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ACQRD,M CERTIFICATE OF LIABILITY IN5URANC~o~~~ M~ DATE (MM/DDIYY) 04/07/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ILER WALL & SHONTER INS INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 800 49TH ST NORTH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 14448 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST. PETERSBURG FL 33733 Phone: 727-327-7070 Fax:727-328-2502 INSURERS AFFORDING COVERAGE INSURED '" INSURER A: Old Dominion/National Grange INSURER B: Hanover Insurance Company Aron ElectricRR!nc. INSURER c: FCCI Mutual Insurance Co. JOHN VINCIGUE 2738 20th Avenue North INSURER 0: St. Petersburg FL 337~? I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER ~2~~~itbB~W P2.L!",y i;~':'lRA0}?N LIMITS LTR DATE "(MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $$1,000,000 - B X COMMERCIAL GENERAL LIABILITY OHJ610231503 03/01/03 03/01/04 FIRE DAMAGE (Anyone fire) $ $300,000 I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $$15,000 PERSONAL & ADV INJURY $ $1,000,000 - --~-_. GENERAL AGGREGATE $ $2,000,000 - i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $2,000,000 1'1 n PRO- n I POLICY JECT LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT A I , ANY AUTO B1G42726 02/04/03 02/04/04 (Ea accident) $ 500,000 ~~I ACC ow,,, AOM xl ~e",o",,, AOW~ , BODILY INJURY $ (Per person) X HIRED AUTOS BODILY INJURY R 'o,~ow," ADm' (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ i AUTO ONl.Y: AGG $ I EXCESS LIABILITY EACH OCCURRENCE $ ~ oew' D e~'M'~", AGGREGATE $ $ -l DEDUCTIBLE $ . RETENTION $ . $ WORKERS COMPENSATION AND X I TORY L1MrrS I IOJ~- C EMPLOYERS' LIABILITY 42670 04/01/03 04/01/04 $ $500,000 E.L. EACH ACCIDENT I E.L. DISEASE - EA EMPLOYEE $ $500,000 E.L. DISEASE - POLICY LIMIT $ $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION LEEC010 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO~ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Zephyrhil!s NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th St. REPRESENTATIVES. ZephyrhilIs, FL 33540-4312 AU~ REP'/LENTATlVE .ItJ--/ /) .f/,' I ~.I" ~-v1... 1 "/ A~ . '. ACORD 25-S (7/97) @ACORDCORPORATION 1988