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<br />/ <br />Owners <br /> <br />Page <br /> <br />1 55040 (11/87> <br />Issued 03-27-2007 <br />TAILORED PROTECTION POLICY DECLARATIONS <br /> <br />INSURANCE COMPANY <br />6101 ANACAPRI RLVD., LANSING, MI 48917-3999 <br /> <br />AGENCY LEE REED INSURANCE INC <br />12-0154-00 MKT TERR 052 (813) 782-5502 <br />INSUAED COASTAL PLUMBING OF TAMPA'BAY INC <br /> <br />Renewal Effec~ive 06-01-2007 <br />POLICY NUMBER 062312-20683981-07 <br /> <br />AOOA~S 4135 REDCOAT DR <br />WESLEY CHAPEL, FL 33543-4825 <br /> <br />Company POLICY TERM <br />Bill 12:01 a.m. 12:01 a.m. <br />06-0l-2007~0 06-01-2008 <br /> <br />In considaration of P8y..nt of the p~iUD shown below, this policy is renewed. Ple.se .ttach this <br />Daclal"'ations .nd attacheants to YOUI'" policy. If you have any quastions, ple._ consult with YOUI'" agent. <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br /> <br />LIMITS OF INSURANCE <br />General Aggrega~e <br />(O~her Than Products-Completed Operations) <br />Produc~s-Comple~ed Opera~ions Aggregate <br />Personal Injury And Adver~ising Injury <br />Each Occurrence <br />Damage to Premises Rented ~o You (Fire Damage) <br />Medical Payments <br /> <br />$1,000,000 <br /> <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />50,000 Any One Premises <br />5,000 Any One Person <br /> <br />Twice the "General Aggregate Limi~n, shown above, is provided at no additional <br />charge for each 12 month period in accordance wi~h form 55300. <br /> <br />AUDIT TYPE: Annual Audi~ <br />FORMS THAT APPLY TO LIABILITY: 59351 (01-06) 55146 (06-04) 55189 (09-04) <br />55238 (06-04) 55068 (08-89) IL002l (11-85) 55296 (07-05) 55300 (07-05) <br />CG0220 (07-92) IL0017 (11-85) <br /> <br />LOCATION OF PREMISES YOU OWN. RENT OR OCCUpy <br />LOC 001 BLDG 001 4135 Redcoa~ Dr <br />Zephyrhills, FL 33543-4825 <br /> <br />TERRITORY: 006 <br /> <br />COUNTY: Pasco <br /> <br />Classi'ficcrtian <br /> <br />Sub line <br /> <br />PrelliL81 <br />Basis' . <br />To~al Cos~s <br />If Any <br />If Any <br /> <br />Rates <br />Each 1000 <br /> <br />Premium <br /> <br />CODE 21585 <br />Premier Con~ractors Class <br />Sub-Con~rac~ed Work <br /> <br />Prem/Op <br />Prod/Comp Op <br /> <br />CODE 28482 <br />Premier Con~rac~ors Class <br />Plumbing - Commercial <br /> <br />Prem/Op <br />Prod/Comp Op <br /> <br />Payroll <br />30,000 <br />30,000 <br /> <br />Each 1000 <br />34.483 <br />8.304 <br /> <br />$1,034.( <br />~249.( <br /> <br />II <br />