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07-6544
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2007
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07-6544
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Last modified
3/6/2009 4:35:50 PM
Creation date
6/26/2007 10:56:18 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
07-6544
Building Department - Name
MICHALES,SUSAN
Address
5730 12TH ST
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<br />03/14/2007 10:13 FAX 8139350709 <br /> <br />HEIGHBORHOOO-IHS.SVS. <br /> <br />141001/001 <br /> <br />A'CORQ.. CERTIFICATE OF LIABILITY INSURANCE llATE IMM/DDiYYYY) <br /> 03/14/2007 <br />PROO~C~ft (813)935-1561 FAX (813)93>-0709 TH.I.S.~~ATIFICATE IS ISSUED AS A MATTER 0 <br />Neighborhood Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />14949 N. Florida Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Tampa, FL 33613 INSURERS AFFORDING COVERAGE NAIC #I <br />INSUReD WESLEY CHAPEL ELE.LCTRIC LLC INSURER A; American Strategic Insurance C <br />2>678 Inkwood Place INSUAEFl B: <br />Wesley Chapel, FL 33544 INSURER c: <br /> INSURER D; <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLlCII:S OF INSURANce LISTEO BELOW HAVE BEEN ISSUED TO THE INSUR.ED NAMED A.IilOVE FO~ THE POLICY PEFlIOD INDICATED, IIl0TWITl-lSTANDING <br />ANY REQIIIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR <br />MAY PER" 'AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE rEAMS, EXCLUSIONS AND CONDITIONS OF suet; <br />POl.ICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PArD CLAIMS. <br />LTR NSR TYpE OF INSURANce POLICY NUMBER "'~i+'i'<MMiODr;yr DATe lUMlDD/YYJ LIMITS <br /> GENERAL UABILITY FLR342S3 01/05/2007 01/05/2008 EACH OCCURRENCE S 500,00 <br /> ~ COMMERCIAL GENERAL LIABILITY PReMISES 'E:> a"".ranoel S 100,00 <br /> I CLAIMS MADE 0 OCOUR MED EXP (A"~ one psrsan) $ 5 ,00t <br />A PERSONAL & AD" INJURY 8 500 00 <br /> I-- GENERALACJGREGATE <br /> S 1 000,00 <br /> GEN'L AClClAEGA'r'E LIMIT APPLIES PER: PRODUCTS" COMP/OP AGG S 500,00 <br /> Xl POLICY n ~m n I.OC <br /> AUTOMOBILE LIABILI'r'Y COMBINED SINGLE LIMIT <br /> - S <br /> ANI( AUTO lea ~ldenO <br /> I-- All OWNED AUTOS <br /> I-- BODH. Y INJURY S <br /> SCHeDULED AUTOS (Per person) <br /> I-- <br /> HIRED AUTOS BODILY INJURY <br /> I-- $ <br /> NON-OWNED AUTOS IPor ac;odenO <br /> I-- <br /> I-- PROPERTY DAMAGe s <br /> (Por accldenl) <br /> OARACJE LIABILITY AUTO ONLY' EA ACCIDENT S <br /> =i ANY AUTO OTl-liR THAN lOA AOe S <br /> AUTO ONLY. AGG S <br /> exceSS/UM8RELLA UABILITV EACH OCCURRENCE $ <br /> ~ OCCUR D CLAIMS MADE AGGREGATe . <br /> S <br /> ~ OEDUCTIBLE $ <br /> RiTENTION S S <br /> WORKeRS COMPENSATION ANO I TOAV LIMIT;T IU~~' <br /> EMPLoYERS'UUUWLrrY <br /> ANY PROPRIETOR/PARTNEFIIEXeCUTlve e.L EACH ACCIDENT $ <br /> OFFICERIMiMBER EXOLUDED? E.L DISEASe. EA EMPLOyel S <br /> If res, aeacrllle under <br /> 5 eclAL PROVISIONS b='ow e,L, DISEASE" POLICY LIMIT S <br /> OTHeR <br />OESCFlIPTION Of OPERATIONS I LOCATIONS/ VEHICLES I exCLUSIONS AllOEO BY ENDORSEMeNT I speCIAL PFlOVlSIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCIlIBED PoUCIES Be CAHCIiiLLEO seFORE THE <br /> exPIRATION DATe THEIleOF. THE ISSUINlJ INSURER WILL ENDEAIIDR TO MAIL <br /> --11L- DAYS WRITTEN NOTICE TO THE CeRTIFICATE HOLDER NAMeo TO THE LEFT, <br />City of Zephyrhi1ls SUT FAILURE TO MAlL StICH NOTICe SHALl.IMPOISi NO OBLIGATION 01'1 LIABILITY <br />SBS 8th ST OF ANY KIND UPON THE INSUReR, ITS AGlENTS OR REPRESENTATIVES. <br />Z6:phyrhi"s, FL 33542-4312 AUTHO~ g. ~ <br />ACORD 25 (2001/08) FAX: (813) 780-0021 U <br /> <br /><ClACORD CORPORATION 1988 <br />
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