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02-0942
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2002
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02-0942
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Last modified
3/6/2009 2:40:23 PM
Creation date
11/1/2006 2:45:19 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
02-0942
Building Department - Name
MCLEOD,DONNA
Address
5434 7TH ST
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<br />IJan <br /> <br />28 02 <br /> <br />10:40a <br /> <br />Great American <br /> <br />Emp Ser <br /> <br />727 797 0704 <br /> <br />p _ 1 <br /> <br />"ACORD... CERTIFICATE OF LIABILITY INSURANCE I DAn: (MPMOOIYY) <br /> 01/24/2002 <br />PRODUCER (727) 446-5051 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CONDON-MEEK, INC, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1211 COURT STREET <br />CLEARWATER, FL 34616-5897 i INSURERS AFFORDING COVERAGE <br /> ..- --"+-- ..un. _ i -.----....---. ---- ---.. "'--.--'-- <br />INSURED i INSURER A; CONIIN~NTAL CAS~AL TY..GPMPANL-___ ..- <br /> GREAT AMERICAN EMPLOYEE SERVICES, INC. INSURER B: ..----.... ----.. n_,_..'._ <br /> 3040 GULF TO BAY BLVD" SUITE #200 INSURE;R c. ------ ___.n ---.- .-----_.... -.- _. <br /> .-,. <br /> CLEARWATER. FL 33759 INSURER D' .----- u__.. --" ---_.. n_ <br /> I INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIiE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECl TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIiE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />,.~ TYPE OF INSURANCE POLICY NU_ER POLICY EFFECTIvE POLICY EXPIRATION LIMITS <br /> ~NERAL LIABILITY EACH OCCURRENCE $ <br /> - <br /> COMMt:HCIAL GENERAL LIABILITY FIRE DAMAGe (Anyone fire) ~ <br /> I-- o CLAI,MS MADE; D OCCUR <br /> MED EXP (Anyone person) $ .. <br /> ~ <br /> PERSONAL & ADV INJURY $ <br /> -- <br /> I GENERAL AGGREGATE $ <br /> ___nn_... <br /> ~EN'L AGGREGATE LIMIT APPLIES PER: PRooue IS. COMPiOP AGG $ <br /> -1 POLICY Ii P,:g: n LOC <br /> ~UTOIIOBlLE LIABILITY r.OM RINl=O SINGLE LIMIT ~ <br /> ANY AUTO (Ea lICCidenl) <br /> e-- <br /> e-- ALL OWNED AUTOS BODILY INJURY <br /> (Per person) S <br /> I--- SCHEDULED AUTOS .- <br /> I--- HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per eCCident) <br /> e-- <br /> ~ _.__._--- ----..--..-... PROPERTY DAMAGE S <br /> (Per DCCidcnl) <br /> RRAGE UABILlTY AUTO ONLY.. EA ACCIDENT $ <br /> ANY AUTO OTHER TH~ EAACC $ <br /> -" <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> CJ" OCCUR D CLAIMS MADE -, <br /> AGGREGATE $ <br /> .- <br /> s <br /> R DEDUCTIBLE $ <br /> RETENTION S S <br />A WORKERS COMPENSAnoN AND WC138201697 07/01/01 V 07/01/02 ') I TORY LIMITS I IO~- ..- <br />EMPLOYERS' LIABILITY <br /> i'--..~_. E.L. EACH ACCIDENT $ 1 00 000 <br /> E,L, DISEASE - EA EMPLOYEE $ -- <br /> 1 00 000 <br /> E,L. DISEASE - POLICY LIMIT S 500 000 <br /> OTHER <br />DESCRIPTION OF OPERA nONSILOCA nONSlVEHlCLESlEXCLUSIONS ADDEO BY ENDORSEUENTISPEClAL PROVISIONS <br />This certificate remains in effect provided the client's account IS in good standing with Great American Employee Services Inc.(GAES). Coverage is <br />not provided for any employee for which the client is not reporting hours to GAES, Applies to 100% of the employees of Great American <br />Employee Services, Inc, leased to WEEKS U.S.A. CORP. dba GULF COAST SIGN SERVICE. <br />CERnFICA TE HOLDER I I ADOmONAL INSURED; INSURER LETTER: CANCELLA nON <br /> SIfOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE 'Tlil!ftl!()f', THE ISSUING INSURER WILL ENDEAVOR TO _IL ~ DAYS WRI1TEN <br /> NOTICE TO THE CERTIfICATe HOLDER NAMI!D TO THE LEFT, BUT PAlLURE TO DO so SHALL <br /> CITY OF ZEPHYRHILLS IMPOSE NO OBLlGAnON OR LlAElLlTY OF Afl'f KIND UPON THE INSURER, ITS AGENTS OR <br /> FAX: 813-780-0021 REPRESENTATIVES- <br /> AUTHORIZED REPRESENT~ #~ LA'l. <br /> I "'I. "-L <br />ACORD 25-5 (7/97) V Ii ACORD CORPORATION 1988 <br />
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