Laserfiche WebLink
<br />ACORD,.. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) <br /> 4/16/2007 <br />""'1DUCER (407)833-8998 FAX: (407)B04-1092 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA nON <br /> ..ihl & Associates Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />605 Crescent Excecutive Court ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Sui te 112 <br />Lake Mary FL 32746 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED (407)290-3010 Fax: (407) 290-1173 INSURER A: Hudson Specialty <br />Petroleum Equipment Construction, Inc. INSURER B: Hanover Insurance Company <br />P.O. Box 910 INSURER C: Firemans Fund Ins. <br />7232 Overland Road INSURER 0: <br />Apopka FL 32704-0910 INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />l~~: ADD'L P~.k+~~ri~~gg~~ Pgk!fll~':'~~N <br />I'......." TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> f-- ~~~~~~J?E~~~J.7r?ence\ <br /> ~ 5MMERCIAL GENERAL LIABILITY $ 50,000 <br />A CLAIMS MADE ~ OCCUR FEC 6112184 4/15/2007 4/15/2008 MED EXP (Anyone oerson' $ 5,000 <br /> f0- <br /> X B1kt Add'l Insureds PERSONAL & ADV INJURY $ 2,000,000 <br /> X Blkt Waiver of Suhro GENERAL AGGREGATE $ 2,000,000 <br /> @'LAGGREGATE LIMIT flES PER PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> .nPRO- <br /> X POLICY JECr LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> I- <br /> ~ (Ea accident) $ <br /> ANY AUTO <br />B ALL OWNED AUTOS AZJ875615801 4/15/2007 4/15/2008 BODILY INJURY <br /> t--- (Per person) $ <br /> - SCHEDULED AUTOS <br /> ~ HIRED AUTOS BODILY INJURY <br /> ~ (Per accident) $ <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ <br /> ==i ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY I FACH $ 3,000,000 <br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE $ 3,000,000 <br /> $ <br />A ~ DEDUCTIBLE FXS 6112185 4/15/2007 4/15/2008 $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND IXXf STAT~~ I OJ~- <br /> EMPLOYERS' LIABILITY T RY 1M T <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUOED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br />C OTHER Contractors MZI97507781 4/15/2007 4/15/2008 Rented/Leased <br /> Equipment Anyone Item $150,000 <br /> Idsaster $250,000 <br />DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Ron Cardoza License #PC-C04716 <br /> <br />CERTIFICA TE HOLDER <br /> <br />CANCELLA nON <br /> <br />(P13)780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City Of Zephryhills EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Building Department 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />5335 8th Street - <br />Zephryhills, FL 33540 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE _._._---::=_~:~~~., ~.............~ <br /> Robert Bowles/DIANED ~=~ ~--- <br /> <br />ACORD 25 (2001/08) <br />INS025 (0108).08a <br /> <br />@ ACORD CORPORATION 1988 <br />Page 1 of 2 <br />