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01-0117
Zephyrhills
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Building Department
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2001
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01-0117
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Last modified
3/6/2009 2:43:22 PM
Creation date
10/3/2006 9:14:06 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
01-0117
Building Department - Name
WHEELER,CLARENCE
Address
LEONDIS DR
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<br />-. I""- 04:49P <br />:- .-eb-12-01 ARM INC 813 783 2945 P.01 <br />II - ' ~ . . , .- <br />.- ~CORD.. CERTIFICATE OF LIABILITY INSURANCltigc~l I DATE IMMIODfYVI <br />.. 02/12/01 <br />. . <br />. JUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Douberley , Associates, :Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Insurance Store HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5518 7th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Zephyrhills FL 33540 INSURERS AFFORDING COVERAGE <br />Phone:813-7BB-7777 Fax: 813-783-2945 <br />INSURED INSURER A: Zurich :Insurance Svcs <br /> INSURER B: -- <br /> F~~k 's Fence <br /> d ~ a James Kalske INSURER c: <br /> ~eph~r~t~;~~3541 INSURER D: <br /> I INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />AHY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AHD CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />"rfC ,- <br /> TYPE OF INSURANCE POLIcY NUMBER DATE"'MMIDDIYY DATE IMMIDOIYVj- UMITS <br /> OEHERAL UA8lUTY EACH OCCURRENCE $ 100 . 000 <br /> ~ <br />A X COMMERCIAL GENERAL LIABILITY ZRT052648 03/22/00 03/22/01 FIRE DAMAGE (Any one lire) S 50,000 <br /> 1 CLAIMS MADE [K] OCCUR MED EXP (Any one person) $1 000 <br /> - I PERSONAL & ADV INJURY s100.000 <br /> - I GENERAL AGGREGATE $200,000 <br /> ~.L AGGREnE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 100,000 <br /> PRO. n <br /> POLICY JECT LOC <br /> AUTOIlO8lLE UABIUTY COMBINED SINGLE LIMIT <br /> ~ S <br /> N-IY AUTO (Ea 1ICCidInl) <br /> f- <br /> f- ALL OWNED AUTOS BODILY INJURY <br /> S <br /> SCHEDULED AUTOS (Per person) <br /> f- <br /> - HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per ec:cidenl) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per 8CCICIenl) <br /> GARAGE UA8lLITY AUTO ONLY - EA ACCIDENT S <br /> ~- ANY AUTO OTHER THN-I EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LlABIUTY EACH OCCURRENCE $ <br /> o OCCUR 0 CLAI~ MADE AGGREGATE S <br /> $ <br /> q DEDUCTIBLE $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION ANO I- TORY LIMrrS I IOlH. <br /> ER <br /> I EMPLOYERS' UA8/UTY E,L, EACH ACCIDENT $ <br /> E,L DISEASE ,. EA EMPLOYEE $ <br /> E.L DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERA TIONSlLOCATIONSll/EHICLESlEXCLUSIONS ADDED BY ENDOflSEMeNT/SPECIAL PROVISIONS <br />Fence Erection Contractors <br />CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER lETTER: CANCELLATION <br /> BLDGEEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - DAYS WRITTeN <br /> City of Zephyrhi~~8 Bui.ldinq NOT1C2 TO THE CERTIFICATE HOI.DER NAIlED TO THE LEFT, BUT FAILURE TO 00 so SHALL <br /> Dept, IMPOSE NO OBLIGATION OR UABlUTY OF ANY KIND UPON THE INSURER, ITS AGENTS Oft <br /> 788-1516 <br /> REPRESENTATIVES. <br /> <br />'CORD 25-5 (7/97) <br /> <br />ClACORD CORPORATION 1988 <br />
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