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<br />ACDBQ.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) <br />01/10/2007 <br />tOOUCER (863)688-5495 FAX (863)688-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />lerndon " Associates Insurance. LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />n Lake Morton Dr. ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />=>> 0 Box 3608 <br />Lakeland. FL 33802 INSURERS AFFORDING COVERAGE NAIC# <br />S~ B Wayne Enterprises Inc INSURER A: Colony Insuance Group <br />DBA: COmmercial Fire Equipment Company INSURER B: <br />POBox 2442 INSURER c: Bridgefield Employers Ins Co <br />Brandon. FL 33509 INSURER D: <br /> INSURER E: <br /> <br />:OVERAGES <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 CONDmoNS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. <br /> <br />~ TYPE OF INSURANCE POUCY ~ POUCY EFFECTIVE ~ EXPIRATION <br /> <br />~UABIUTY GU254150 02/21/2007 02/21/2008 EACHOCCURRENCE <br /> <br />X COMMERCW.. GENERAL L1ABa.rTY DAMAGE TO RENTED <br /> <br />I ClAIMS MADE [K] OCCUR <br /> <br />A. <br /> <br />f-- <br /> <br />LM1S <br />S <br />S <br />MEV EXP (Any one person) S <br />PERSONAl. & ADV INJURY S <br />GENERAl.. AGGREGATE S <br />PRODUCTS - COMPIOP AGG S <br /> <br />1. 000 . OO(J <br />50.0()(J <br />5.00 <br />1.000.00 <br />1.000.00 <br />Inc 1 ude4 <br /> <br />GEN"L AGGREGATE LIUIT APPlIES PER: <br />h POliCY n ~ n LOC <br />AUTOMOelLE UABlUTY <br />f-- <br />AN'( AUTO <br />f-- <br />All OWNED AUTOS <br />f-- <br />SCHEDULED AUTOS <br />f-- <br />f-- HIRED AUTOS <br /> <br />r-- <br />I- <br /> <br />~WNEDAUTOS <br /> <br />COMBINED SINGlE LIUIT S <br />(Ea acddent) <br />BODILY INJURY S <br />(Per person) <br />BODILY INJURY S <br />(Per acxidenl) <br />PROPERTY DAMAGE S <br />(Per acxidenl) <br /> <br />GARAGE UABlUTY <br />R AN'( AUTO <br /> <br />EXCESSIUM8RELLA UABlUTY <br />:=J OCCUR D CLAIMS MADE <br /> <br />I DEDUCTIBLE <br />I RETENTION S <br />WORKERS COMPENSATION AND <br />EMPLOYERS" UABIUTY <br />C ~~~cme=CUTIVE <br /> <br />If yes, desalbeunder <br />SPECIAL PROVISIONS below <br />OTHER <br /> <br />AUTO O.NL Y - EA ACCIDENT S <br />EAACC S <br />AGG S <br />S <br />S <br />S <br />S <br />S <br /> <br />EACH OCCURRENCE <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />AGGREGATE <br /> <br />083028471 01/14/2007 <br /> <br />01/14/2008 <br /> <br />X we STATU- I IOJ.1;'- <br />E.L EACH ACCIDENT S <br />E.L. DISEASE - EA EMPLOYEE S <br />E.L. DISEASE - POliCY LIUIT S <br /> <br />100.00 <br />100.004 <br />500.004 <br /> <br />DESCRIPllON OF OPERATIONS I LOCATIONS I VEHICLES I EXCWSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br /> <br />ER <br /> <br /> <br />City Of Zephyrhills <br />5335 Eighth Street <br />Zephyrhills. FL 33540 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCElLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAlWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABIUTY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />Bett <br /> <br /> <br />"1J?e JJL~ <br />@ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />