|
<br />05/87/2003 09:13
<br />3/0612003 09:47AM
<br />
<br />2553898182 PETTUS MECHANICAL
<br />McGriff, Seibe15 and Williams
<br />
<br />PAGE 2
<br />
<br />PAGE 82
<br />Of' ~
<br />
<br />... It "0 :~'j~.~'-A~"I''''..;;;,~..~;~t}I'':,a~Wl&_'''''''''\I'''':'''; .',:...."..,:. ",'..:' '''o:''~;,:)F;';-t:''''oiTE{MMiODIyyi'''~:
<br />:: ~~ RD... :::~[~i'~~~L;~S!t~~@~,~.~~(:}! '.. . "',,..~<~ ," :'fn;:';1Uik~i 6/06/03 ,:
<br />.. p'icOi:i'u~ljf"'" "'.. '...'. '''W nw...'.....",....'"..,.."yW,..,.,..".."........... ..,,,,,,,..,," THIS cERTiFiCATE IS ISSUED AS' A. MATTER OF INJ:O~"ATION
<br />BI~L1INGH~w ONLy AND CONF=ERS NO RIGHTS UPON THE CERTIFICATE
<br />An "" HOLDER. THIS CERTIFICATE DOES NOT AMENt), EXTEND OR
<br />MCGRIFF, mBElS AND WILLIAMS AL TEFt THE COVERAGE AFFORDED BY TIoI.. POLICIES BELOW.
<br />P,O BOX 10165 COMPANIES AFFORDING COVERAGE
<br />BIRMINGHRM AL 35202-0265 COlAP"',iV
<br />(205) 252-987\ A FIRE & CASUAL TV INSURANCE
<br />
<br />IN5UIl!D
<br />
<br />Pettus Plunbing & Piping, Inc.
<br />PO, Box 3237
<br />Huscle Shoah, Al 35662
<br />
<br />COt-ApANY
<br />B
<br />
<br />COMPANY
<br />C
<br />
<br />COUPAI,Y
<br />o
<br />
<br />;;~~~~A~~~.~:~.~~.~. ~f~'I~~'.~t ~11.jjftj~~J~k~~~r:f~~ i~~ ~1..~~X~~:t~~;~i.~]:;~:~I; ft: ~~~:!~F;f::1:r~~.~~i;~;;~tr.:~~:;: ~r~~.~]~:.~::8; ~~J:~}.t,~:ttt1t~ ~~?:~I~F:~ji~~rI@}~;~~~.~i;fi~;;ij;?g,:~?;E~H6~~~lt~ t.~(~t.;~~.E~t~~~:.:;~
<br />
<br />THIS IS TO CERTIFYTHA T THE POLlCIESOF IN8UR ANCELlSTED BEl.OW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEI'lIOO
<br />INDICA TED,NOTWITHST ANDINO ANY REQUIREMENT ,TERMOR CONDITION OF ANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
<br />CERTIPICA TE MA Y BE ISSUED OR MA V PERT AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU8JECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MA Y HA VE iEEN REDUCED BY PAID CLAIMS.
<br />00 . TYl'E OF INllU....NCE POl-ICY NUMBEIl POUCY EFFECn1lE POLICY &XPIIlA no
<br />L 1ll ! ; DATI! (MMIDOI'fY) DATi (IlIU1DIlIYY)
<br />
<br />....1T9
<br />
<br />CiNIEIlAl-LIABI\..ITY
<br />COM','J:RCI~L :lEN:"~L _IA8Il1TY
<br />CL,'.'fAS MA:lE 0 OCCUR
<br />'_''#1\1:: 1'$3- CC"Illl"CIOH'S rll'Jl
<br />
<br />GENERAL "'OOREG"TE S
<br />PflOOUCTS.COMP lOP AGG 's
<br />PEIlSONAL & Ar:;\! INJURY f
<br />EliCH OCCUllIlt:NCE
<br />"llIe {)At.tAGE ("'ny 0>nR r;,,,) i S
<br />f.Ia) EXP (An~ on~ per9Qn)
<br />
<br />, AUTOMOBII..~ L1ABR..ITY
<br />;"\l':" ~.tJTC
<br />
<br />COt..1BIN~ SINGLI:. LII.1;1
<br />
<br />...:J. :vmE? .o.W'CS
<br />SCI-:EJWLEO ,,,uI.:>S
<br />HIRE) .\UTOS
<br />N:'1N,C!WNi'rl 4Umr,
<br />
<br />SODIL y INJUR~
<br />(Per ~erso~i
<br />
<br />BOOIL Y INJURY
<br />(pe, acclOe"t)
<br />
<br />$
<br />
<br />,....
