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<br />11/14/2008 10:49 FAX 3525871159 <br /> <br />PETERSON AGENCV <br /> <br />III 00 1 /002 <br /> <br />A CORD... CERTIFICATE OF LIABILITY INSURANCE I DATEIUMlDDIVYVY) <br /> 11/14/2006 <br />PRODUCER (352) 567-9771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Kyle Peterson :Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />37837 HliIriclian Ave. ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Dade Ci t:y FL 33525- INSURERS AFFORDING COVERAGE NAIC. <br />INSURED INSURER ~ OWNERS INSURANCE CO. <br />DOUGloAS ELECTRZC, mc . INSURER B: SOtnHElUiJ OWNERS ms. CO <br />36425 COV:ING~ON RD. INSUReR c:AVTO OWNERS INS. CO <br /> INSURER D: <br />DADE C:ITY I'L 33525- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTIMTHSTANDING ANY <br />REQUIREMENT, TEIW OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIACATE MAY BE ISSUED OR MAY PER1'AIN, <br />THE INSURANCE AFFORDED BY THE POLICIes OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. exCLUSIONS AND CONOITlONS OF SUc.H POLICIES, <br />I AG~TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS, "&~=::~ PODA"'fl(~~OH <br />INIR <br />I L TR INS TYPE OF INSURANCE, POLlc:Y NUMBER llMml <br />A ~l!lW.lIA8IUlY / / / / EACH OCCURRENCE $ 500,000 <br /> X COMMERCU\L GENERAL LIABIUTY =frel?e~"",\ $ 50,000 <br /> I CLAIM6 toWlE [jJ OCCUR 20543030 02/14/2006 02/14/2007 MED EXP (Any OM pnon) e 5,000 <br /> PERSONAL & AOIIINJURY . 500,000 <br /> r-- I / / / 500.000 <br /> '-- GENERAL AGGREGATE . <br /> ~L AGGREGATe L.IMIT nl!S PER, PRODUCTS - COMP/OF' AGG t 500,000 <br /> POLICY n rr8r LOC I / / / <br /> ~UTOM08lLl! UABlUTY I I I I COM81NED SINGLE LIMIT <br /> (Ea acOdenI) t <br /> ANY AUTO <br /> - I / / / <br /> - AU. OWNED AlITOS BODILY INJURY <br /> (Per per8On) $ <br /> SCHEDULED AUT06 <br /> - I I / I <br /> 1l1RI!D AUTOS BODILY INJURV <br /> I-- (Per llt.dCIBrl) 8 <br /> HON-OWNED AUTOS <br /> '-- I I / I <br /> PROPERTY DAMAGE <br /> lPlll'~) . <br /> GARAGe lIA8ILnv AUTO ONLY. EA ACCIDENT S <br /> R AMY AUTO , I I / / OTHER THAN EA ACC e <br /> AUTO ONL Y~ AGG . <br /> EXCESS/UlllIReUA lIA8ILnY / / I I EACH OCCURRENCE e <br /> ::J OCCuR 0 CL.UIlS MADE AGGREGATE e <br /> e <br /> ~ DEDUCTIBLE / / I / . <br /> , RE1I!NTION $ ~I e <br /> WORKERS COMPEN8A11ON AND / I I / IO~ <br /> EMPLOYERS' UAelUlY <br /> ANY PROPFlIETORIPARTNERlEXECUTIVE E.L EACHACCIDEHT S -- <br /> OFFICERlMEMBEFl EXCLUDED? / I / / E,L, DISEASE, EA EMPlOYeE e <br /> lIyw.-"-~ I!,L DISEASE - POLICY LIMIT . <br /> SPECIAL PROVISIONS beIClw <br /> OTHI!R / / / / <br /> I / I I <br /> / / / / <br />DESCRIPTION OF Ql'ERAl1ONSILOCATlONSlveHIClESIEXCl.U8IONS AIlOI!D BY END0R9EMENTISI'KlAL PROVISIONIS <br /> <br />CERTIFICATE HOLDER <br />( ) (813) 780-0021 <br /> <br />CITY OF ZEPHYRH~LLS <br />BUILDING DEPAR~ <br />5335 E~QH~H ST <br />ZEPHYRHILLS !'L 33542 <br />ACORD 26 (2001/08) <br />ft.- INS02& 101(8)05 <br /> <br /> <br />CANCEU.ATlON <br />SHOULD AflY OF. mE MOVE DESc:RlIilED POLICIES BE CANCeLlED BEFORI! THE <br />EXJI(RA11OH DATe THEREOF, nil! ISSUING INSURER WILL. ENDl!AWR 10 MAIL <br />~ DAYS WRITTEN NO,"CI! TO THE CERTlFlCAlE HOLDER NAMI!D TO THE LEFT, BUT <br />FAILURE TO DO 80 SHALL 1M OBUOATlON OR lIABlLnY OF fj.NY KIND uPON THE <br />INSU AGENTS OR Ul'RE9 <br />AU RE \II! <br /> <br />o ACORD CORPORA liON 1988 <br />p~ 1 ar2 <br />