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07-6904
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07-6904
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Last modified
3/6/2009 4:33:47 PM
Creation date
1/10/2008 10:00:38 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
07-6904
Building Department - Name
MANDER,A R JR.
Address
6536 STADIUM DR #5 E
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<br />-../ DCDUCTlRLF <br /> <br />. Il r:rr:NTJ~ S <br /> <br />WORKl!RS COMPIINSATlQN AND <br />_1.0YIE'~' L1A1l1UTY <br />B I ANY f'ROPRICTORIPARTNFRIl"XF.C1I1IVt: <br />Of'fICO'lIMCMOER FXCLLJDEo-, <br /> <br />. ~~d::.t~~~~V:~N:~ NoloH <br />!OTHER <br /> <br />Jul 31 07 12:23p <br /> <br />Lc; Edwar"ds Ins <br /> <br />3525676766 <br /> <br />p. 1 <br /> <br />A CORD_ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />PROOUCE'R <br /> <br />OP ID DATI: IMMlODlYYYy) <br />ODONO-l 07 31 07 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> <br />L.G. Edwards Insurance Aqency <br />P.O. Box 1548 <br />Dade City FL 33526-1548 <br />Phohe:352-S67-6751 F4X:352-SG7-G7GG <br /> <br />[U"SURERS AFF~ROING COV~~~E <br />. IN$lJRr:r?A A1~statc Insurance <br />1"N~UR~;R-.AiGs~ii P.us-i:~ss <br /> <br />NAIC# <br />09020 <br /> <br />INSURED <br /> <br />Co <br />P:J:OCJram <br /> <br />O'Donovan'B Air Conditioning & <br />Hel1tillg cOIllp~ny <br />4839 Al.1en Rd. <br />Zcphyrhi11s FL 33541 <br />COVERAGES <br /> <br />INSU~~.h' C <br /> <br />. lNsun\:'~ o. <br /> <br />fN:.iUK(;W 1-" <br /> <br />THE POUCIES OF INSU~ANCE I.ISTCO OCLOW HAVE BEEN ISSUEO TO THE INSURI;O NMI1F.:D ADOVC FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDINQ <br />N>JV ~t::QUI~t:MENT. TERM OR CONDITION ~ ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CeRTIt'ICArr; MAY Be ISSUED OR <br />MAY PERT AlN, THE INSURANCE AFf'OROCO BY THE POLICIES OE$CRI\'I~D HeREIN IS SUtlJECT TO ALL THE TERMS. EXCLUSIONS ANO CONDITIONS OF SUCH <br />POI.ICII:S. AGGREGATE UMIT~ SHOWN MAY HAVC DCEN REDUCED BY PAID CLAIMS. <br />1~ISfr"DO'l.:.". ..... ..-.-- rPOlICV'F<FFr,CYlI/E f'()ll(WI!'J(P1RATlON ,... ....-.....-- <br />I. TR lM"-RO TYf>C 0.:: IN5UIl.ANCF. POUCY NUM8€M I ClAn:: iMM/o'OlVVY DArE' ''''M/OOIVY\ <br />..- I OE.NERAL LWIIl.lrv, I n..... . <br />A ;1 x.. ..o::.C:MMFRCIAI.C;'=Nt:~LLIAnll.lN" ;, 049851744, I 01/07/07 <br />I CLAIMS MADE: I~ OCCllR . <br />, 1 <br />j.. ...... I I <br /> <br />----. .... _I <br />i C\;;N'L IIl::Cru:::CA-n: LlMrr ~PPl,\-;:~l r'lcH' . I <br />IX I POLICY /....; j~ r-I,.oc <br />AUTOMODILI: t.lADILl'l"t <br />1 ANY AUTO <br /> <br />LIMITS <br /> <br />01/07/08 <br /> <br />CACH OCCURRCNCl= ~ 1 , 000 , 000 <br />OIlMIICt:TUl<<:I'IIL.U -....