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07-6972
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07-6972
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Last modified
3/6/2009 4:33:26 PM
Creation date
1/11/2008 8:42:43 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6972
Building Department - Name
KEENE,AUDRY
Address
37642 PRADO PLACE
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<br />Gold Seal RooTin~ <br /> <br />8136203191 <br /> <br />p.4 <br /> <br /> ACQRD.. CERTIFICATE OF LIABILITY INSURANCE OP ID :L~ DATE IMMlDD/VYVV) <br /> GOLDS-:L J.1/03/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hockman Lackey ~nsurance, :Inc. HOLDER. nus CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3438 Colwell Avenue At TER THE COVERAGE AFFOROeo BY THE POLICIES BELOW. <br />T ')a VI. 33614 <br />~e:8~3-636-4000 Pax:8:L3-281-J.08G INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A; Canal :Indemnit.y <br /> Gold Seal Rooting & INSURER B: Hanove~ %usurance Company <br /> con~truction, Inc. INSURER C: <br /> Don Perffilson <br /> S400 B. Diana Street INSURER 0: <br /> Tlmlpa PI. 33610 INSURER 1;,: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED eELOW HAVE DEEN ISSUED TO THF..INSUREO NAMED ABove FOR THe POLICY PERIOD INDICATED. NO'TWrrHSTANOING <br />ANY REQUIREMeNT, TERM OR CONDmON OF ANV CONTRl\CT OR OTHCR DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAV Dr;: ISSUED OR <br />MAY PERTAIN. THE INSUAANCEAFFORDEO BY THE POLICIES DESCRlseD HEI\EIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONOmoNS OF SUCH <br />POLICIES. AGGRr;:GATE UMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />I Pouev NUMBER <br />LTR N$R TYPE OF INSURANCe DATE rMMlOD/YY'- DATI: '",M/DDNVI UMIT$ <br /> 1~1!RA1. UABlUTY EACH OCCUFlRENCE 5:1.,000,000 <br />A X COMMERCIAL GENERAL UABII.ITY GL941078 10/28/06 10/28/0'7 PREMISES {E8 OCCUl'encel S 50,000 <br /> I CLAIMS tMl)E [iJ OCCUA /' MI;D EXP (Any Dne Il""-I) S 5,000 <br /> - PERSONAL & ADV INJURY S 1,000,000 <br /> - Gt:NERAL AGGREGATe 52,000,000 <br /> ~'L AGGREnE ~~~ APrt PER: PROOUCTs.COMP~PAGG $ Included <br /> POLICY JeCT LOC <br /> I~DM08ILE LIABILITY COMBINED SINGLE LIMIT 51.,000,000 <br />:B ~ ANY AUTO ADJ81200S7 01 10/28/06 1.0/28/07 (Ea occld8l1l) <br /> - AlL OWNED AUTOS B()I)IL Y INJURY <br /> SCHEDULEl) AUTOS (Pllf'pelallll) S <br /> ~ <br /> ..!.. HIRED AUTOS DOelLY INJURY <br /> ..!.. NON.OWNED AUTOS (Per 8CCIdenl) $ <br /> - PROPERTY DAMAOE S <br /> (Per BCCldeI\t) <br />-..... GARAGe UABlUTY AUTO ONL II .J;A ACCIOl;NT <br /> $ <br /> R ANY AUTO OTHEfl THAN EA ACC $ <br /> AUTO ONLY: AGG S <br /> EXCES3/UMBRI!l.l.A LIAIlIUTY eACH OCCURRENCE S <br /> =:J OCCUR 0 CLAIMS MADt: AOCREGA TE $ <br /> S <br /> ==i DEDUCTIBLe S <br /> ~T10N S S <br /> WORKERS COMl'ENSAll0N AND h~"'LIM;Ts I IVE~. <br /> !!MI'I.0YERS" LIABII.ITY <br /> ANY I'ROPRleTORlPAIONERlEXECUTlVE E.L EACH ACCIDENT $ <br /> OFI'"ICER/MEMBER EXCLUDED? Eo!.. DISEASE. EA EMPLOYEE S <br /> ~~I~~~=~Sbelow E.L. DISEASE. POLICy LlMrr S <br /> OTHER <br />DI!SC~PTION OF OPERATIONS / 1.0CAllDNS I VEHICLES / EXCLUSlON$AOOeO BY !!"'OORSENENT I SPECIAL PROVlSIOlll3 <br /> <br />:ERnFICATe HOLDER <br /> <br />'-,,' <br /> <br />The City of zephryhills <br />5335 8th Street <br />Zephyrhills PI. 33542 <br /> <br />CANCELLATION <br />C'1'YZl!:PH 5HOUUl ANV OF THE ABOVE DESCRIBeD POLICIES 81! CANCEI.LED BEFORS THE EXPIRATION <br />DATe THEREOF. THI! ISSUINO INSURI!R WILL ENDEAVOR TO MAlL ~ DAVS WRiTTeN <br />NOTICE! TO THE CERTI"CATE HOLDER NAMED TO THE I.EFT. BUT FAlI.URE TO DO SO SHAI.L <br />IMPOSE NO OBLIGATION OR LIABIUTY OF Al4Y KINO UPON TH! INSURER, rrs AGENTS OR <br />REPRE9ENTATlVl!$. <br />AIITHORIZED AE <br /> <br />\CORD 25 (2001/08) <br /> <br />Mat <br /> <br /> <br />~ <br /> <br />C ACORO CORPORATION 1988 <br />
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