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<br />
<br />CERTIFICATE NUMBER
<br />
<br />393523
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
<br />UPON THE CERTIFICATE HOLOER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS
<br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES DESCRIBED HEREIN.
<br />
<br />PRODUCER
<br />
<br />Marsh, Inc.
<br />1166 Avenue of the Americas
<br />New York, NY 10036
<br />Telephone (212) 345-5000
<br />
<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 />
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />COMPANY A: AI South Insurance Co.
<br />COMPANY B: American Home Assurance Co.
<br />COMPANY C: Commerce & Industry Ins Co
<br />COMPANY 0: Illinois National Insurance Co.
<br />COMPANY E: Insurance Company of the State of PA
<br />COMPANY F: New Hampshire Ins. Co,
<br />COMPANY G: New York Marine & General Insurance Co. (Lead)
<br />COMPANY H: White Mountain Insurance Co,
<br />
<br />INSURED
<br />
<br />ADT Security Services, Inc.
<br />32100 US Hwy 19 N
<br />Palm Harbor, FL 34684-3727
<br />United States
<br />
<br />CO TYPE OF INSURANCE
<br />LTR
<br />
<br />POLICY NUMBER
<br />
<br />POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />DATE (MMIDDIYY) DATE (MMlDOIYY)
<br />
<br />B AUTOMOBILE LIABILITY
<br />B X ANY AUTO
<br />B ALLOWED AUTOS
<br /> SCHEDULED AUTOS
<br /> X HIRED AUTOS
<br /> X NON-OWNED AUTOS
<br />
<br />CA 1606993 (VA)
<br />CA 1606992 (MA)
<br />CA 1606994 (AOS)
<br />
<br />6/29/2007
<br />6/29/2007
<br />6/29/2007
<br />
<br />10/1/2008
<br />10/1/2008
<br />1 0/1/2008
<br />
<br />GENERAL AGGREGATE
<br />PRODUCTS - COMP/OP AGG
<br />PERSONAL & ADV INJURY
<br />EACH OCCURRENCE
<br />FIRE DAMAGE (Anyone fire)
<br />MED EXP (Anyone person)
<br />COMBINED SINGLE LIMIT
<br />
<br />$15,000,000.00
<br />$15,000,000.00
<br />$7,500,000.00
<br />$7,500,000.00
<br />$1,000,000,00
<br />$10,000,00
<br />$7,500,000,00
<br />
<br />B
<br />
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />] CLAIMS MADE IKJ OCCUR
<br />OWNER'S & CONTRACTOR'S PROT
<br />
<br />GL 1595415
<br />
<br />6/29/2007
<br />
<br />10/1/2008
<br />
<br />BODILY INJURY (Per person)
<br />
<br />BODILY INJURY (Per accident)
<br />
<br />PROPERTY DAMAGE
<br />
<br />PROPERTY
<br />
<br />B EXCESS LIABILITY BE 9835073 6/29/2007 10/1/2008 EACH OCCURRENCE $10,000,000.00
<br /> X 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
<br />0 EMPLOYERS' LIABILITY
<br />C THE PROPRIETOR! $2,000,000.00
<br />A PARTNERS/EXECUTIVE INCL $2,000,000.00
<br />F OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $2,000,000.00
<br /> OTHER
<br />
<br />
<br />DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESlSPECIAL ITEMS
<br />
<br />Please see page 2 for additional insureds and any additional language,
<br />
<br />
<br />
<br />City of Zephyrhills
<br />5335 Eighth Street
<br />Zephyrhills, FL 33540-4312
<br />
<br />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 />NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
<br />THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE
<br />
<br />MARSH USA INC, BY:
<br />David Kong. Casualty Program
<br />
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