-.-. ----....-... <br />-"'~~~.':1l~~,~L. -=-~O_a. ,_~qo <br />M;'(j !'XI" (Anvl)....l"lI'!'o~) J 5, 000 <br />PE::RSO~I"L ~ "01/ INJURY _ S l.-,.O~~_, OO~. <br />~~L .~99~FCATF $ 1 , Oo.!'./~~~._ <br />PI~OO~C~-.co~P!.:>~~~c_ ~.2-_,OOO ,000 <br /> <br />I <br />) <br />1 <br />A! <br />I <br />I <br /> <br />COMOINCO :;INC;l~. ',1Mll. <br />I"'" ;I<Cid""') <br />--........ <br />DOOILY INJURY <br />(P",,,.....,n) <br /> <br />i 650419867 <br /> <br />j <br />. I ALI.OWNt:I.1AI.lTOS <br />rx. SC~tl:OULCO AUTO:~ <br />.' ~ 1 ~lI1lFD AIJTO:; <br />1; \ NO"'-OVvN~() "VI os <br /> <br />i <br /> <br />10/15/07 <br /> <br />$ 50,000 <br /> <br />10/15/06 <br /> <br />s <br /> <br />I <br />I <br />I <br />j <br />! <br />I <br />I <br /> <br />HOl)l~ Y IN,JVHY <br />('"'' "lXHIn"1) <br /> <br />t <br /> <br />I <br />I <br /> <br />PROPeRlY DAMAGe <br />/PP., "ccid~nt) <br /> <br />$ <br /> <br />GARAGe L1AIUUTv <br />:.-J IINV MJTO <br /> <br />IIlITO 0/111. Y - 1-.Il1'C;C;IDl::NT <br /> <br />$ <br /> <br />t:A ACC S <br /> <br />OTHCR T'iAN <br />AurO O/llL Y. <br /> <br />AGG S <br />$ <br />:J; <br />$ <br />"-1-,-. <br />S <br /> <br />-.-.-.-- <br /> <br />llltCe5S1UMBRELLA UADlLITY <br />I OCCUR 1-- ..! C:~AIMS I\'IADC <br />..-' <br /> <br />EAC~I OCCURRCNCC <br /> <br />ACGRr-CIITF <br />--.-.. <br /> <br />".-- <br /> <br />, 5 <br /> <br />l.x-.L~~Y;;Mirs; I"m'!.. <br />06/02/09 't:.L.t:ACHACClDE:NT -15100000 <br />~~CASc.;:CAr.MP~OYFrf~ 100000 <br />\ F. L OIS~~~- ;;';LI~VLlMrr I. ~ SO 0000 <br />I <br />I <br />I <br /> <br />i WC6873573 <br />I <br /> <br />06/02/07 <br /> <br />, <br />r <br />1 <br /> <br />OF.!iCRIf'TION OF OPERATIONS I lOCATIONS , VfHICLe5 I EXCLUSIONS ADDeo 8Y f;o;t.lOOR6EMENT I SPECIAL Pt\Ol/lSIONS <br /> <br />! <br />I <br /> <br />CERTIFICATE HOLDER <br /> <br />c:J:n OF ZEPHnUl:ILLS <br />(813)790-0021 <br />5335 8'l'H S:mEE'l' <br />ZEP~LLS FL 33541 <br /> <br />CANCELLATION <br />C:ITYOFZ StlOULO ANo( OF THe ABove DESCRIBeD POLICICS DC CANCeLLED BF.F~r: THE elCI'IftllTtOfl <br />OI\TE THEReOF. THE ISSUING INSUReR WILL [.",DEAI/OR TO MAI~ ~ Dl\Y$ WRITTeN <br />NCn~ TO THe CERTIFICATe HOLDER NAMCO TO TH~: Vi""', "UT FAIl.URE TO DO SO SHALL <br />IMf"CSe NO OBLlCATION on LlADILITY OF ANY I(INO UPON Ttle INSUReR. ITS ACENTS OR <br />REPRESENTATIVES. <br /> <br />~~&~ <br />
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