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<br />May,10 2007 9:31AM
<br />
<br />STAHL
<br />
<br />No, 0804
<br />
<br />p, 2/2
<br />
<br />ACORD.. CERTIFICATE OF LIABiliTY INSURANCE DATE (MMIODNVYY)
<br /> 5/7/2007
<br />PRODUCER (4C7)833-8998 FAX: (407)804-1092 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />StI 0.1 & ~sociates Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />6uS Crescent Excecutive Court AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Suite 112
<br />Lake Mary FL 32746 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED ("107)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 Over],and Road INSURER D
<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 01HER 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 />INSR iADD'L TYPE OF INSURANCE POLICY NUMBER Pr?i'}~~~U66~ Pg~~(~~b~~N LIMITS
<br />ILTR IINSRD
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> - ~~~~~~~?E~~~~';;~encel
<br /> X COMMERCIAL GENERAL LIABILITY $ 50,000
<br />A I CLAIMS MADE ~ OCCUR FEe 6112184 4/15/2007 4/15/2008 MED EXP (Anv one person) $ 5,000
<br /> X Blkt Add'l Insureds PERSONAL & ADV INJURY $ 2,000,000
<br /> -
<br /> ~ Blkt Waiver of Subro GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
<br /> Xl nPRO- n
<br /> X POLICY :IFrT LOC
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> - (Ea aCCident) $
<br /> X ANY AUTO
<br /> -
<br />B ALL OWNED AUTOS AZJ875615801 4/15/2007 4/15/2008 BODILY INJURY
<br /> - {Per person I $
<br /> SCHEDULED AUTOS
<br /> -
<br /> X HIRED AUTOS BODILY INJURY
<br /> - $
<br /> X NON-OWNED AUTOS (Per aCCident)
<br /> -
<br /> PROPERTY DAMAGE $
<br /> (Per aCCIdent)
<br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
<br /> H ANY AUTO OTHER THAN EA ACC $
<br /> AUTO ONLY AGG $
<br /> EXCESSIUMBRELLA LIABILITY ~A'''H roN', 'RR~W'~ $ 3,000,000
<br /> ~ OCCUR D 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 I T'6~{ItJH-s I OTH-
<br /> EMPLOYERS' LIABILITY ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
<br /> Ilyes, describe under
<br /> SPECIAL PROVISIONS below EL DISEASE- POLICY LIMIT $
<br />C OTHER Contractors MZI97507781 4/15/2007 4/15/2008 Rented/Leased
<br /> Equipment Any one Item $150,000
<br /> Idsaster $250,000
<br />DESCRIPTION OF OPERATIONSfL.OCATIONSNEHICLE~XCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
<br />
<br />CERTIFICATE HOLDER
<br />, 3) 780-0021
<br />City Of Zephryhills
<br />5335 8 th Street
<br />Zeph~hills, FL 33540
<br />
<br />CANCELLA T10N
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
<br />
<br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
<br />
<br />INSURER ITS AGENTS OR REPRESENTATIVES.
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />".
<br />
<br />..,,!>,,,,..,,,,,
<br />
<br />Robert Bowles/DIANED
<br />
<br />ACORD 25 (2001(08)
<br />
<br />@ACORDCORPORATlON 1988
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