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01116/2008 12:46 FAX 8139631452 DAVIDSON INSURANCE ~002 CERTIFICATE OF INSURANCE The Company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Cert1ficate of Insurance does not amend. extend. or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: CITY OF ZEPHYRHILlS 5335 8TH STREET ZEPHYRHILlS. FL 33542 INSURED: AIR NATIONAL LlC 1002 W BUSCH BLVD TAMPA. FL 33612-7704 I I I I I I I I I I I ,I I I . I AllTOMCIIIlE LIABILITY , [X] 8USINESS AUTO I I I I I l- I I I [ ] Umbrella Form I- I I I I I I I Should any of the above described policies be cancelled before the expiration date. the 1nsurance company will mail 30 days wr;:tten notice to the above named cert1ficate holder. POLICY NlM3ER I POLICY I POLICY I TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE I EXP. DATE I lIABILITY I 77-AC-8l2843-3001 1 03-16-07 I 03-16-08 I [X) liability and I NATIONWIDE I I I Any One Occurrence........ $ Medical Expense I MUTUAL FIRE I I I [X) Personal and I INSURANCE CO. I I I Any One Person/Org ....... $ Advertising Injury I I I , [X) Medical Expenses I I I I ANY ONE PERSON ........... s [X] Fire legal I I I I Any One Fire or Explosion $ liability I I I 1 I I I I Genera 1 Aggregate* ..... _. $ J I I I Prod/Camp Ops Aggregate* . S [ ) Other liability I I I I lIMITS OF lIABILITY (*lIMITS AT INCEPTION) EXCESS lIABILITY I 77-BA-B22B43-3002 I 03-16-07 I 03-16-08 I I NATIONWIDE I , I Bodily Injury I MUTUAL FIRE I I I (Each Person) ......... _ $ I INSURANCE CO. I I I (Each Accident) ........ $ I I I I Property Oanage I I I I (Each Accident) ........ s I I I I Combined Single limit .... $ I I Each Occurrence .......... $ I I Prod/Camp Ops/Disease I I Aggregate*.. . . .. .. .. . " $ I STATUTORY lIMITS I BODILY INJURY/ACCIDENT... S I Bodi ly Injury by Disease I EACH EMPLOYEE .......... $ I Bodily Injury by Disease 1 POLICY LIMIT ........... $ I I I 1.000.000 I I 1.000,000 I I 5.000 I 100.000 I I 2.000.000 I 1.000,000 I I J I I I I I I 300.000 I I I I I I I I I I ) I I DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/RESTRICTIONS/SPECIAL ITEMS (X] Owned (X) Hired [X] Non-Owned [ ] Workers' Compensation and [ ) fn1ll oyers' Liabi 1 ity Effective Date of Certificate: 03-16-2007 Date Certificate ISSued: 01-15-2008 AuthoriZed Representative: CounterSigned at: Ila'~ Inc. 13911 CarrollWOOd Village Run TAMPA, FL 33618