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07-7008
Zephyrhills
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2007
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07-7008
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Last modified
3/6/2009 4:33:15 PM
Creation date
1/15/2008 8:47:39 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
07-7008
Building Department - Name
FL HOSPITAL
Address
7050 GALL BV
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<br /> <br />DATE (MM/DD/YYYY) <br />09/06/2007 <br /> <br />PRODUCER <br />Aon Risk Services, Inc. of ohio <br />c/o client Service Center <br />1000 Milwaukee Avenue <br />Glenview IL 60025 USA <br /> <br />PHONE- 866 283-7122 <br /> <br />FAX- 847 953-5390 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br />xpect First Aid Corp., <br />Cintas Fire Protection <br />d/b/a Gulfcoast Fire & safety Co., Inc. <br />6657 us Highway 301 South <br />Riverview FL 33569 USA <br /> <br />INSURER A: <br /> <br />Greenwich Insurance Company <br />westchester Fire Insurance Co <br />XL Specialty Insurance Co <br /> <br /> N <br /> Of"> <br />NAIC# u. <br />22322 ... <br /> .. <br />21121 == <br />-= <br />37885 .. <br />'0 <br /> - <br /> ... <br /> .. <br /> '0 <br /> '0 <br /> == <br /> <br />INSURER B: <br /> <br />INSURER C: <br /> <br />INSURER D: <br /> <br />INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAl~, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD' <br />L TR II\'SR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY I\'UMBER <br /> <br />POLICY EFFECTlV POLICY EXPIRA TJOI\' <br />DATE(MMIDD\YY) DATE(MMIDD\YV) <br />07/01/07 07/01/08 <br /> <br />LIMITS <br /> <br />A <br /> <br />~'ERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [!] OCCUR <br /> <br />RGD943715702 <br /> <br />EACH OCCURRENCE <br /> <br />DAMAGE TO RENTED <br />PREMISES (Ea occurence) <br />'D, (Anyone person <br /> <br />$2,000,000 <br />$100,000 <br /> <br />PERSONAL & ADV INJURY <br /> <br />$1,000,000 <br />$2,000,000 <br />$1,000,000 <br /> <br />\!l <br />0"1 <br />.-I <br />\!l <br />0"1 <br />"- <br />~ <br />N <br />o <br />o <br />"- <br />'" <br /> <br />GENERAL AGGREGATE <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br /> <br />D POLICY <br /> <br />D PRO- I)(l LOC <br />JECT L.:...J <br /> <br />PRODUCTS - COMP/OP AGG <br /> <br />A AUTOMOBILE LIABILITY RAD943715802 <br /> X ANY AUTO Auto - AOS <br />A RAD943715902 <br /> ALL OWNED AUTOS Auto - MA <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS <br /> X NON OWNED AUTOS <br /> <br />07/01/07 <br /> <br />07/01/08 <br />07/01/08 <br /> <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br /> <br />$ 5 , 000 , 000 <br /> <br />Q <br />Z <br />.2:l <br /><'l <br />'" <br />5 <br />... <br />... <br />.. <br />U <br /> <br />07/01/07 <br /> <br />BODILY INJURY <br />( Per person) <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />GARAGE LIABILITY <br />B ANY AUTO <br /> <br />EXCESS IUMBRELLA LIABILITY <br />~ OCCUR D CLAIMS MADE <br /> <br />AUTO ONLY - EA ACCIDENT <br /> <br />OTHER THAN EA ACC <br />AUTO ONLY: <br /> <br />B <br /> <br />AGG <br /> <br /> <br />G22035277002 <br /> <br />07/01/07 <br /> <br />07 01 8 <br /> <br />EACH OCCURRENCE <br /> <br />AGGREGATE <br /> <br />DDEDUCTlBLE <br />E]RETENTlON $10,000 <br /> <br />c <br />c <br />c <br /> <br />RWD <br />RWR943511402 <br />RWE943512102 <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICER/MEMBER EXCLUDED" <br /> <br />WORKERS COMPEI\'SATlOI\' AND <br />EMPLOYERS' LIABILITY <br /> <br /> <br />OTH- <br />ER <br /> <br />!ryes, describe under SPECIAL PROVISIONS <br />below <br /> <br />E.L DISEASE-EA EMPLOYEE <br />E.L DISEASE-POLICY LIMIT <br /> <br />$1,000,000 = <br />$1,000,000 = <br />$1,000 , 000 iiii <br />~ <br />~ <br />---= <br />.e.- <br />~ <br />:i; -= <br />Ii!fi <br />~ <br />~ <br />~ <br />;; <br />Il:- <br />OIl!!.! <br />~ <br />- <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERA TIONS/LOCA TlONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Workers Compensation coverage noted above applies in the State of Florida. <br /> <br />city of zephyrhills <br />5335 8th Street <br />Zephyrhills FL 33511 USA <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY , <br />OF ANY KJND UPON THE INSURER, ITS AGENTS OR REPRESENT A TlVES. <br /> <br />AUTHORIZED REPRESENTATIVE <br /> <br />~b~~ <br />
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