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08-7492
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2008
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08-7492
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Last modified
3/6/2009 4:47:23 PM
Creation date
5/1/2008 8:34:19 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7492
Building Department - Name
WESTOVER MANAGEMENT
Address
6145 ABBOTT STATION DR
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<br />From: Dana Davis At The Hagar Group FaxID: 352 726-2363 To City of Zephyrhills <br /> <br />ACORD. CERTIFICA TE OF LIABILITY INSURANCE OP 10 09 DATE (MM/DDIYYYYI <br />COMPL-2 01/31/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Hagar Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2121 S. E. Hwy 19 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Crystal River FL 34429 <br />Phone: 352-795-2697 Fax: 352-795-0677 INSURERS AFFORDING COVERAGE NAlC# <br />INSURED INSURER A Scottsd.le t:nsuranc. cOllpany <br /> INSURER B Old Republic Surety <br /> comflete Protection LLC INSURER C <br /> Pos Office Box 757 INSURER 0 <br /> Homosassa Springs FL 34447-1277 <br /> INSURER E <br /> <br />Date: 1/3112008 03:02 PM Page 1 of 1 <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLlCII::S AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LTR NSRC TYPE OF INSURANCE POLICY NUMBER O'AW'(MMIDDNYI DATE (MMJODNY) LIMrrs <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> f-- <br />A ~ COMMERCIAL GENERAL LIABILITY CLS1413485 10/23/07 10/23/08 PREMISES (Ea occurence) $ 50,000 <br /> tJ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 1,000 <br /> f-- <br /> PERSONAL & ADV INJURY $1,000,000 <br /> f-- <br /> ~ Error & OJni.ssions GENERAL AGGREGATE $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS, COMP/OP AGG $ 1,000,000 <br /> I] nPRO, n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> 1- $ <br /> ANY AUTO (Ea acc'denl) <br /> f- <br /> ALL OWNED AlITOS BODIL Y INJURY <br /> 1- (Per person) $ <br /> ~- SCHEDULED AlITOS <br /> HIRED AUTOS BODIL Y INJURY <br /> ~- $ <br /> NOill-OWNED AUTOS (Per acc'dent) <br /> f-- <br /> f-- PROPERTY DAMAGE $ <br /> (Per acc'clent) <br /> GARAGE LIABILITY AlITO ONL Y - EA ACCIDENT $ <br /> ~~ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONL Y AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> 1--, o CLAIMS MADE <br /> I--J OCCUR AGGREGATE $ <br /> $ <br /> ~l DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I T6'R'v t:r.i,'rtt I IU~~ <br /> EMPLOYERS' LIABILITY $ <br /> ANY PROPRIETORlPARTNERlEXEClITlVE EL EACH ACCIDENT <br /> OFFICE~'MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under EL DISEASE, POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />B STMT OF BONDING OFL05541l0 01/03/07 01/03/17 25,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Alarms & Alarm Systems-Install,service or Repair <br /> <br />CERTIFICATE HOLDER <br /> <br />CITYZEP <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br /> <br />DAYS WRITTEN <br /> <br />City of Zephyrhills Bldg. Dept <br />5335 8th Street <br />Zephyrhills FL 33542 <br /> <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, rrs AGENTS OR <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ ACORD CORPORATION 1988 <br />
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