Laserfiche WebLink
<br />05/03/2001 10:15 FAX 9045652440 <br /> <br />BROWN & BROWN JAX <br /> <br />141 001/001 <br /> <br />I Ai::ORD.. CERTIFICATE OF LIABILITY INSURANC~_~l I DATE IMMmOl'N) <br />05/03/01 <br />PRQOUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFO~11ON <br />Brown &. B:owa.. IDe:. ONLY AND CONFERS NO RIGHTS UPON THE CI:RT1RCAll: <br />Building 100. Suite 100 HOLDm 1HJS CCkIlI"ICATE DOes NOT AMeND. EXTEND OR <br />10151 ~88~od Pa~k Blvd ALlER THE COVERAGE AFFoRDED BYlHE POUCIES BELOW. <br />Jac:kBDDvi1le FL 32256 INSURERS AFFORDING COVERAGE <br />Phane:904-565-l952 Pax: 904-565-2440 <br />INSUReD INSURER ~ AHBRI:smm DTstJRAHCli: COS <br /> INSUReR B: <br /> '1'ri - Mar COZUItrll.c:tiOA. me. INStJRlOR C; <br /> P.O. Box 3052 IN&UI'ER D: <br /> Tampa ~L 33601-3052 INSlJRIiR e <br /> I <br /> <br />COVERAGes <br /> <br />lliE POLICIES OF INSURANCE USTED BELOW~ve BeEN ISSUeD TO TliE INSURED NNotED MCVI!! FOR THE POUCY PERIOD INDICATE), NOTWITHSTANDING <br />ANY REQUIREMeNT, TERM OR CONOITTON 0fI ANY CClN1'RACT OR 01l1!R DOCUMENTWlli RESPECT TO WHIQf THIS CERTIFICATE MAY BE ISSUeD OR <br />MAY PERTAIN. THE INSlJRANCEAFFOROED BY 'nil!! PoUcES OI!SCRIEIED H5le1N IS SWJECTTO ALL 11'IE T'ERMS. EXCLUSIONS AND CONDITlONS OF SUCH <br />POLICIES. AGGREGATE LIMiTs SHOWN MAY HAVI! BEEN R!DUCeD 8Y PAID aAHS. <br /> <br />LTR <br /> <br />T'I''' OF INSURANCII <br /> <br /> <br />I"OIJeT NUMIIIiR <br /> <br />GENIlItAL. UAalLlTY <br />A X COMMeRCIAL IJENERAL LIABlUTY <br />aJ\IMS MACE ~ OCCUR <br /> <br />08/0B/Ol <br /> <br />EACH OCCURI'UiJIlCE <br />FIRE DAMAGe (Any one fire) <br />MED SCP (Any one f*8an) <br />PER~L & ADV INJURY <br />GENERA~AQQR~TE <br />"~S'~PJO.GG <br /> <br />CPP1303288 <br /> <br />08/08/00 <br /> <br />A <br /> <br /> <br />BOCII.. Y IN.luFlY <br />(Par _n) <br /> <br />CPP13 03288 <br /> <br />09/08/01 <br /> <br />COMEIIN6D SINGLE LIMIT <br />(Sa acddRllIj <br /> <br />08/08/00 <br /> <br />X HIRED AUTOS <br />X NONoOWNED AUTOS <br /> <br />ElOClL Y INJURY <br />(I"er 8CCl*"'1) <br /> <br />GARAGE lJA8lUTY <br />A~AUTO <br /> <br />PROPICRTY DAMAGE <br />(per ..aeidoqll <br /> <br />AVTO ONLY - EA ACCIDENT $ <br />I!olACC S <br /> <br />0TJ0t&R THAN <br />AUTO ONLY: <br /> <br />EXCESS LIABILITY <br />A X OCCUR 0 Cl.AIMSMAOE Ctrl303289 <br /> <br />08/08/00 <br /> <br />eACH OCCURRbNCIij <br />08/08/01 AGGRE;GA'fE <br /> <br />DEDUCmll..E <br /> <br />RETENTlON ! <br /> <br />WCRICERS COMF'I!NSATION AND <br />A EMPLOYERS' 1JA8IU1Y <br /> <br />WC'1303180 <br /> <br />10/07/01 <br /> <br /> <br />10/07/00 <br /> <br />OTHER <br /> <br />A Equ:Lpmen't: <br /> <br />0111303288 <br /> <br />08/08/00 <br /> <br />08/08/01 <br /> <br />Ren't:/Leas <br />Deduet:i.bl <br /> <br />DESClaP110N OF OPERAT1ONS/U)CA1'1ONSN1H1I"\a""'~ 'J5IONS AElIEO BT ENOORSeMENDSPI!CIAl. PROVISIONS <br /> <br />CERTlFlCATE HOLDER <br /> <br />11 ADCll~~ INSURER LalER: <br /> <br />CANCEl..1..ATION <br /> <br />UMITS <br /> <br />51,000.000 <br />s 50. 000 <br />s 5, 000 <br />s 1..000.000 <br />52,000.000 <br />$2.000,000 <br /> <br />51.000,000 <br /> <br />s <br /> <br />s <br /> <br />5 <br /> <br />AGG s <br /> <br />55.000.000 <br />s 5.000,000 <br />s <br />$ <br />S <br /> <br />s 1. ODD, 000 <br />s 1.000,000 <br />51,000.000 <br /> <br />100,000 <br />1.000 <br /> <br />~ <br /> <br />C.i. t:y of Zephyr Hill. <br />Buil.cl1J:1g DeparbaeDt <br />5335 Bt:h St:reet <br />Zep~ ~lls PL 33540 <br /> <br />ZI:PBY1l- SHOULD",.., W' nt& AIICMi llUQU8EC POLICIES BE CANC8LI.ED BEFORe THE EXPIAATI <br />DAn l1tER&aI<, THE IUUlNa lNSUIU:R WILL DlDeAVOR To IIIAIL ~ DAYS WRmEN <br />NOT1CEToTHf~~ mEDTo THEI.S'T. BUT FAILURE TO 00 SO SHALl. <br />I~NQ~~'JM'i'.ur;.ol'l ICIN U RER AG TS Oft <br />~A1PII!lIt' <br /> <br /> <br />ACORD 2SoS (7/87) <br />