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06-5881
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06-5881
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Last modified
3/6/2009 4:19:16 PM
Creation date
6/6/2007 11:43:12 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5881
Building Department - Name
INLAND SOUTHEAST
Address
733-7407 GALL BV
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<br />ACORD". <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />I OA TE (MM(OOIYYYy~ <br />6/4/2006 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDEG BY THE POLICIES BELOW <br /> <br />/INSURERS AFFORDING COVERAGE NAIC # . <br />INSURER A: Lexington Insurance Co - <br />INSURERB: Axis Specialty Ins Company <br /> <br />PROOUCEi~ Phone: 440-2<\8-4711 fax: 440-2<\8-5406 <br />Britton-Gallagher and Associates, Inc. <br />6240 SOM Center Rd. <br />Cleveland OH 44139 <br /> <br />INSUREO <br />Galaxy Fireworks Inc. <br />204 E. Martin Luther King Blvd <br />Tamp2. FL 33603 <br /> <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />COVER;\GES <br /> <br />JTHE POL ::IES OF INSURANCE LISTED 8ELOwHAVE 8EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 1 <br />NOTWITE .7ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFI ~TE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRI8ED HEREIN IS SUBJECT TO ALL <br />THe: TER 3, SXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />IN~: ~~~.~ TYP" nF , POLICY NUMBER P.RAL.J.~~ri~~~R~~E P.g~~,~J:~~,WN LIMITS <br />A I :ENERALLlABILITY 7410003 6/10/2006 6/10/2007 EACH OCCURRENCE 51,000,000 <br /> fr"~'G_~"un I ~~~~~s lEa occurence\ 550,000 <br /> !. CLAIMS MACE ~ OCCUR MEO EXP (Anyone pem>n) 5 <br /> i PERSONAL & AOV INJURY sl,OOO,OOO <br /> !- s2,000,000 <br /> ~ .~ GENERAL AGGREGATE <br /> l".!l'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPtOP AGG S2,000,000 <br /> ; POLICY n P,~T [Xl LOC <br /> :~OMOBILE LlABIUTY COMBINED SINGLE LlMIT S <br /> l- ANY AUTO (Ea accident) <br /> ~ All. OWNED AUTOS BODILY INJURY <br /> (Per person) 5 <br /> :- SCHEDULED AUTOS <br /> I HIRED AUTOS <br /> [- BODILY INJURY S <br /> F NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE 5 <br /> (Per accident) <br /> I R"u.sUY AUTO ONLY -EAACCIDENT S <br /> ANY AUTO OTHER THAN EAACC S <br /> AUTO ONLY: AGG S <br />B I ~ESSlUMBRELl.A LIABIUTY EAtJ707511 6/10/2006 6/10/2007 EACH OCCURRENCE 54,000,000 <br /> X OCCUR 0 ClAIMS MADE AGGREGATE 54,000,000 <br /> s <br /> ~ OEOUCTlBLE S <br /> X RETENTION s10,000 S <br /> WORKERS COMPENSATION AND . I ~~.:m~T:J...;, I IO~- <br /> EMPI.OYERS' UABIUTY E.L. EACH ACCIDENT S <br /> ANY PRC1PRIETORlPARTNERlEXECUTlVE <br /> OFFICER/MEMBER EXCLUOED7 E.L. DISEASE - EA EMPLOYEE 5 <br /> Ir yes. describe under E.L. OISEASE . POLlCY LIMIT S <br /> SPECIAL ?ROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VBiICLES / EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS <br />Stand Locac.ion: 7333-7407 Gall Blvd. Zephyrh;i.lls <br />Additional Insured: Pasco County Board of County Commissioners, Inland Southeast Property Mgmt. Corp. , Inland <br />Southeast Merchants Square, LF, Inland Southeast Merchants Square Investment Corp., Inland Retail real Estate Limited <br />Partnership, Inland Retail real Estate Trust, Inc. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD .~ OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> 8EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br />Pasco County Board of County Commissioners WILL EffiJJ::AVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />Inland Southeast Property Mgmt. Corp. CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO <br />750 S. Orlando Ave. Suite 201 SHALL IMPOSE NO 08LIGATION OR LIABILITY OF ANY KIND UPON <br />Winter Park FL 32789 THE INSURER. ITS AGENTS OR REPRESENTATIVES. <br /> AUTHDR~REPRESENTATlVE ~.") <br /> . : '.~ <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORD CORPORATION 1988 <br />
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