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<br /> CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
<br /> 388608
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
<br /> UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY, THIS
<br /> CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />Marsh, Inc, POLICIES DESCRIBED HEREIN,
<br />1166 Avenue of the Americas
<br />New York, NY 10036 COMPANIES AFFORDING COVERAGE
<br />Telephone (212) 345-5000 COMPANY A: AI South Insurance Co,
<br /> COMPANY B: American Home Assurance CO,
<br />INSURED COMPANY C: Commerce & Industry Ins Co
<br /> COMPANY D: Illinois National Insurance Co,
<br />SimplexGrinnell, LP COMPANY E: Insurance Company of the State of PA
<br />4701 OAK FAIR BLVD
<br />TAMPA, FL 33610 COMPANY F: New Hampshire Ins, Co,
<br />United States COMPANY G: New York Marine & General Insurance Co, (Lead)
<br /> COMPANY H: White Mountain Insurance CO,
<br />COVERAGES
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
<br />ANY REQUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
<br />AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY
<br />PAID CLAIMS.
<br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />LTR DATE (MMIDDIYY) DATE (MMIDDIYY)
<br />B GENERAL LIABILITY GL 1595415 6/29/2007 10/1/2008 GENERAL AGGREGATE $15,000,000,00
<br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG $15.000,000,00
<br /> '-- tJ CLAIMS MADE [R] OCCUR PERSONAL & ADV INJURY $7,500,000,00
<br /> I---
<br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $7,500,000,00
<br /> I--- FIRE DAMAGE (Anyone fire) $1,000,000,00
<br /> I---
<br /> MED EXP (Anyone person) $10,000,00
<br />B AUTOMOBILE LIABILITY CA 1606993 (VA) 6/29/2007 10/1/2008 COMBINED SINGLE LIMIT $7,500,000,00
<br />B X ANY AUTO CA 1606992 (MA) 6/29/2007 10/1/2008
<br />B - CA 1606994 (AOS) 6/29/2007 10/1/2008 BODILY INJURY (Per person)
<br /> ALLOWED AUTOS
<br /> -
<br /> SCHEDULED AUTOS
<br /> X HIRED AUTOS BODILY INJURY (Per accident)
<br /> 7 NON-OWNED AUTOS
<br /> I--- PROPERTY DAMAGE
<br /> I---
<br /> PROPERTY
<br />B EXCESS LIABILITY BE 9835073 6/29/2007 10/1/2008 EACH OCCURRENCE $10,000,000,00
<br /> 4 UMBRELLA FORM AGGREGATE $10.000.000,00
<br /> OTHER THAN UMBRELLA FORM
<br />B WORKERS COMPENSATION AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO X I we STATUTORY I I OTHER
<br />LIMITS
<br />0 EMPLOYERS' LIABILITY
<br /> EL EACH ACCIDENT $2,000.000,00
<br />C THE PROPRIETOR!
<br />A PARTNERSIEXECUTIVE RINCL EL DISEASE-POLICY LIMIT $2,000,000,00
<br />F OFFICERS ARE: I EXCL EL DISEASE-EACH EMPLOYEE $2.000,000,00
<br /> OTHER
<br />DESCRIPTION OF OPERATIONSILOCATlONSNEHICLESISPECIAL ITEMS
<br />Please see page 2 for additional insureds and any additional language,
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Zephyrhills SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE
<br /> INSURER AFFORDING COVERAGE WilL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
<br />5335 Eighth Street NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
<br />Zephyrhills, FL 33542 THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE.
<br /> MARSH USA INC, BY: ~ )(frc4~
<br /> Katherine O'Leary, Casualty Program
<br /> MM1(3/02) VALID AS OF: 8/2312007
<br />
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