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~M CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDIYYYYI 08/03/2007 PRODUCER (407) 788-3000 FAX (407)788-7933 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4915 W. Cypress St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Tampa, Fl 33607 INSURERS AFFORDING COVERAGE NAIC# INSURED A & H Electrical Services, Inc. INSURER A: Old Dominion Ins. Co. 40231 P.O. Box 82981 INSURER B: Auto-Owners Insurance Co. 18988 Tampa, FL 33682-2981 INSURER C: AmCOMP, Inc. INSURER 0: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I4DD'l TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MPG71368 06/01/2007 06/01/2008 EACH OCCURRENCE $ 1,000.00~ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100.000 ~ :J ClAIMS MADE [K) OCCUR MED EXP (Any one pBrson) $ 10,000 A X PERSONAL & ADV INJURY $ 1 000. 00(: I-- 2,OOO.00~ GENERAL AGGREGATE $ I-- 2.000.00~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMNOPAGG $ n ,nPRO. n POLICY JECT lOC AUTOMOBILE LIABiliTY 9542523102 03/15/2007 03/15/2008 COMBINED SINGLE LIMIT I-- $ X ANY AUTO lEa accidBnl) 1. 000. OO~ I-- - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Pef person) B - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Por eccidBnt) - '-- PROPERTY DAMAGE $ (Pet accident) ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ :=JESSIUMBRELlA LIABILITY 95 425231 03 03/15/2007 03/15/2008 EACH OCCURRENCE $ 2 ,000 0()1I OCCUR 0 CLAIMS MAOE AGGREGATE $ 2,OOO,00~ B $ ~ DEDUCTIBLE $ X RETENTION $ 10, OO~ $ WORKERS COMPENSATION AND WCV7070721 01/01/2007 01/01/2008 X I T"X~~T~I.l.;!;, I IOJ~ EMPLOYERS' LIABILITY 500.00{l C ANY PROPRIETORIPARTNERlEXECUTIVE E,L EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? E,l, DISEASE. EA EMPLOYEE $ 500.00~ ~reMt'~'Ov~s~8NS below E,L DISEASE. POLICY LIMIT $ 500.00(] OTHER DESCRIPT~N 0; OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: C ar es A. Himes - Qualified License Holder #ECOO02891 ity of Zephyrhills is additional insured with respects to general liability per form# 64-5481. City of Zephyrhills Building Department 5335 8th St. Zephyrhills. FL 33542 SHOULD ANY OF THE ABOVE DESCRIBED POLICiES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAnVE ~C 0 ../ -""'-/ Don Le r r ACORD 25 (2001/08) FAX: (813)780-0021 @ACORD CORPORATION 1988