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07-6847
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2007
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07-6847
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Last modified
3/6/2009 4:34:06 PM
Creation date
1/10/2008 8:24:32 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6847
Building Department - Name
BLESSING,L. BRANT
Address
38357 CR54 EAST
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<br />07/0~/2007 14:33 FAX 813 882 3703 <br /> <br />AAA FIRE PROTECTION <br /> <br />~003 <br /> <br />~. ACORD", INSURANCE BINDER 05/~~007 <br /> <br />THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDmONS SHOWN ON THE REVERSE SIDE OF THIS FORM, <br />PRODUCER :gNNo . (813)637-8877 COMPANY BtND~RI <br />FAX Ed(813)637-8484 Greenwich Insurance Company B07053129419 <br /> <br />Office of America, Inc. DAn E~ <br />Street <br /> <br />06/01/2007 <br /> <br /> <br />AM <br /> <br /> <br /> <br />sue CODE: <br /> <br />PM <br />THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br />PER EXPIRING POLICY #: <br /> <br />00073998 <br /> <br />DESCRIPTION OF OPERATIONSlVEHICLESlPROPERTY IlncIuclng Location) <br />ire Sprinkler Contractor- Installatiom, Service, <br />nd repair. <br /> <br />Swenson Group Inc.dba AAA Fire Protection <br />8502 Sunstate Street <br />Ta...., FL 33634 <br /> <br />COVERAGES <br /> <br />LIMITS <br /> <br /> TYPE OF INSURANCE COVERAGfIFORIIS DeDUCTIBLE COlNB'llo AMOUNT <br />PROfII!RTY CAUSES Of LOSS <br />- BASIC 0 BROAD 0 SPEC <br />l- <br />I- <br />GENERAl.. LIA8IUTY EACH OCCURRENCE S 1,000,000 <br />"X COMMERCIAL GENERAL LIABILITY , fiRE DAMAGE (Anyone lire) $ 100,000 <br /> I CLAIMS MADE [!] OCCUR MED EXP (Any one person) s 5,000 <br /> PERSONAl & ADV INJURY $ 1,000.000 <br />~ GENERAL AGGREGATE S 2,000,000 <br /> RETRO DATE FOR CLAIMS MADE: PRODUCTS-COM~OPAGG $ 2,000,000 <br />AUTOUOlllLE UABLITY COMBINED SINGLE LIMIT $ 1,000,000 <br />X NlY AUTO BODILY INJURY (Per person) $ <br />- <br /> AlL OWNED AUTOS I BODILY INJURY (Per accidanl) $ <br />- <br /> SCHEDULED AUTOS PROPERTY DAMAGE $ <br />X HIRED AUTOS MEDICAl. PAYMENTS $ 5,000 <br />X NON-OWNED AUTOS PERSONAl INJURY PROT $ 10,000 <br />X Per project aggregat UNINSURED MOTORIST S 50,000 <br />X Blanket add'linsured s <br />AUTO PHYSICAL DAMAGE DEDUCTIBLE U AlL VEHICLES W SCHEDULED VEHICLES X ACTUAl CASH VAlUE <br />;fi COLLISION: 1,000 STATED AMOUNT $ <br />X OTHER THAN CDL: 1. 000 OTHER <br />GARAGE LIABIUTY AUTO ONLY - EA ACCIDENT $ <br />t-- <br /> ANY AUTO OTHER THAN AUTO ONL v: <br />t-- <br /> EACH ACCIDENT $ <br />t-- <br /> AGGREGATE $ <br />EXCESS LIA8lLllY EACH OCCURRENCE $ 1,000,000 <br />~ UMBRELLA fORM , AGGREGATE $ 1,000,000 <br /> OTHER THAN UMBRELLA fORM RETRO DATE FOR ClAIMS MADE: SELf-INSURED RETENTION $ 10,000 <br /> I WC STATUTORY LIMITS <br /> WORI(I!R"S COMPENSATION E.L. EACH ACCIDENT S 500,000 <br /> AND 500,000 <br /> EMPLOYER'S UA81LITY E.L. DISEASE. EA EMPLOYEE $ <br /> E.L. DISEASE - POLICY LIMIT $ 500,000 <br />lII'EClAI. FEES $ <br />CONDlTIONSI TAXES <br />OTHeR S <br />COVERACiES <br /> ESTIMATED TOTAl PREMIUM $ <br /> <br />NAME & ADDRESS <br /> <br />MORTGAGEE <br /> <br />LOSS PAYEE <br />LONl # <br /> <br />ADDmDNAI. INSURED <br /> <br /> <br /> <br />AUTHORIZED Rl!l'RESEfilTATIVE <br /> <br />ACORD 75-6 (1/98) <br /> <br />NOTE: IMPORTANT STATE INFORMATION ON REVERSE SIDE <br />
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