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<br />ACQRo.. CERTIFICATE OF <br /> <br />I.IABILITY INSURANCE I OA'l'E(MMlCO/YVYYj <br />10/30/2006 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA rlON <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY l'HE POUCIES BEL.OW. <br /> INSURERS AFFORDING COVERAGE NAIC;!II <br />, Inc. INSURER A: Scottsdale Insu~ance Company <br /> INSURER B: <br /> INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> <br />PROOUCER <br />Schmalz Insurance Agency <br />3894 ~ampa Road, SU1te B <br />Oldsmar, FL 34677 <br />813-855-6639 <br />INSUREO David Wallace' Associat I.~i <br /> <br />542 Douglas Road <br /> <br />Dunedin, FL 34698 <br /> <br />1727-738-8343 <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN :~:'UiO TO iHE INSUREO NAMED ABOVE ,..OR THE POLICV PERIOO INDICATED, NOTWlTHSiANCING <br />ANY ReQUIREMENT, 'rERM OR CONDITION OF ANY CONl :li .:T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PER'l'AIN, THE INSURANCE AFFORDED BY THE POLle '.~; OESCRIBED HEREIN IS SUBJECr TO ALL iHe TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HA Vi BEEN Ri I J':eD BY PAID CLAIMS, <br />IN;II D'L: .. <br />IorK NliRD NSURANCE POL.1e :.~ <br /> <br />GENERAL L1AllILITY <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />CLAlMSMAOS 00 OCCUR <br /> <br />A CLS1117:3 ;. <br /> <br /> <br />ANYAUTO <br /> <br />liMBER POLI~r~~.fi:'C'r~~~~~i.fp~~N LIMITS <br />DATE MM1DD/VV I~A. M1DD <br /> EACH OCCURRENCE $ 1 000,000 <br /> ~=~~~ 'tE~c=::w.cel $ 100.000 <br /> MEC EXP (Any onll plll'llonj Ii 5.000 <br />:1 06-13-06 06-13-07 pe~soNAl. & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGAre $ 2,000,000 <br /> PROOUCTS. COMP/OP AGG $ 2,000,000 <br /> COM81NED SINGLe LIMI'I' II <br /> (Ee llCCkjent) <br /> BODILY INJURY $ <br /> (Per person! <br /> BODILY INJURY I <br /> CPorllaonl) II <br /> PROPERTY DAMAGE II <br /> (Porllcol~nl) <br /> , AUTO ONLY -!SA ACCIOENT $ <br /> OTHER THAN EAACC $ <br /> AUTO ONI. Y: AGG II <br /> EACI~ OCCURRENCE S <br /> AGGREGATE $ <br /> II <br /> II <br />.. $ <br /> I TO'R~L::JI~S I IOJ~ <br /> E.L EACH ACCIDIiNT II <br /> 6,L, DISEASE - EA EMPLOYE $ <br /> E.L. OISEASE. POLICY L.IMIT ~ <br />Ii D BY ENOORSEMENT I SPECIAl. PROVISIONS <br />., <br /> <br />CANCELLATION <br />SHOUl.D ~Y OF THE ABOVE OESCRIBED POL.ICIES 81! CANCELLEO BEFORE rHa: EXPIRATlO <br />OATE THEREOF, THE ISSUING INSURER WILL ENOEAVO~ TO MAlL.JL DAYS WRl'liEN <br />NOTICE Yo THE CeRTIFICATE HOLDER NAMEO TO THE LEFT, 8U'l'I"AILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTs OR <br />REPRESENTATIIIES. <br />AUTHORIZEO REP <br /> <br /> <br /> <br />GEN'L AGGREGATE LIMn' APPLIES PER: <br />I POLICY ~~S: LOC <br />AUTOMOElILE LlA81LlTY <br />ANY AU1'O <br />ALL OWNED AU'rOS <br />SCHEDULED AUTOS <br />'~'RED AUTOS <br />NON-QWNED AUTOS <br /> <br />exceSS/UMBRELLA LIABILITY <br />OCCUR 0 CLAIMSMAOE <br /> <br />DEOUCTIBLE <br />RETENTION $ <br />WORKEASCOMPENSATlONAND <br />EMPLOyERS' LIABILITY <br />ANY PIIO/'flIiTOM>I\I'cTNCAtliXecUTIVE <br />DI'FIe_eMBER exCWOI!O? <br /> <br />~~'E(;~~~~~I~NS btilow <br />OTHER <br /> <br />DESCRIPTION OF OPERATIONS ILOCA"10N8IVEHICLES / eXCLUBIONS J :.;) <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Zephryhills <br />53358th Street <br />Zephryhills, FL 33542 <br />fax' 813-780-0021 <br /> <br />ACORD2S (2001 108) <br /> <br />10/10 39t1d <br /> <br />30Nt1~nSNI Zit1WHOS <br /> <br />9PG1SS8E18 <br /> <br />1p:01 900G/0E/01 <br />