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07-6872
Zephyrhills
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2007
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07-6872
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Last modified
3/6/2009 4:33:58 PM
Creation date
1/10/2008 8:54:02 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6872
Building Department - Name
DAUGHTRY RD PROFF.
Address
37914 DAUGHTRY RD
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<br />To: City of 2ephyrhills <br /> <br />From: Amanda <br /> <br />Phone: <br /> <br />941 <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 />Dlte (nmldcVyy) <br /> <br />7/17/2007 <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 />FL 33950 <br /> <br />NSR <br />LTR <br /> <br />TYPE Of INSURANCE <br /> <br />POLICY NUMBER <br /> <br />LIMITS <br /> <br />S <br />S <br />S <br />S <br />S <br />S <br />S <br /> <br />GENERAL LIABILITY <br />COMMEROAl GENERAl UAB <br />!\1l' CLAIMS MADE o OCCUR <br /> <br />lOC <br /> <br />COMBINED SINGLE UMIT <br /> <br />s <br /> <br />BODilY INJURY <br />(Per person) <br />BODilY INJURY <br />(Per llCCidenl) <br />PROPERTY DAMAGE <br />(Per accidenl) <br /> <br />s <br /> <br />s <br /> <br />DEDUCTIBLE <br />RETENTION S <br />A WORKERS' COMPENSATION & <br />EMPlOYERS' LIABILITY <br /> <br />S <br />AUTO ONLY. EA ACODENT S <br />OTHER THAN EA AC S <br />AUTO ONLY: AGG S <br />EACH OCCURRENCE S <br />AGGREGATE S <br />S <br />S <br />S <br /> <br /> <br />WCPE0000000802 <br /> <br />6/15/2007 6/15/2008 <br /> <br />STATUTORY lIMIT <br />El EACH ACCIDENT <br />El DISEASE. EA EMPLOYEE <br />El DISEASE. POliCY UMIT <br /> <br />Cover~e provided for all leased employees but not subcontractors of: HTS, LLC. <br />Client Effective Date: 01101/2007 <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 POLICIES BE CANCELLED BEfORE THE <br />EXPIRA TlON DATE THEREOF, THE ISSUING COMPANY WLl ENDEAVOR TO MAil <br />~Q__~_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 KIND UPON THE COMPANY, ITS AGENTS OR REPRE. <br />SENT A TIVES, . 10 Days for Non-Paymenl of Premium <br />AUTHORIZED <br />REPRESENTATIVE <br /> <br />a..ctdW~ <br /> <br /> <br />Douglas Ulak <br />
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