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07-7256
Zephyrhills
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2007
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07-7256
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Last modified
3/6/2009 4:32:06 PM
Creation date
1/17/2008 10:26:51 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7256
Building Department - Name
BAKER,WILLIAM
Address
4624 LA FORCE ST
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<br />11/24/2007 07:55 <br /> <br />8137155152 <br /> <br />BUTTERFIELD <br /> <br />PAGE 01 <br /> <br />ACORD... :CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYYI <br /> 11/16/2007 <br />PRODUCER (813)890-0415 FAX: (813) 885-4311 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Prime Group ~nsuranoQ Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND', EXTEND OR <br />5440 Beaumont Center Blvd, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Sui.te *445 <br />Tampa FL 33634 INSURERS AFFORDING COVERAGE NAIC#. <br />INSURED INSlIR.ERA: Guarantee .~nsuranc:e <br />autterfield ~nvestments, Inc:, INSURE~ 8: Na ti onal ~ndemni ty Ins, <br />5131 Gail Blvd. INSUR.ER. C: <br /> INSURER 0: <br />Zephyrhills FL 33542 INSlIRER E: <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 ReSPE;CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. <br />THE INSURANCE AFFORDED BY 1l1E POl.lCIES OeSCR.IBED HEREIN IS SUBJECI 'ro ALL TI-tE TERMS. EXCl.USIONS AND CONDITIONS OF SUCH POLICIES. <br /> , IMITS SHOWN MAY CLAIMS. <br />INSR ADD'L P~.fit':~~F Pg~!fl(~.r~~N LIMITS <br /> TYPE OF INSURANCE pOLICY NUMBER <br /> GENERAL LIABIUTY N~~ $ <br /> - ~~~~~;r9e:eIllTED <br /> I-- ~MMERCIAL GeNERAL LIABILITY $ <br /> CLAIMS WIDe 0 OCCUR Ml=O S;;XP /...., on.. "etsonl $ <br /> I-- pe..e"'~uo _ .."'v "1l.JURY $ <br /> GFNE....' . . :T~ $ <br /> nN'l"'GG~n LIMIT AnES PeR: PRODUCTS. ..-- .-- $ <br /> Pl'l, Ir-y ':'~~ LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - (~ ,cOGent) $ <br /> - AHI( AUTO <br /> - ALL OWNeo "UTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per Pinon) <br /> - <br /> - HIRED AUTOS BODILY INJURY S <br /> NON.QWNED AUTOS (Pet eCClClenl) <br /> - <br /> I-- PROPERTY DAMAGE $ <br /> (Per .odden,) <br /> G~A~E: LIABILITY AUTO ONLY - Ell ACCIDENT S <br /> q ANY "UTO OTHER THAN "... ...,....r- S <br /> AUTO ONLY: AGr.: . <br /> pESSlUMBREL'-" LIABILITY Is <br /> OCCU~ 0 CLAIMS WIDE AGGREGATE $ <br /> l: <br /> q DEDUCTIBLE $ <br /> RET~NTlnN .. S <br />A IIVORKERS COMPENSATION AND xl -I 10J~- <br /> 'EMPLOYERS' UABILITY 100,000 <br /> Ap.(V PR.OPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIOENT $ <br /> Ot=FICERlI.IEMBER exOLuOED? GWGC1OOOO3~.3-107 11/1/2007 11/1/2008 E.L DISEASe - EA !;MPLOYEE S 100,000 <br /> If yet. describe under 500,000 <br /> !':Pc:rJJ.I P E.L. OI!':EASE - POLICY LIMIT $ <br />B OTHER B:.p.loye:n I.j,lIb.i1.ity <br /> RA-23e~ <br />DESCYtIPTlON OF OPERATlONS/LOCA TlONSM:HICLES'EltCLUSlONS ....DDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> - <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Zephyrhills <br />5335 8th "Street <br />Zephyrhills, Fl 33542 <br />(813) 780-0020 <br /> <br />CANCELLATION <br /> <br />SHOULD ,,"Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRAT'lON DATE THEREOF, THE: !$SUINC I"'SU~IiR IMLl,. liNDEAVO" :TO MAIL <br /> <br />~ DAY. WRITTEN NOT'lCE :TO THE C"~IFICA:rJ< HOLDE" NAMED :TO THE LeFr, BUT <br /> <br />FAlLU~E 1'0 DO so ~ALL IMPOSE NO OBLIGATION OR LtA8lLlTY OF AtfY KIND UPON THE <br />INSURER ITS AGENTS OR REPReSEHTAT'lIIES. <br />AUTHORIZED ~EPRE$ENTATlVE 7/i /? <br />EEl1sasse~ M07718.: ( ~ C": <br /> <br />~ ACORD CORPORATION 1.88 <br />P"9.1ofl! <br /> <br />ACO 25 (2001/08) <br />INS025 (0108).ll8a <br />
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