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08-7501
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2008
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08-7501
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Last modified
3/6/2009 4:47:21 PM
Creation date
5/1/2008 9:00:23 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7501
Building Department - Name
PINECREST MHP
Address
6043 HARRIET ST
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<br />Frb 4. 2008 2'34PM <br /> <br />LEE REED INSURANCE <br /> <br />N.o 6125 <br /> <br />P <br /> <br />....-' , - - )Tf ~ATE(MM1DDNY'I'Y) <br />AaJBIl. .CERTIFICATE OF LIABILITY INSURANCE - -- 2/11/2000 <br />- <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />LEE ~ED INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1"0 Box: 908 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />zephyrhills, FL 33539-.0908 <br />(613)782-5502 INSURERS AFFORDING COVERAGE NAIC# <br /> - ",,(,)UI.Henl~I.I""'II1' .' AH..u.&;.-.ncc:: C"olll;l.:lny <br />INSURED INSURER "- <br /> Noble Constru~:l.lon Corp .. <br /> 5140 Englewood Lanf:! ~RB: ....-.. - <br /> INSURER C: <br /> 7.<'lphyrhills, FL 33541 .. . . <br /> INSuRER D: .- <br /> I INSURER E: <br /> <br />~ <br />., <br />l <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING <br />ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC1TO 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 />POLICIES. AGGREGATE L1MrrS SHOWN MAY HAve BEEN REDUCED BY PAIDCLAtMS. <br />IN$R :.~ f'OU~X EFFIOCTIVE PR.LIC,YJ1.p"!'':-''T~ ..' ... ... <br />LTR TYP RANCE POLICY NUMBER DATE MM1DD1YY\ ATF. DNY LIMITS <br /> ~NERAL LIABILITY EACH OCCUfl~F.NCE $ 1,000,000 <br /> .- <br /> .~ COMMERCIAL GENERAL LIABILITY P~~ISES EaOccufll"CEI1 S 50,000 <br /> ___U CLAIMS MADE 0 OCCUR MED EXP (Any one P9r&01l) $ ..5,000 <br /> 072312-20697100 6/19/07 6/19/00 - 1,000,000. . . . <br />A ~~<?~&MJVINJURY S <br /> ...- - ...-- <br /> GENERAL AGGftEGA'rE $ 1. 000,000 <br /> --- -i,QOO,OOO <br /> ~E.!I'L ^GGRn LIMIT Ai~S PER: ~~CTS_.CDMProPAGG s <br /> -, PRO- - <br /> POLICY JECT LOC <br /> ~OM08'LEllA9111TY COMlllNED SINGLE LIMrr s <br /> ANYAUTO (t:a aCCIdent) <br /> - --. <br /> - AlL OWNED AlJTOS 90DILYINJURY <br /> $ <br /> SCllEDULEO AUTOS (t'ar penon) <br /> - .-.... <br /> - HIRED AlITOS BOOIL YINJURY <br /> (Par 8Ccidan1) $ <br /> NON.OWNEDAUTOS <br /> - _. n. <br /> - PROPERTY DAMAGE $ <br /> (Par BCCIOanl) <br /> ~I\RAGE LIABILITY AUTO ONLY. EAACCIDENT $ - <br /> ... <br /> ANY AUTO on IER THAN EAACC $ <br /> AUTO ONLY, _. <br /> AGG $ <br /> EXCESSIUMDREUA LlABIUlY EACH OCCURRt:NCE $ <br /> ~r OCCUR CI CLAIMS MADE . . <br /> ~GATEH_ $ <br /> $ <br /> R DEDUCTIBLE $ <br /> .~ ...,-.... <br /> RETENTION $ $ <br /> WORKERSCOMPENSA~ONAND I ~~m.ws I 10TH. <br /> EMPLOYERS' UABIUTY Eft .' <br /> ANY 1'RClPIl1ET'ORlPARTNl!R/fXeCUTIVE E.L. EACH ACCIDENT $ <br /> . .. <br /> OFF.CfAAolEMBER EXCLUDE07 E.L DISEASE - EA t:MPLOYE $ .. <br /> ~~EC:=~NSIl6IoW E.L DISEASE. POI. IcY I.fMrr $ <br /> OTHER <br />DESCRIPnON OF OPERATIONS' LOC^~ONS 'VEHICLES' l;XCLUSIONSADDED BY ENOORSI:MENT' SPECIAl PROVISIONS <br /> <br />..,' <br />.ll <br />~ <br />~ <br /> <br />.~ <br />:\ <br />I <br />1. <br /> <br />.~ <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Zephydlills <br />0335 Bth Street <br />2cphyrh)" 1:;, I!'L 33542 <br />Attn: Jackie Boge~ <br />Fa~l:: 780-0021 <br /> <br />CANCELLATION <br />SHOULD NlY OF THE ABove DESCRIBED POLICIES Dll CANCELLED 8EFORE THE EXPIRAnON <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 'ro MA1L~ DAYS WRlrrEN <br />NonCE TO THE CEfmFICATE HOLDER NAMED TO ~ II;: LEFT, BUT FAILURE TO DO SO SHALL <br />IMI'OSE NO 08LlGATION OR UABILITY OF ANY KINO UPON Tlil; INSllRER, ITS AGENTS OR <br />REPIlIlSENTATIVES. <br />AUTHORIZIiD REPRESENTATIVE <br /> <br /> <br />ACORD 28 (2001/08) <br />
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