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<br />09/24/2007 08:08 <br /> <br />8137831374 <br /> <br />BAHR'S PROPANE GAS <br /> <br />PAGE 03/03 <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE f I DA.TE (MMIDomYv) <br />--,., 0812212OO7 <br />PRODUCER THIS CERTIFICATE IS ISSUED A$ A MATTER OF INFORMATfON <br />Jamerson McLean Corporalfon ONLY AND CONFERS NO RIGtrTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 621149 ALTER THE COVERAGE AFFORDED BY THE POUClES BELOW. <br />125 Executive DrIve <br />~~.~L 32782 .' INSURERS AFFORDING COVERAGE NAJCtI <br />INSURED Bahl1l Propane Gas & Air Condltfonlng, Inc.. INSURER Ie UNITED STATES FIRE IN~URANCE CO, 21113 <br />4441 Allen Road INSURER B: Zenith In,.,rance Companv 00984 <br /> INSURER C: <br />Zephyrhllls FL 33541. INSURER D: <br /> INSURER E: <br /> <br />COVERAGeS <br /> <br /> THE POlIOIES OF INSUAANCE LISTED BELOW I4AVE BEEN ISSUED TO THE INSURED NAMED ABOve FOR THE POucY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIReMENT. TERM. OR CONDmON OF ~y CONmACT OR OTHER DOCUMENT WITH RESPECT TO INHICH THIS CERTIACATE MAy BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONs AND CONOmONS OF SUCH <br /> POLICIES. AGGREGATE UMITS SHOVVN MAY HAVE BEEN REDUCED BY PAlD CLAIMS. <br />_ POUCY~ER POUCYBFFeCl1VE POlJCY~TlON UMITS <br /> ~ LlAIlJuTy EACH OCCURRENCE .1,000.000 <br />A X COMMeRCIAL GENERAl LIABILITY 506-863612-8 09/01/2007 09/0112008 2~~;ro REffl'EO .100.000 <br /> - -1 ClAIMS MADE fKJ OCCUR MED EXP (Anv 0119 1IIlIWVl\ $ 5,000 . .. <br /> PeRSONAl & ADV INJURY $ 1 000,000 <br /> GENERALAGGftE~Te . 2.000,000 <br /> .giAG~nUMrr Al'MPER: PROIlUM'C:: - COMPIOP AGG S 2,000,000 <br /> POUCY ':..Rg: lOC <br /> ..!!1:roM08IlE lIA8IUlY COMBINeo SINGlE UMrr $1,000,000 <br />A ~. ANY AlITO 506-863612-8 01/01/2007 09/0112008 (ea 1tCDdIInI) <br /> r-- All OWNED AUTOS BODIL y IN.t\J~ <br /> $ <br /> SCHEDULED AUTOS ~ (Pl!I' pat$On) <br /> rx HIftB) AlITOS BOOIL Y INJURY <br /> -'-'- $ <br /> ~ HON-OWNEo AUTOS (PeIr"""""",) <br /> ~ COMP OED $1,000 ~OPER1Y DAMAGe <br /> X COLL DED $ 2.000 (Per 8Cddetlij $ <br /> qAAGE UUftJTY AUTO ONLY - ~ACCIDENT $ <br /> ANY AUTO OTHeR THAN EAACC Is <br /> AlITO ONLY: A.GG . <br /> EXCESStuII8REI.W\ LIA8IUTY EACH OCCURRENCE $ <br /> ~:J'oecUR 0 CLAIMS MADE AGGREGI\TE $ <br /> S <br /> R ,IPEOUCTl8LE . <br /> RETENTlON $ $ <br /> .WORICelw COMPENSATION AND we STATU-, I 10J:- <br />B EMPLOYER$" LlA8ILnY Z'3&554805 0511112007 0511112001 $ 100,000 <br />ANY PI<<lPR/ETOAIP~'tNeRIEXeClIT1VI< E.L ~ACCIDENT <br /> OFFICERlMEMBER EXCLUDED? E.L OISEAS~. EA ~0YEf I s 100,000 <br /> ~~,~~ <br /> s SroNS ...._ E.L OISEASE - POLICY UMIT $ 500,000 <br /> OTNER <br />0ESalIPTl0N OF OPIiRATIONe, LOCATlON$' WHlCLES I elCCI.U$IONS ADDED In' ENDORSEMENT' J SPECIAl PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Zophyhlll5 <br /> <br />CANCELLATION <br />SHOUlD AI<< OFTNEA.8OVE DelICRlBEDPOI.ICIEsBli CANCELLeD 8I!FORETHEEXPtRA'nON <br />DATl! THEREoF, TNE ISSUING INSURER WIU. ENO&AVOR TO MAL ~ DAYS WR/T'n;N <br />NOTICE TO THe CER11FJcAn fIOLDEfl NAMED TO TttE lEFT. BUT FAILURE TO 00 $0 8HAu. <br />IMPOSE NO 08UGA.TlON Ok UAIIltJTY OF /4H'( lOND UJION ntE INSU~ ~ AGIltml OR <br />REPRESENTATIVES. <br />AUTNOllIIil:eD REPIU!leHTAl1YE <br /> <br /> <br />- <br /> <br />FAX. 813-7811-0021 <br /> <br />'CORD 25 (2001(08) <br />