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<br />Date:. 7/10/2007
<br />
<br />Time: 4:22 PM
<br />Page:
<br />
<br />To:
<br />2
<br />
<br />@ 8136217915
<br />
<br />ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATI; (MMJDDNVVY)
<br /> 1M 07/10/2007
<br />PRODUCER (863)688-5495 FAX (863)688-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Herndon & Associates Insurance, llC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />91 lake Morton Dr, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />POBox 3608
<br />lake 1 and, Fl 33802 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURI;D ACREE AIR CONDITIONING INC I N~:.;UI ~t:H A Br;dgef;eld Employers Ins Co
<br /> 3801 Corporex Park Drive IOJf;IIRrR n
<br /> Suite 130 IN~:.;UI,~t:I~ C
<br /> TAMPA, FL 33619-1136 IN::.;!.!! ,~t:I,~ L):
<br /> IOJ'.;IIRrR r
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES 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 />
<br />I~M 'Ws'k~ TYPI; O~ INSURANCI; POLICY NUMBI;R P8k~Y,~~g~ Pg~W" Jr.~~mN
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<br />I;MPLOYE;RS' LIABILITY
<br />ANY 111\~r)1 'I ~Jt:.1 01 ,~I 'Al,~ I Nt:.I,lJt:.)-:.t:.f.:U IIVt:.
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<br />083029721 01/01/2007
<br />
<br />01/01/2008
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<br />x !WC:'.;T^T11 I I<:ml
<br />Tr)RY I IMITri ri;'
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<br />500,000
<br />500,000
<br />500,000
<br />
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />
<br />'.ll.TION
<br />
<br />City of Zephyrhills
<br />5335 8th St
<br />Zephyrhills, Fl 34248
<br />
<br />SHOULD ANY O~ THI; ABO\fl; DI;SCRIBI;D POLlCII;S BI; CANCI;LLI;D BI;~ORI; THI;
<br />I;XPIRATION DATE; THI;RI;O~, THI; ISSUING INSURI;R WILL I;NDI;AVOR TO MAIL
<br />-.l!L.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />BUT ~AILURI; TO MAIL SUCH NOTlCI; SHALL IMPOSI; NO OBLIGATION OR LIABILITY
<br />
<br />O~ ANY KIND UPON THI; INSURI;R, ITS AGI;NTS OR RI;PRI;SI;NTA'TJVI;S,
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />"),/ /
<br />':f 1/ -' //1
<br />~;(( ..I:....-c: .?-",~_.".:.'(.~.G.'I
<br />
<br />Marc W;lder/BElIND
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATION 1988
<br />
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