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06-5948
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2006
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06-5948
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Last modified
3/6/2009 4:18:55 PM
Creation date
6/7/2007 10:49:40 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5948
Building Department - Name
KRINGLE,MARVIN
Address
7237 HIGHLAND LP
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<br />GeneJ;al Liability Declarations Page <br /> <br />Agent Name: <br /> <br />Agent Phone II: <br /> <br />. <br />~amed Insured: <br /> <br />Mailing Address: <br /> <br />Policy Number: <br /> <br />Previous Policy ID: <br /> <br />Effective Dales: <br /> <br />Activity: <br /> <br />Bus.incss T)'pe: <br /> <br />Covrrages and <br />Premiums: <br /> <br />Location Addrrss: <br /> <br />Forms and <br />Endorsements: <br /> <br />Important Notice to <br />POlic)'bolders: <br /> <br />2'd <br /> <br />Great Florida Insurance <br />23114 SR 54 <br />Lutz, FL 33549 <br /> <br />All <br /> <br />~ . <br />Hi7lenCdn <br />Str~ttgic <br />Insuranc(' <br /> <br />(813) 949-2010 <br /> <br />Agency Code: 413743 <br /> <br />ALEXANDER FENCING, INe. <br />RON ALEXANDER <br />39202 ORIE]\'T AVE <br />ZEPHYRHILLS, FL 33542 <br /> <br />Insuring Company: <br /> <br />American Strategic Insurance Corp <br />805 Executive Center Drive W Suite 300 <br />Saint Petersburg, FL 33702 <br />Phone: (727) 374-2502 <br /> <br />FLR31383 <br />FLR31383 <br /> <br />From: 06/23/2006 To: 06/23/2007 <br /> <br />At 12:0] AM Standard Time at the agent premises <br /> <br />Effective Date of this Transadion: <br /> <br />6/23/2006 <br /> <br />Renewal - General Liability <br /> <br />Corporation <br /> <br />Coverage for liability per referenced fonns and endorsements is provided only where a limit of liability is shown or a premium <br />is stated. <br /> <br />39202 ORIENT ROAD <br />ZEPHYRHILLS, FL 33542 <br /> <br />Asr C 00021004 <br />ASr GL 0006 1002 <br />ASr RISC 0001 10 02 <br />CG 2147 07 98 <br />CG 2167 1204 <br />ASJ RISC 0002 1204 <br /> <br />ASI GL 0003 07 03 <br />ASI GL 0007 10 02 <br />CGOOOI 1204 <br />CG 21 49 09 99 <br />IL 09 85 0 I 03 <br />CG 2294 10 01 <br /> <br />ASI GL 0004 1002 <br />CG 21 86 12 04 <br />CG 02 20 12 04 <br />IL 00 21 0702 <br />CG 24 26 07 04 <br />RISC NOT IMP 12 04 <br /> <br />ASI GL 0005 10 02 <br />ASl GL 0009 10 02 <br />CG 21 46 07 98 <br />CG 0300 OJ 96 <br />ASJ C 0001 10 02 <br />CG 21 70 II 02 <br /> <br />TIilS INSURANCE APPLIES ONLY TO WORK ARISING OtJf OF OPERA nONS wmCH ARE CUSTOMARY <br />TO TIiE CLASSlFICA TION SHOWN IN THE CLASSlFlCA TJON SCHEDULE WHETHER OR NOT <br />INCIDENTAL, <br /> <br />IF YOU SUBCONTRACT WORK TO OTIiERS. YOU MUST OBTAIN A CERTlFICA TE OF INSURANCE FROM <br />THE SUBCONTRACTOR DEMONSTRA TING GENERAL LIABILITY COVERAGE INCLUDING PRODUCTS <br />AND COMPLETED OPERATIONS COVERAGE WITH LIMITS NOT LESS THAN 5100,000. OPERATIONS <br />PERFORMED BY SUBCONTRACTORS WlTIiOUT ADEQUATE INSURANCE SHALL BE CLASSIFIED AND <br />RATED IN THE SAME MANNER AS THOUGH WORK WAS PERFOR-MED BY YOUR EMPLOYEES. <br /> <br />THESE DECLARATIONS, TOGETHER WITH POLICY CONDITIONS AND COVERAGE FORM(S) AND <br />ANY ENDORSEMENT(S), COMPLETE THE ABOVE NUMBERED POLlCY. <br /> <br />!/ . -'74'-'b.. <br />i\ ~ i~,- fl'Y A,lA''9! <br />L <br />Coun......igncd by Authon7.cd Rcprcscnlalive ST, Petersburg, Florida <br /> <br />Date: 04/25/2006 ASI GL DEC 12 03 <br /> <br />ISSO-Sllo-EIB <br /> <br />~apuexaI~ a~uuo~ <br /> <br />dIE:EO SO .1 Inr <br />
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