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02-1627
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02-1627
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Last modified
3/6/2009 2:53:39 PM
Creation date
11/29/2006 8:57:17 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
02-1627
Building Department - Name
WHITES LAND AND BLD
Address
3961 COPELAND DR
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<br />:... ~. <br />. .... <br /> <br />IA:"~ORD. CERTIFICATE OF LIABILITY INSURANCE DATE <br />8/29/02 <br />~ODUCE~: iT"JS CERl1FlCATE IS ISSUED AS A HATTY OF INFORMA't1ON ONLY AND CONFERS <br />'OU~~ INSURANCE, INC. NO IUGlfTS uPON THE CI!RnFlCATI! HOLDER. TIfIS C%R'l'D'J:CATE DOES NOT AMeND <br />01 STARCRE~" o~ wr,: eXTEND OR ALTER THE COVEAAGI! AI"O~DEP BVTHE "O~C1E5 BELOW. ' <br />1.'0 BOX 6tJ90 <br />CLEARWATl::R, Eo':" 337SA-(i090 INSVRERS AFFORDING COVEKAGL !\IALC 11 <br />PHONE:727-447-6481 FAX:727.44!1-1267 <br />NSURfD, lNSURE~ Ai AMERICAN CASUALlY COMPANY OF RF.ADING. PA <br />SOUTHEAST PERSONNEL LEA~ING INSURER B: <br />905 MLK JR. DRIVE SUITE HO mNSURER C: <br />TARPON SPRINGS I F!. 34689 INSURER D: <br />PHONE: 727-93B-5562 tNSuRF.R e: <br /> <br />COVERAGES <br /> <br />THE POuces OF INStJRANo. 1,1ST"fD BELOW HAVE BEEN [SSUED TO THE INSURED NAM.,O Aei)VE FOR THE POLICY PERIOD tNDICATEO. NOlWCTl15TANDING AN'W KI;QUIREMENT. TEAH <br />OK CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrrH RESPECT TO IM1ICI1 nus CEI\TlFlCATE MAY BE ISSUED OR MAY PERTA[N, 'tHe IIIlSURANCE AFFOApeD BY THE POLICIES <br />DFl'iCll.IIlFD HEl\elN IS SU8JECT TO ALL THE TERMS Exa.uSl0NS AND CONDITlOflS OF SUCH POLleES. ^GGREGATE LIMn'S SHOWN MAY HAVE BEEN KroUC;O BY PAID CL-^[MS. <br />INSR ~DI. POUCY EFFECTIVE POLICY l!Xl'IRATlON <br /> TYI'E O~ INSURANCE POLICY NUMBER OAT!! rM~1,ElVVl LIMITS <br />LVII I~~D IMMJOOJYY' <br /> ~I!ItAL UAIIJ:LrTT ~ <br /> ~11 OCC\JRI\ENCE <br /> I rOMMEIl.CIAL GI:NIlLt:1LllY ~AGF. TO RENTED <br /> I CLAtMS MIIOE OCCUR PREMISES (EA OCCURENCE) <br /> MEO EXP <br /> "- ~RSONAL . ADV IKJURY $ <br /> EfAGURFC;ATF LnlIT APTIER: [GeNERAL AGGREGAT~ <br /> POLiCY D PIl.OJECT LOC PROOUCTS ' COMP/OP ^GG <br /> ~DHCIJn.E LIAB1UT'Y ~MaI./lltD StNlo'LF, LIMIT <br /> 1= ANY AUTO (EA ACC(D[IIIT) <br /> 1= ALL OWNF.D AIITOS BOOILY [NJURY ~ <br /> == SCHEDULED AUTOS PER PERSON) <br /> = HIRED AUTOS BODILY OOURY <br /> ~ <br /> = NON-OWNED AU10S (PER ACCIDENT) <br /> ~ ROI1;RTY DAMAGE ~ <br /> '-- - PER ACCIDENT) <br /> lW GEUA8D.J:'\'V lrrO ONLY - EA ACC\OEIIIT Is <br /> i=: ANY AUTO O'THER THAN EAACC ~ <br /> lTTOS ONLY: AGe; ~ <br /> .. <br /> tfJU'nUABDnY EACH OCC\JRRl;lIICE ~ <br /> OCCUR CLAIJ\IIS MADF !AGGREGATE L <br /> DEDUcrI13LE <br /> =:J RETENTtON S <br /> . 1$ <br />A =IUtERS COMPENSATION AND iiCJ.66791.601 J.2/31/01 C l.2/31/02.-/ " ~R; STAT\!' cl ~t1 <br /> PUlTERS' UAIl!LJTT RY LIMITS <br /> ~"Y PROPR1ETORlPAK'\"Nl:R/~Cvn\IE '.l, EACH ACaDENT lOOOOOO <br /> PFfICERlMEI'I8l!K E1;ClUDED7 <br /> F YfS, llESCRIBE UNDER ,L DlSEI\SE - El\ l!I'IPLOYEE 1000000 <br /> !lPCCIAl PROVISIONS BELOW .L. DISeASE' POLICY UMn 1000000 <br /> OTHER <br /> 8/16/02 FAX:81J-269-94:!/;/MAIL ORIGINAL "It) HOLDER I REISSUE 08-27-02 <br />i:iESCRlF'ftON OF OI'ERA1l0I'tS/LOCATIONS/VF.HItu:5lEXCLUSlONS ADDEO BY ENDOkSl:Ml:NT/spIlCIAL pROVISIONS: <br />~~~RAG2 ~t'l'Llb:S ONLY TO '!ROSl:; EMt'LOYEB:S 1,,!l:ASt:D '1'0 ntrr NOT StlilCONl'RJt,CT0R8 OJ? BARNETT BUILD!l'lS & CONTlW:TORS!NC .ICENNETlI <br />ARNnT AS qUAl..1JIJ1R CLIENT # 211g:.a87 ADD ON DATE J/l~/02 . <br /> '. <br /> <br />CERTIFICATE HOLOER <br /> <br />PAsco COONTTY LICENSING <br />HOCC <br />'/:J87 LITTLE RD <br />NEW PORT RICHEY, l~L :141\54-5521 <br /> <br />CANCELLATION <br /> <br />!SHOULD A1lr OF mE ABOVe OE5(;RIBeD POUCIES Ill: CANCELleD BefORE THE CXPlIU>;T10N <br />p.~ THEREO~, 'flit: ISSUING lNSURER W.!U. ENDEAvO!\ TO MALL 30 D^YS WRrlTEN <br />I""'IICf YO nil: Cl:RnFIO\TE HOLDER NAMED TO Ttll: LF,FT, BUT FALLURE TO DO SO SHALL <br />IMI'OSf NO OI!I.IGATlON OR UABrLITY or- ANi KIND UPON THE INSURER, rrs A(.IENTS OR <br />REpRESENTATIVES. . ~, <br /> <br />L <br /> <br />ACOIltlI5 IIDDI/D8) <br /> <br />~~~ <br /> <br />OlACOI\D COlIJ'QllAn"'f 1988 <br /> <br />100/100 ~ <br /> <br />1 Tauuos~ad lSgaqlnos 9CIZ LC6 LZL IVd SZ:Ll nRL ZOOZ/6Z/90 <br />
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