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07-6871
Zephyrhills
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Building Department
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2007
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07-6871
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Last modified
3/6/2009 4:33:59 PM
Creation date
1/10/2008 8:52:58 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6871
Building Department - Name
DAUGHTRY D PROFF.
Address
37908 DAUGHTRY RD
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<br />To: City of 2ephyrhills <br /> <br />From: Amanda <br /> <br />Phone: <br /> <br />m <br /> <br />7-17-07 7:59am p. 2 of 2 <br /> <br /> <br />SUNZ Insurance Company <br />PO Box 1777 <br />St Petersburg <br />727-497-1247 <br />www.sunzinsurance.com <br /> <br />DlIte (mmlddlyy) <br /> <br />7/1712007 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> <br />FL 33731 <br /> <br />INSURER SUNZ Insurance Company <br /> <br />INSURER <br /> <br />Insured <br />TXRECO, Inc, d/b/a Pinnacle <br />Employee Leasing <br />Suite 121 <br />115 West Olympia Ave <br />Punta Gorda <br /> <br />INSURER <br /> <br />INSURER <br /> <br /> <br /> <br />INSURER <br /> <br />NSR <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />LIMITS <br /> <br />GENERAL LIABILITY <br />COMMEROAl GEIlERAl UAB <br />CLAIMS MADE DOCCUR <br /> <br />s <br />s <br />s <br />s <br />s <br />s <br />s <br /> <br />COMBI\IED SINGlE UMIT <br /> <br />s <br /> <br />BODILY INJURY <br />(Per person) <br />BODILY INJURY <br />(Per accidenl) <br />PROPERTY DAMAGE <br />(Per 8Cl:ldenl) S <br />AUTO DNl Y - EA ACODENT S <br />OlliER THAN EA A S <br />AUTO ONLY: AGG S <br />EADi OCCURRENCE S <br />AGGREGATE S <br />S <br />S <br />S <br /> <br />S <br /> <br />S <br /> <br />A <br /> <br />WCPE0000000802 <br /> <br />6/1512007 6/15/2008 <br /> <br />STATUTORY LIMIT <br />EL EADi ACCDENT <br />EL DISEASE - EA EMPLOYEE <br />EL DISEASE - POlICY UMIT <br /> <br /> <br />Coverage provided for all leased employees but not subcontractors of: HTS, LLC, <br />Client Effective Date: 0110112007 <br />State of Florida Coverage Only <br /> <br /> <br />City of Zephyrhills <br />Fax 813-780-0021 <br />Phone 813-780-0020 <br />5335 8th st <br />Zephyrhills <br /> <br />FL 33542 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCEllED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WLl ENDEAVOR TO MAil <br />~DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHAll IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENT A TIVES, . 10 Days for Non-Payment of Premium <br />AUTHORIZED <br />REPRESENTATIVE <br /> <br />a-td!!tl/.L <br /> <br />
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