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<br />ACORDm CERTIFICATE OF LIABILITY INSURANCE CSR Sl< I DATE (MM/DDIYYYY) <br />B&BPR-1 10/03/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Fessler Agency-Clearwater HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3165 North MCMullen Booth Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Clearwater FL 33761-2020 <br />Phone: 727-726-3377 Fax:727-725-4698 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Assurance Company of America <br /> INSURER B: Bridqefield Employers Ins. C o. <br /> B & B Professional Plumbing, INSURER C: <br /> Inc. <br /> 707 Belleair Road INSURER D: <br /> Clearwater FL 33756 <br /> 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 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 AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />lTR NSR[ TYPE OF INSURANCE POLICY NUMBER ~~';!~rrI~rJg~E P~k~1t(~~b'1fJ!,~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> ~ 12/23/01 12/23/02 ~~~~~s (Ea occurence) <br />A X X COMMERCIAL GENERAL LIABILITY SCP32354087 $ 300000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 <br /> PERSONAL & ADV INJURY $ 1000000 <br /> ~ <br /> GENERAL AGGREGATE $2000000 <br /> ~ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 <br /> n '!Xl PRO- nLOC <br /> POLICY X JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> I-- $ 1000000 <br />A X ANY AUTO SCP32354087 12/23/01 12/23/02 (Ea accident) <br /> I-- <br /> ALL OWNED AUTOS BODILY INJURY <br /> I--- (Per person) $ <br /> SCHEDULED AUTOS <br /> I--- <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> X NON-OWNED AUTOS (Per accident) <br /> c-- <br /> I-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ==1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> :=J OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND C!~1/03' X I TORY LIMITS I IU~~- <br />B EMPLOYERS' LIABILITY 083029306 06/01/02 E~. EACH ACCIDENT $ 100000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERlMEMBER EXCLUDED? ---- SJ-DISEASE - EA EMPLOYEE $ 100000 <br /> If yes, describe under E.L DISEASE. POLICY LIMIT $ 500000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />A I Equipment SCP32354087 12/23/01 12/23/02 Rented 5000 <br />i Ded. $500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> <br />CERTIFICA TE HOLDER <br /> <br />(jJF~ ~ <br /> <br />City of Zephyrhills <br />Building Department <br />5335 Eighth Street <br />Zephyrhills FL 33542 <br /> <br />CANCELLATION <br />CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />REPRESENTATIVES. <br />AU IZED ~NTA <br /> <br /> <br />@ACORDCORPORATION 198 <br /> <br />ACORD 25 (2001/08) <br />