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<br />A€ORD CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MM/DDIYYYY) <br /> 'II 11/27/2007 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />BAUER & ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />12210 US HIGHWAY 301 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />DADE CITY, FL 33525 <br />PH # (352)567-3702 FAX # (352)523-0434 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED CHRIS' A1C COMPANY INSURER A: AUTO-OWNERS INSURANCE <br /> 12232 US HIGHWAY 301 INSURER B: BRIDGEFIELD EMPLOYERS INS <br /> DADE CITY, FL 33525 INSURER C: <br /> INSURER 0 <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 />I,N~: ~~~~ POLICY NUMBER POLICY EFFECTIVE P~k!9.r EXPIRATION LIMITS <br /> ~~ERAL LIABILITY EACH OCCURRENCE $1MIL <br />A ~.'''"'' G"''''' ,..,u", 20681274-07 03/07/2007 03/07/2008 DAMAGE TO RENTED $ INCLUDED <br /> f---.--I CLAIMS MADE [!] OCCUR MED EXP (Anv one oerson) $ 5,000 <br /> 1---1 PERSONAL & ADV INJURY $1MIL <br /> -' GENERAL AGGREGATE $1MIL <br /> ~'L AGGREnE LIMIT APFt PER PRODUCTS - COMP/OP AGG $1MIL <br /> I POLICY ~f'!?T LOC FIRE DAMAGE $50,000 <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> f--- <br /> I--- HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> f--- <br /> f--- PROPERTY DAMAGE $ <br /> (Per accident) <br /> RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> ~ESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> ==1 DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TT~~JT~T.\!~ I TO,J,tl- <br />B EMPLOYERS' LIABILITY 830-32770 11/14/2007 11/14/2008 $ 500,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500,000 <br /> If yes, describe under $ 500,000 <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />A1C REPAIR AND INSTALLATION' <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF ZEPHYRHILLS BLDG DEPT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />5335 8TH ST. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />ZEPHYRHILLS, FL 33540 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> Z2:::REC::: ~ /I /.;l.) ~ 7 <br /> ~ /r-- <br /> o C <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />