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08-7401
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08-7401
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Last modified
3/6/2009 4:47:57 PM
Creation date
4/30/2008 10:05:56 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7401
Building Department - Name
EMERALD POINT RV
Address
39632/39638 AMETHYST WY
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<br />FROM <br />.-- <br /> <br />A COMMUNITY INSURANCE <br /> <br />FAX NO. <br /> <br />813 779 7J.83 <br /> <br />Jan. 14 2008 01:30PM Pi <br /> <br /> CERTIFICATE OF LIABILITY INSURANCE \ OAle (MMfDON'VYY) I <br />ACORD 0"\4/2008 <br />lM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />pR.OOUCE~: AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />A COMMUNITY INS SERV OF CENTRAL FL INC CERTIFICATE noES NOT AMEND. EXTEND OR AL'TER THE COVERAGE <br />38336 5TH AVENUE AFFORDED BY'THE POLICies BELOW. <br />ZEP\-lVRHILLS, FL 33541 <br />(813) 779-8802 INSURERS AFFORDING COVERAGE IIIAIC# <br />INSURED: INSURER P-. AMERICAN RELIABLE INSURANCE COMPANY <br />JERE.MY HOOKS INSUAER B: <br />DBA: JEREMY QUALl1Y ALUMINUM <br />36009 DEER CREEK DRIVE INSURER C: <br />ZEPHYRHILLS, FL 33541 INSURER 0: <br />(813) 714-8359 INSURER E: <br /> <br />THE POLICIES OF 'NSUR~CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OF CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXVLUSIONSAND CONDmONS OF SuCH POLICIES. AGGReGATE LIMITS SHOWN MAY HAVE BEEN REOUECED BY PAID CLAIMS, ' <br />INSR 00' POUCY EffECTIVE POUCil~RATION <br />!.TR NSR TYPE OF INSURIloNCE POUCY NUMBI!R DA~ (MMlDDIYY) OA'TE MMIOOIYV) UMITS <br />X OEHERAL LlABIUTY EACH OCCURRENce s 100.000 <br /> X COMMERCIAL GENERAL LIABILITY QOO024499 1/1412008 1/14/2009 OA~AGE TORENTED $ 100,000 <br /> - b CLAIMS MADE PRE~lses fEe occurreneel <br /> - ~ OCCllR MED EXP (AnyOne person) $ 5,000 <br /> - PERSONAL & NJV INJUl'oty $ 100,000 <br /> GEN'L AGGREGATE LIMIT P-.PPLIES PER: GENERAL AGGREGATE $ 100,000 <br /> I nPRO- n PRODUCTS.COM~OPAGG $ 100.000 <br /> POI.ICY .IECT LaC <br /> ~TOIoIOBlLe UABIUTY COMBINED SINGLE LIMIT $ <br /> _ ANY AUTO (e.. ~c:t:i<lenll <br /> _ ALL OWNED "lITOS <br /> ~ SCHEDU~O AlITOS BODILY INJURY $ <br /> ~ HII'lEO AUTOS (Per 1l8f'&Qn) <br /> I-- NON.OWNED AlITOS BODILY INJURY $ <br /> Iper Ac;QClent) <br /> - PROPEA1'Y DAMAGE S <br /> (per Accident) <br /> GARAGE LlABlUTY <br /> =1 ANY AUTO AUTO ONLY - EA ACCIOeNT $ <br /> OTHER THAN EA OCC $ <br /> EXCESSJUMBREiI.\.A UABIUTY AUTO ONLY: P-.GG $ <br /> :J OCCUR 0 CLAIMS MADE EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> ~ ;DEOUCTIBLE $ <br /> RETENTION $ $ <br /> WOMER'S COMPENSATION AND $ <br /> EYPI.OY~'S !."'IlIUTY I,WCSTP-.TU-:I 10TH, <br /> P-.NY PROPRIETORJIP.A~TNeR/eJ(F.CuTIVE TORY LIMIT$ ER <br /> OFFICE~MeMeER eXCI.UDED? E.L, EACH ACCIDENT $ <br /> " Y8$, Cle$Ctitl8 un4~r <br /> SPECIAL PROVISIONS tlOIOW E,L, DISEASE: - EA EMPLOYEE $ <br /> OTHER E..L. DISEASE. POLICY LIMIT $ <br />DESCRIPTION OF OPERATlONSll,OCATION&NEHICl.E <br />CLASS CODE(S)' [1] 91340 Ca $/ElCCLUSIONSADOED BY ENDORSI!MENTlSPeclAL PROVISIONS <br />uisiallation' - rpQnlfy Construction - Residential. Not over 2 Stories: [2] Q1746 . 0 (1M , <br />LOCAT.lON($): III 36009 DEER CREEK DRIVE ZEPHYRHILLS,FL 33541 (PRIMARY LOCATION) OO~ ndow In'lallation - Metal or Wood: (3) 98967 . Siding <br />CERTIFICATE HOLDER C <br /> <br />CITY OF ZEHYRHILLS-BUILDING DEPT <br />5335 8TH STREET <br />ZEPHYRHILLS, FL 33542 <br /> <br />ANCELLATION <br /> <br />SHOULD ANY OF THE ABOve OESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATI! THEREOF, TIolE ISSUING INSURER WILL <br />~~~:~O~~OEDMAlTOLTH10E DAYS WRITTEN NOTICE TO THE CERnl'ICATE <br />LEFT. BUT FAILURE TO DO SO SHALL <br />:~E~~I~~T~~~~~i~:~~~F ANY KINO UPON THE INSU~~~ <br />AUTHOR2EDREPRE$ENTATWE <br /> <br />vfl. n';;;;_~ L' . ", <br />~O<:()- <br /> <br />COVERAGES <br />
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