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<br />DATE(MM\DD\YY). .
<br />
<br />10-19-07
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT.AMEND EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />PRODUCEAo
<br />L G EDWARDS INSURANCE
<br />P. O. BOX 1548
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />DADE CITY
<br />
<br />FL 33526
<br />
<br />COMPANY
<br />A FLORIDA W. C. JUA
<br />COMPANY
<br />B
<br />
<br />24JXC
<br />INSURED
<br />
<br />SANDY DEVELOPMENT COMPANY INC
<br />12303 US HWY 301
<br />DADE CITY FL 33525
<br />
<br />COMPANY
<br />C
<br />COMPANY
<br />D
<br />
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, N01WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFEC11VE POUCY EXPIRAnON UMITS
<br />LTlt DATE (MM\DD\YY) DATE (MM\DD\YY)
<br /> GENERAL UABIUTY GENERAL AGGREGATE $
<br /> COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $
<br /> CLAIMS MADE D OCCUR. PERSONAL & ADV. INJURY $
<br /> OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $
<br /> FIRE DAMAGE (Anyone fire) $
<br /> MED. EXPENSE (Anyone person) $
<br /> AUTOMOBILE UABIUTV COMBINED SINGLE
<br /> $
<br /> ANY AUTO LIMIT
<br /> ALL OWNED AUTOS 80DILY INJURY
<br /> (Per Person) $
<br /> SCHEDULED AUTOS
<br /> HIRED AUTOS BODILY INJURY
<br /> $
<br /> NON.OWNED AUTOS (Per Accident)
<br /> PROPERTY DAMAGE $
<br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $
<br /> ANY AUTO OTHER THAN AUTO ONLY:
<br /> EACH ACCIDENT $
<br /> AGGREGATE $
<br /> EXCESS UABIUTV EACH OCCURRENCE $
<br /> UMBRELLA FORM AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM
<br /> WORKER'S COMPENSAnON AND STATUTORY LIMITS
<br />A EMPLOYER'S UABIUTV (6FR13UB-4184B18-9-07) 09-08-07 09-08-08
<br /> MINIMUM PREMIUM POLICY EACH ACCIDENT
<br /> THE PROPRIETOR/
<br /> PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT
<br /> OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE
<br /> OTHER
<br />
<br />
<br />
<br />
<br />DESCRIPnON OF OPERAnONS/LOCAnONSNEHICLES/RESTHICnONS/SPECIAL ITEMS
<br />
<br />
<br />CITY OF ZEPHYRHILLS
<br />5335 8TH ST
<br />ZEPHYRHILLS
<br />
<br />SHOULD AHY OF THE ABOVE DESCRIBED POUCIES BE CANCEu.ED BEFORE THE
<br />EXPIRAnON DATE THEREOF, THE ISSUING COMPAHYWlL1. ENDEAVOR TO MAIL
<br />10 DAYS WRITTEN NOnCE TO THE CERnFICATE HOLDER NAMED TO THE
<br />LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALl. IMPOSE NO OBUGAnON OR
<br />UABIUTY OF AHY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTA11VES.
<br />
<br />FL 33541
<br />
<br />........,......................................,.....,..,..,......
<br />..A~..~j~$..(J#~jj..............................................
<br />
<br />AUTHORIZED REPRESENTA11VE ~
<br />
<br />
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<br />
<br />
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