<br />
<br />~RTY O"MA<lE i $
<br />
<br />i D"'IlAa~ LIAalLrrY
<br />
<br />;"\lV ~lJ1('l
<br />
<br />AUf 0 ONL y , EA ACC'DENT J
<br />OTHF/; THAN "liTO 01011 1:
<br />EACH ACCIOeNT $
<br />^GG~ATE S
<br />EAClI OCCUflRCNCE
<br />.'.l:IGREeA rE
<br />
<br />, !J[C!5' LI....ILITY
<br />UM5~e;LlA "ORU
<br />QTIiEP IHAN ~MBRELl~ FORM
<br />A I ~::~::Il~~t::~~A:IDN "'ND
<br />
<br />IHE PRCOVR E7::JF;{
<br />, ?ARINE'lSiEXECUT 'JE
<br />I OFFICERS Af;E:
<br />
<br />OTHE.
<br />
<br />INC~
<br />EXCl
<br />
<br />CG~\ mesoo
<br />STATES OF: OE, VA, UI,
<br />FL
<br />
<br />3/0'/03
<br />
<br />3/01/0~
<br />
<br />
<br />A TJONSLOQ"TIONBJVeH ICLE
<br />
<br />RE: Gary W. Pettus - 10 ~Om70, 013571
<br />
<br />: ~'~~~~a!f~~~~~ fb jt.!' :~!~~:~~.~'~-.i~~.:!~~:~~,~r~~J.~:r~.~:~~~,:~~~:~ !~~:~:i.::~t ~~~]~~~~:.~~~.~:;t;~~~~~~~~..?{~~~.~~ ~~~~~ ~~.g;~fr!f:7f:~7:f#::f.~~}~~.~;:; ~~~<~}1!~t!t: f.~~~t::~:f5~~~.~:~~:{
<br />
<br />Pa~co County BOee
<br />7530 little Road i212
<br />Ne~ Port Richy, FL 3~65~
<br />
<br />$HOUUl .>.NY OF TH~ ABO\IE DliSCRl8SD POl.ICIES n CANCELLED BI!FORI THEi
<br />I!XPIAATIOH OloTE TttEIlEOF, THE IIIIIUlNa COMPANY wu. ENDEAVOR to MAL
<br />..,19, , DAYB WRITTEN NOTlei TO ltiE CEIlTIFfCATE HOLD!!R NAMED TO THli: LEFT,
<br />.UT F"IL..WIE TO MAIL sucH NOTIOE SHALL U\olP09E NO OBl-IOATIDN Ollll.....U.ITY
<br />OF ANY KIND UPON TH! COMPANY, ITS ACENT9 OR llePR!8!IIITA11VE$,
<br />AUTHD~ IlECCNTATWE
<br />,/ ~
<br />(.......", ",
<br />~. ~L .~f~ ~~~.;:~.~ :.~:t~~.j ::3:.~~~? ~::~~i ~f..j:i~!~~~~~t~~n.~~~~:: i:~~ r.~::~:~: ;::~~~.~;.:: ~:~;':~~~:~~~~J:~\.:!:. ~t~~~: ~::::~
<br />
<br />
<br />
|