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08-7459
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08-7459
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Last modified
3/6/2009 4:47:34 PM
Creation date
4/30/2008 11:28:23 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7459
Building Department - Name
OUR SAVIOR CHURCH
Address
5626 20TH ST
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<br />Feb. 4, 2008 9:55AM <br /> <br />No. 4708 <br /> <br />p, 1/2 <br /> <br /> ... . . . . . ;1 .~1)ATE {IIIIIDDI'tY'N) <br />ACOBIt 'CERTIFICATiE :QF LIABILJITYINSURANCE 1)2/.04/2008 <br />PIlODUCEIt (a13)637~8877 FAX (813)637-8484 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />1nsurance Offi.ce, of AJ.ri ca, 1nc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />4915 W. Cypress Street HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br /> ALiERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />T~a, FL 33607 <br /> INSURERS AFFORDING COVERAGE NAIC., <br />INSUltED INSURfRA; American Cas Co of Reading PA (CNA)204271 <br /> Crevel1 0 Electric. Inc. INSURER 8: <br /> 3305 N. Stanley Road INSURER c: <br /> Plant City, FL 33565 INSURER D: <br /> Fax No. 813-986-9633 INSURER E; <br />CO <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOiWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECi TO WHICH THIS CERTIFICATE MAY Be ISSUED OR <br />MAY PERTAIN. 'THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTiO AlL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br />'~I.llE lTI'c OF IN8URANC! POIJCT_ POUCY EFFEc:nvc POUCV l!llPIRATlON Ullrrs <br /> GENERAL UABlUTl' 12055534523 01/17/2008 01/17/2009 EACH OCCURJlENCE $ 1.OOO.()()(I <br /> '-- <br /> X COMMERCIA~ GiNERAL LIAIIlUTY DAaoU.GE TO IU:NTEO S 100. OOC <br /> ==:J CLAIMS MADE 00 OCCUR MeD EXP (Any _ pemr1) s s,oo~ <br />A PERSONAl.. i AOV I~URY $ 1.000.o0oi <br /> GENeRAL AGGREBATE S 2.000.00 <br /> GI!N'l AGGREGATE LIMIT APPlIES PER: PRODuCTS - COWPlOP AGG S 2.000.00 <br /> I POLICY [Xl ~rg; n LOC <br /> ~OII01lLl! UA8lutY COMBINED SINGLE LIMIT $ <br /> At(( AUTO (Ell lICCICIenl) <br /> - <br /> ALL OWNeo A1JTOS BODILY INJURY <br /> - S <br /> SCHEDULED AllTOS (Per pet'SQIl) <br /> - <br /> - HIRED AUTOS BODl~ Y INJURY <br /> S <br /> NO~DAl1TOS (Per 8CCkIent) <br /> - <br /> PROPERTY DAMAGE S <br /> (Per llCddenl) <br /> RAA6E UABlUTl' AIITO ONLY. EA ACCIOEHT S <br /> AtrfAUTO OTHER THAN EA ACC S <br /> AUTO ONLY; AGG $ <br /> EXCUSlUMIIlteUA LIA8lutY EACH OCCURRENCE $ <br /> o OCCUR 0 ClAIMS MACE AGGReGATE S <br /> S <br /> R DEDUCTIBLE $ <br /> RETENTION S $ <br /> WOIUC!ItS COlo1PENSAllllN Mil I ~9T:1.T,!t" I IOJll- <br /> IMI'LDYERS' UA8lutY <br /> N<< PROPlUETOM'AftTNeRlEXECUTI\/E E.L EACH ACCIDENT $ <br /> OFFICEAlMEMBER EXC~UDED7 E.L OISEASE - iA EMPLoYeE S <br /> It~. deecribe under <br /> S ClAL PRDVISIONS belOW E.L DISEASE. POLICY uun- $ <br /> D11fER <br />DESCRIPTION Of DPERAllON81 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY I!NlIORSEIIENT I SPeCIAl. PIlOVl91OH8 <br /> - .. - .- .. - - - - <br /> <br /> <br />N <br />SHOULD AJtt OF 'nlE ASOVI Dl!8CRl8EO POUClES BE CANCEIJ.ED BEFORE THE <br />ElCPlRA110N OAT! THEREOF. 1l4E ISSUING INSURER WILL !NDIAVOIt TO IWL <br />.J.L DAYS WIUTl1!N NOl1CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />811T FA/LUlU: TO MAlL SUCH NOTIC! SHALL JIIPOSE NO OBUGATION OR UA8IutY <br />OF At<< laND UPON THl! INSURER, ns AGENTS OR REPRESEtn'AT1VE1. <br />AUTHDItIZED REPR9EIfTATlVE <br /> <br />~ <br /> <br />City of Zephyrhil1s <br />Building Department <br />5335 8th Street <br />Zephyrhills, FL 33542 <br /> <br />Bruce Johnson/DDICKE <br /> <br />ACORD 25 (2001108) FAX: (813) 780-0021 <br /> <br />@ACORD CORPORATION 1988 <br />
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