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07-7208
Zephyrhills
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2007
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07-7208
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Last modified
3/6/2009 4:32:18 PM
Creation date
1/17/2008 10:00:07 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7208
Building Department - Name
MCGILL,PRGGY
Address
39449 8TH AV
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<br />'ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID D9r DATE (MM/DD/YYYY) <br />TROP-18 07/31/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Bouchard-Clearwater ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />101 Starcrest Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />POBox 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Clearwater FL 33758-6090 <br />Phone: 727-447-6481 Fax:727-449-1267 INSURERS AFFORDING COVERAGE NAlC# <br />INSURED INSURER A: Gemini Insurance Company 10833 <br /> INSURER B: Landmark American Ins Co 33138 <br /> Tropical Roofing Inc of HR INSURER C: 24732 <br /> Mea~an Faiola D1rector General Insurance Co of ber <br /> 573 Myerlake Circle INSURER 0: Bridgefield Employers Ins Co 10701 <br /> Clearwater FL 33759 <br /> 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 <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSRC TYPE OF INSURANCE POLICY NUMBER 'D~~E iMMtDD l"8kTE'{MMtb~ LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> f-- <br />A X OMMERCIAL GENERAL LIABILITY VIGP008178 06/12/07 06/12/08 U1\M""'1O $50,000 <br />PREMISES (Ea occurence) <br /> I-- CLAIMS MADE [!] OCCUR <br /> f-- MED EXP (Anyone person) $5,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> I-- <br /> f-- GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 <br /> h . !xl PRO- nLOC Emp Ben. 1,000,000 <br /> POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> f-- $1,000,000 <br />C ~ ANY AUTO 24CC184350-2 06/12/07 06/12/08 (Ea accidenl) <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> HIRED AUTOS BODILY INJURY <br /> - $ <br /> NON-OWNED AUTOS (Per accidenl) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accidenl) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> =1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 <br />B ~ OCCUR 0 CLAIMS MADE LHA040171 06/12/07 06/12/08 AGGREGATE $1,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $nil $ <br /> WORKERS COMPENSATION AND X I TORY LIMITS I IU~R - <br />D EMPLOYERS' LIABILITY 083036746 08/01/07 08/01/08 $ 500000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000 <br /> If yeE;, describe under E.L. DISEASE - POLICY LIMIT $ 500000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITYZEP <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENT TIVES. <br />AUTHOR P SENTA <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />CITY OF ZEPHYRHILLS <br />FAX: 813-780-0021 <br /> <br />ZEPHYYHILLS FL <br /> <br />ACORD 25 (2001/08) <br />
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