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<br />ACORD;.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br /> 10/11/2007 <br />PRODUCER (813) 949-8636 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Paragon Risk Management, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 119 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Lutz FL 33548- INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Na tional Insurance Co <br />Cornerstone Air Conditioning & INSURER B: Summi t <br />& Heating Inc %13-1f~t'!l{,~ INSURER C: <br />2922 Land 0 Lakes Blvd INSURER D: <br />Land 0 Lakes FL 34639- xi j-;"'"f'-M-~ INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCl-USIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ~~~~ P~l-+~1:~~~E POLIC!(rPI~N <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE MMID LIMITS <br />A ~NERAL LIABILITY 25CCl71242D1 08/25/2007 08/25/2008 EACH OCCURRENCE $ 1,000,000 <br /> ...!. 3MMERCIAL GENERAL LIABILITY /~ ~~~~~%J?E~~,pence\ $ 200,000 <br /> >-- CLAIMS MADE [1U OCCUR / / / MEOEXP(Anvo~DMSon) $ 10,000 <br /> -... PERSONAL & ADV INJURY $ 1,000,000 <br /> / / / / GENERAL AGGREGATE $ 2,000,000 <br /> @'L AGGREnE ~~MI~ AFlES PER: PRODUCTS-COM~OPAGG $ 2,000,000 <br /> X POLICY JEl5'T LOC / / / / <br /> ~TOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> $ <br /> ANY AUTO (Ea accident) <br /> >-- <br /> >-- ALL O'MIIED AUTOS / / / / BODILY INJURY <br /> (Per person) $ <br /> f-- SCHEDULED AUTOS <br /> f-- HIRED AUTOS / / / / BODILY INJURY <br /> (Per accident) $ <br /> NON-O'MIIED AUTOS <br /> f-- / / / / <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> OESSlUMBRELLA LIABILITY / / / / EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND 19605980 04/13/2007 04/13/2008 X I T~4'IfJNs I 10TH- <br />ER <br /> EMPLOYERS' LIABILITY 100,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE (" E.L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? / / / / E.L. DISEASE - EA EMPLOYEE $ 100,000 <br /> II yes, describe under 500,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER / / / / <br /> / / / / <br /> / / / / <br />DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />( ) - ( ) - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> - <br /> City of Zephyr hills - Building Dept FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> 5335 8th St INSURER. ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE -.fL ". ~ -<3 <br /> Zephvrhills FL 33542- ~ <br /> <br />ACORD 25 (2001/08) <br />~n: INS025 (0108).05 <br /> <br />ELECTRONIC LASER FORMS, INC. - (800)327-0545 <br /> <br />@ACORD CORPORATION 1988 <br />Page 1 012 <br />