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07-6865
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07-6865
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Last modified
3/6/2009 4:34:01 PM
Creation date
1/10/2008 8:43:19 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6865
Building Department - Name
CITY OF Z-HILLS
Address
39421 SOUTH AV
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<br />ACORD' . CE~TIFICA TE OF LIABILITY INSURANCE I DATE; (MMIDDIYY) <br /> '" 0711012007 <br />PRODUCER Sori!:ll # 104667 THIS CI:Ril~ICATE IS ISSUED AS A MATTER OF INFORMATION <br /> LAPLANTE; AGENCY ONLY AND CONFERS NO RIQHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2115 STATE ROAD 580 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> CL.tARWATE.R FL 337G1 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A; MID-CONTINENT CASUAL TV COMPANY <br /> , CHASE GI:NI::KAL CON I KAI,; liNG INC INSI)RI;R iii: <br /> CHRISTOPHER HOARD INSU~ER c: <br /> 248 US AL T 19 SUITE A <br /> I PALM HARBOR Fl 34683 INSURER D, <br /> INSUReR e: <br />COVERAGeS <br />nlE POLICIE;S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ~ERIOD INDICATED, NOTWITHSTANDING <br />ANY Re:aUfREME;NT,TERM OR CONDITION OF ANY CONlRACT OR OTHER DOCUMENTWITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY ~E:RTAIN, THE: INSURANCE AFFORDED BY THE POllOE;S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />I~'~ ~~~ TYPE 01' INSURANCE POUCY NUMBE~ p~k~JJWJ~%'W~ PgklR )( lION LIMITS <br /> ~NERAI. LIABILITY EACH OCCURRENCE $ 1.000,000 <br />A ~ WUMMl:.I'<<';IAL U"'N~i'lAL LIA~lLI r Y 04-GL -OOO64~333 09/03/06 OS/OJ/07 I B~rt.o~Ho l'lIiMTliO $ 100,000 <br /> h CLAIMS MADE []] OCCUI'l M5D F.XP (A~v DnA pon;on\ $ EXCLUDED <br /> - PEMONAL 6. ADV INJURY $ 1.000,000 <br /> " GENERAL AOGREOATE $ 2,000 000 <br /> ~'LAGGR!'in LIMIT APn ~ER: PRODUCTS, COMP/OP AGG S 2.000,000 <br /> X POLICY ~tlRT I LCle <br /> ~TOMoeIL!; Llilen.ITY COMBiNED SINGLE LIMIT m <br /> ANY AUTO (Ea itllidMt) <br /> "- <br /> I-- A~1. QWN~O AUTOS BODILY INJUf<Y $ <br /> SCHEDULlW AUTOS (P....pl!l~M) <br /> i-- <br /> "-- HIRED AUTOS BODILY INJURY ~ <br /> - NON,OWNED AUTOS (Per ~c<;!<.lent) <br /> PROPERTY DAMAGE: $ <br /> (Per accident) <br /> RAAGI; 1IA,B1I..1T'Y AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER l"IAN EA ACC $ <br /> AuTO ONLY: A13G ~ <br /> OESS/UMBRELLA LIABILITY r;;ACH OCCURRENCE $ <br /> OCCUR 0 CI.AIMS MAD!:; AGGREGATE $ <br /> H DEDI)CTI8~F. $ <br /> $ <br /> RETENTION ,~ $ <br /> WORKER'S COMPSNSA nON AND I T~~JmYs I PJ~' <br /> EMPLOYSRS' LlABIL1TY <br /> ANy' P~Of'I'lIS"QR/PAflTNER/5XEiCVTIVE el EACH ACCIDENT $ <br /> ornC!:RIMCMocn r:XOLUOCO? oJ. I;lllil;AliE;. .!;A I;MPll,lYcc ~ <br /> m~I~~'~~6,)j~O'NS belOW El DISEASE . PO~ICY LIMIT $ <br /> OTHEfl <br />DESCRIPTION OF OPERAnONS/LOCATIDNSNEHICl[;S/[;XClUSIOIIIS ADDED BY ENDORSEMENT/SPECIAL PROIIISIONS <br />*I:XCEPT 10 DAYS FOR NON PAYMENT <br />CERTIFICATE HOLDER CANC~U-ATlON <br /> SHOU~D AflV OF THE< Ar;lOVP. CIiSCRIOeO 1"0"'0156 95 CANCGI.I.ED a!;FORe; THE EXPIRATION <br /> CITY OF ZgpHYRHrLl$ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~DAYS WRITTEN <br /> NOTIC!; TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CO SO SHALL <br /> IMPose NO OBLI~ATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REI"RE6ENTATIVE5, <br /> AUTIlORIZED RE?RESENTATIVE OF INDEPENDENT INSURANCE AGENCY <br /> j _.~~ JL.V <br /> <br />ACORD 25 (2001/08) <br />C:\FMPFtO\CERTPFtOS.F~5 <br /> <br />@ACORDCORPORATION1988 <br />
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