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<br />ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 L~ DATE (MM/DDIYYYY) <br />WHITALU 02/28/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />J Ro1fe Davis Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Mait1and FL 32794-5255 <br />Phone: 407-691-9600 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Auto-Owners Insurance Co. 18988 <br /> INSURER B: Southern-Owners Insurance Co. 10190 <br /> White A1uminum Products, Inc. INSURER C: American International Special <br /> PO Box 491292 INSURER 0: <br /> Leesburg FL 34749-1292 INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOO INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LTR NSRE TYPE OF INSURANCE POLICY NUMBER DA IE iMMIDDNYI' DATE'IMM/D~ LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> - ~~~~S (Ea occurence) <br />B ~ OMMERCIAL GENERAL LIABILITY 2061239605 03/01/06 03/01/07 $ 100000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 <br /> ~ <br /> ~ Contractua1 per PERSONAL & ADV INJURY $ 1000000 <br /> company form GENERAL AGGREGATE $2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 <br /> n POLICY -txl- ~~8r n LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 <br /> I-- <br />A ..!.. ANY AUTO 4269310900 03/01/06 03/01/07 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Par person) <br /> - <br /> ..!.. HIRED AUTOS BODILY INJURY <br /> $ <br /> ..!.. NON-OWNED AUTOS (Par accidant) <br /> PROPERTY DAMAGE 5 <br /> (Per accidant) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5 <br /> l ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG 5 <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE 52000000 <br />C !J OCCUR D CLAIMS MADE BE9021326 03/01/06 03/01/07 AGGREGATE 52000000 <br /> $ <br /> ~ DEDUCTIBLE 5 <br /> X RETENTION 510000 5 <br /> WORKERS COMPENSATION AND ITO~Y"LIMIi'S I IUE~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNERlEXECUTIVE E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE 5 <br /> ~~EMt"~~v~S1~~s below E L DISEASE - POLICY LIMIT 5 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Reference: Cle1l Coleman License Ho1der CCC035617 and CBCOO1467 <br />*Except as required by Florida Statute. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CIOFZEP <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />IZ REPRESENTATIVE <br /> <br />City of Zephyrhi1ls <br />5335 Eighth Street <br />Zephyrhills FL 33542 <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />