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ACORD CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MM'DDNYVY) -~--TM 03/08/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bauer & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12210 US Highway 301 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DADE CITY FL 33525 [INSURERS AFFORDING COVERAGE I NAIC# ~3?.l0 567-3702 -- .. ut=-. -- INSURED CHRIS' AlC COMPANY i INSURER A AUTO OWNERS P.O. BOX 1781 ~URER B: BRIDGEFIELD ZEPHYRHILLS, FL 33539 e.!~SUREfl.L~_~__ ~__-l----._.._~_~___.._. ,._ IINSURER 0: ,--~--------,--L--..--,__~___ I INSURER E i 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, --, -.--- --~-~ I~~~ ~~~):; POLICY NUMBER PRAL+~Y EFFECTIVE POLICY EXPIRATION LIMITS , GENERAL LIABILITY 103/07/07 EACH OCCURRENCE I $ 1,000,000 A ' ~.'RO~ G""" '~"m 12-21700 03/07/06 DAMAGE TO RENTE~~ ~--==~__ , CLAIMS MADE X OCCUR MED EXP (Anyone person) I $ 1 O,O.Q.()...___, ____ -~ .-.- -- PERSONAL & ADV INJURY I $ 500,000 ....J -- - GENERAL AGGREGATE $ 1,000,000 IGEN'L AGGREnE LIMIT A~PLlEIS PER PRODUCTS - COMP'OP AGG $ 1,000,000 -- I ' I POLICY ~bW,: i . LOC LEGAL LIABILITY $100,000 I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i___, $ I ANY AUTO (Ea accident) _..J ALL OWNED AUTOS BODILY INJURY $ ~ SCHEDULED AUTOS (Per person) I ----- .1 ",Rm '"'''' BODILY INJURY I $ __ , NON-OWNED AU~~~ I (Per accident) , i ---- -- PROPERTY DAMAGE $ I (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ._u Il ANY AUTO ! I I OTHER THAN ~$ -- j AUTO ONLY: AGG $ EXCESS'UMBRELLA LIABILITY I EACH OCCURRENCE $ I OCCUR D CLAIMS MADE I AGGREGATE $ $ i l DEDUCTIBLE -_.~-------,. I $ _ou_ , l RETENTION $ I $ WORKERS COMPENSATION AND X T WC STATU- I iO,;r~- ---_.._---~-_.._---- B EMPLOYERS' LIABILITY ! 509700 11/14/2005 11/14/2006 $ 100,000 I ANY PROPRIETOR/PARTNER'EXECUTIVE EL EACH ACCIDENT I --- I OFFICER'MEMBER EXCLUDED? I EL DISEASE - EA EMPLOYEE $ 100,000 --- j If yes. describe under SPECIAL PROVISIONS below E,L DISEASE - POLICY LIMIT $ 500,000 r OTHER I I I I I I I DESCRIPTION OF OPERATIONS' LOCATIONS I VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS AIR CONDITIONING REPAIR AND INSTALLATION CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHILLS 5335 8TH STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REP ESENTATIVES. AUT OR 0 EP ESENTAJ:IVE 'CA- ZEPHYRHILLS, FL 33542 ACORD 25 (2001/08)