STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> ZEPHYRHILLS FL 33540 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> (j'fLL <br />ACORD 25-S (1/95) . .. ACORD CORPORATION 1988 <br />