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01-0378
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2001
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01-0378
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Last modified
3/6/2009 2:42:21 PM
Creation date
10/17/2006 2:05:27 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
01-0378
Building Department - Name
VAMSELOW,WILLIAM
Address
5942 17TH ST
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<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIOOIYYI <br />, 5/25"/01 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> CAROL LEE HAT JIOANNOU ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> EXClUSIVE AGENT HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALLSTATE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 14001 N.DALEMABRYHWY. INSURERS AFFORDING COVERAGE <br /> . TAMPA. FL 33818 <br />INSURED gfEfi ",", ( . THE HARTFORD <br /> INSURER A: <br />ALEXANDER BROTHERS INSURER B. <br />FENCING INSURER c: <br />24928 JOINER CT . <br /> INSURER 0: <br />LUTZ FL 33549 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 />ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S1JBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDmONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~~ T'I'PI OF lNSURANC! POLICY NUMllIA P~~ EFFECTIVE ~~ EXPIRATION UIII1'S <br />A GENERAl. LlAIIIUTY EACH OCCURRENCE 5 300 ,000 <br /> kMMERClAI.. GENERAl. LIABIlJ1Y . APPLIED FOR 5/25/01 5/25/02 FIRE DAMAGE IAny..... ..., 5 - <br />- ClAIMS MADE - OCCUR MED EXP (Any..... __, 5 <br />- PERSONAl.. & AOV INJUAv S <br /> ; GENERAL AGGREGATE 5 600.000 <br />- <br />GEN"L.AGGR~ LIMIT A~ PER:: PRODUCTS . COMP/OP AGG ,5 <br /> POUCV ':..".Qr . I LOC ; <br />AUTOMOelU UABlUTY COMBINED SINGLE LIMIT 5 <br /> ANY AUTO lea_I <br />- <br />- ALL OWNED AUTOS : BOOlL V INJURY <br /> 5 <br /> SCHEDULED AUTOS (Per perIGIl' <br />- <br />- HIRED AUTOS BODIl V INJURV <br /> S <br /> NQN.OWNED AUTOS 'Per 8CCIlIIIIllI <br />- <br />- PROPERTY DAMAGE S <br /> 'Per 8CCIlIIIIll1 <br />~AGE LIABILITY AUTO ONL V . EA ACCIDENT S <br />- ANVAUTO OTHER THAN EA ACC 5 <br /> ; AUTO ONL V: AGG 5 <br /> EXCESS LIAIIlITY EACH OCCURRENCE 5 <br /> - <br /> OCCUR CLAIMS MADE AGGREGATE S <br />- - <br />- S <br />- DEDUCTIBlE 5 <br /> RETENTION S S <br /> WORKERS COMPENSATION AND T~;r~I'fS Oe; <br /> EMPLOYERS' UABlUTY <br /> E.L EACH ACCIDENT S <br /> E.L DISEASE. EA EMPLOYee 5 <br /> , E.L. DISEASE. POLICY LIMIT 5 <br /> OTHER <br />DlSCRII'TION OF OPERAnONSlLOCATlONSIYEHlCLESII!XCLUSIONS ADDlED BY ENDORSEMENTISPEClAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />ADOIT1ONAL INSURED: INSURER LETTER: <br /> <br />CANCELLATION <br /> <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLI!D BE'ORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ DAYS WRmEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. IUT FAILURE TO DO so SHALL <br />IMPOSE NO OBLIGATION OR UAIIL/TY OF ANY KIND UPON THE INSURIA. rrs AGENTS OR <br /> <br />ACORD 25-S (7197) <br /> <br /> <br />;:::---- <br /> <br />(j ACORD CORPORATION 1988 <br />
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