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<br />08!lB!2nO! 14 dB FAX 3~2~B/l1~8 <br /> <br />Pl:.ll:.H~:Uti i\l.il:.NG'y' <br /> <br />I4J 1)1) 1 /(1()2 <br /> <br />A GORDTM CERTIFICATE OF LIABILITY INSURANCE I OATI! (M./tICINVVY) <br />08/16/2007 <br />I"ROOUeI!R (352) 567-9771 THIS CERTIFICATE IS ISSUED AS A MAneR OF INFORMATION <br />Kyle Peterlilon Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />3783/ Meridian Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Dada C:i.ty FL 33525- INSURERS AFFORDING COVERAOE NAle# <br />INSUReD INSURER A; SOtnHBRN OWNKRS mStJRANCZ <br />EHRMAN SYSTEMS EN'.rERP1USi:S tINe. DBA INSU1U1R 8 AtnO-ONNERS INS. CO. <br />ENVIP.oNMENTAL CONTRACTORS INsuRER C: <br />1022l U.S. HWY 301 INSUReR 0, <br />DADE CITY FL 33525- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLlCIl'S OF INsuRANCE LlSTliO BELOW HAve BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POuev PERIOO INDICATED. NOTWITHSTANDING ANV <br />REQUiREMENT. TliifUII OR CONDITION OF AH'( CONTRACT OR OTHER DOCUMEN1' IMTH RESPECT TO WHICH THIS Cel'lTlF1CATEi. MAV BE ISSUED OR MAY PERTAIN, <br />THE INSURANce AFFORDED BY THE POLICIES D&.SCRlBED HiREIN IS SUSJECT TO All THE TEIWS, EXCLUSIONS AND CONDITIONS OF SUCH POuCIe:S. <br />AGGREGA1'e LIMITS SHOIMI MAY HAVE BEEN ReOUCED BV PAID CLAIMS. ~Y~ <br />INllR ~ lYPE Of' INlIURANQIi POUCV WIIIII!R Di-R(~ lIIIllS <br />TR <br />A ~E1.RAI. UA8IUTY / / / / ~l S !500,OOO <br /> ~ n~RCIAL GENERAl. UAaILlTY S 50,000 <br /> ClAIMS MAClE 0 OCCUR / / / / MED EX/'.AnY ,,",,~l $ 5.000 <br /> PF"""'NAI.. & NN IN../\JRY . !S00,000 <br /> 20583.88 01/01/2007 01/01/2008 GT:NERAI. AGGlU:GA 1'E . 500,000 <br /> ~LA~n;:: nS PIiR PRODUCTS. CDMl'IOP AGG S 500,000 <br /> POLICY JeCT LOC / I / / <br />B ~UTOIIIlO8lU! UABlUlY / I I / COMBINED SING\.E LIMIT 500,000 <br /> (Ii.o lIOCId8n() s <br /> - ANY AUTO <br /> ..!- ALL OWNIiD AUTOS 42-185-621-00 01/01/2007 01/01/2008 eODIL Y INJUflY <br /> S <br /> SCHEOVl.eO AUTOS (P"'_l <br /> - <br /> - HIREO AUTOS / I I / IlODIl Y INJURY <br /> (Per~) S <br /> - NON-OWNED AUTOS <br /> ~ / / / I PROPERTY DAMAGi <br /> (Per lOOCident) . <br /> RGI! L1AIIlUTY AUTO ONLY - eA ACCIDENT . <br /> ANY AUTO / I / I OntER THAN EA ACC . <br /> AUTOONl.Y, AM . <br /> SCCl!88lU.1IREUA UA8IUTV / / I / EACH OC"URRENCE $ <br /> ::=J OCCUR 0 CI.AlMS MADE AGGREGATE . <br /> . <br /> ==i DeDUCTIBLE I I / I $ <br /> RETE~N . $ <br /> WORKEM COIIf'EHIATION AND / I / I 'lI\r. !IT^T11S r Icwt <br /> eMP~ LIABlLITY <br /> ANY PROPRIETOR/PARTNERJEXECI,JTl\IE eL. EACH ACCIDl!NT $ <br /> Ol'FICERIMEMlll:R EXCI.UDEO? / / I / E.L DleEf<SE . EA EMPLOYEE $ <br /> ~~'=~Sbelow E.L DIBEME - POLICY LIMIT . <br /> OntER PaOli' / / I / <br /> 2Ql;i$3.88 01/01/2007 01/01/200B <br /> / / / / <br />DI!ICRlPTlON OF OPERAnONlSlLOOAnONSMiHIQ.ES/l!ltCLIJllIOM5 ADOI:D fII'( eNOORSSlllItfT/lII'EClAl.. pRO\/I8IONa <br /> <br />CITY OF ZEPHYRBYLLS <br />5335 EIGHTH STREET <br /> <br />~NC VoTtON <br />SHOULD ANY' OF 'nfI! ~ ~8eD POUClI8 IIIi CMlCE\.l.ED Bt!FOIQ! ntE <br />EX/'IIIlA DATE 'IWIlRllOF, THE ISSUlIIG INIUltIR WILL I!NOEAVOR TO IIAIL <br />~ WRtTnfN MOnel TO llfli CERlWICATI KOL.DI!R NAIIeO TO THE Ll!PT. BU1' <br />DO SO 1HAlJ.. ... 0 O8LIGATlON OllllAlIlUTV OF ~Y KIND uf'O!ll TlfE <br />ITS AG OIl RI!P <br /> <br />CERTIFICATE HOLDER <br />( ) (813) 780-0021 <br /> <br />ELECTRONIC LASER FORM:J. INC. - ( <br /> <br /> <br />ZSPHYRHI:LLS <br />ACO,.D 21 (2001/08) <br />~....- INS025 (01tJ8) 05 <br /> <br />PL 33542- <br />