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<br />SEP-14-200H FR 1) 12: 04 <br /> <br />Watts Dawson & Associates <br /> <br />(FAX)813 651 9660 <br /> <br />P.001/002 <br /> <br />Ijf;.QIJD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 T~ DAn (MM/DDfV"/"t"() <br />HOWEL-l 09/13/07 <br />,.AODUCI;R THIS CI;RTlFICATE IS ISSUIm AS A MATTER OF INFORMATION <br />Watts Dawson & Associates, inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hom~ Offi.ce HOLDER. THIS CERTIFICATE OOES NOT AMEND, EXTEND OR <br />13008 N. 56th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />!rampa FL 33617 <br />Phone: 813-985-0349 Fax: 813-989-3284 INSURERS AFFORDING COVERAGE NAIC# <br /> --- ,- ,- - - .---- <br />INSURED INSUReR A; NATiONWrDE iNSURANCE <br /> INSUREI' 9; OLD REPUBLIC STJm:'rY CO <br /> KE:VDT HOWEI.I. .:JR INSURER C; <br /> PO sox 12833556 INSUAEA 0: <br /> ODESSA FL - <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES Of' INSURANce LISTeD PIiLOW I4Av" B....N ISSU..D TO THI: INSURal NAMGD ADOVE FOR THE POLICY PERIOO INCICAreD. NOlWlTHSTANDING <br />ANY ReQUIREM..NT, TI!RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERT...IN. THE INSURANCE AFFORDep BY THE POLICIES DI:SCRlllal HllR..IN IS SUDJCCT TO ALL THE TERMS, exCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGAlE LIMITS SHOWN MAY HAVE seEN REDUCED BY I>"'ID ClAIMS. <br />I~~l'~~' '-;~ ~~ ;N~U~N~~ POUCY NIIMBER <br />~NEIU.L LWIIUTY <br />X COMMeRCIAl. GENeRAl, LIABILITY 77-PR-4Ei6478-3001 <br />--..U CLAIMS MADE ~ OCCUR <br /> <br />'i:a"tEiMIIIIr,II::U'Y'iI- bA1'E M-.lll~":'" <br /> <br />A <br /> <br />10/04/06 <br /> <br />10/04/0'7 <br /> <br />UNITS <br /> <br />':~8i~~=. --- ~.,!.,OOOtOOO.,__.. <br />)'~EMISl:~tE.~",'-1 ~,3:00 ~ ~,OO <br />M~~_~ (Ally allll ~~)_ .!..?_,_O~, .,._,. <br />PERSONAL & AOV INJURV $ 1, 000 ,000 __ <br />GENE~At."'GGREGATE . .2 ,000,000 <br />~I'ODueT6-CO"'P/QP~1 ,000,000 __ <br /> <br />Gel'lL AGGR!;GATE LIMIT APPLIES PER: <br />Xl POLICY r--I ~~g: I 'I LOC <br />~~ONO"U: I.IAIIII,\'TV <br />__ ANY AuTO <br />ALL OWNED AUTOS <br /> <br />COMOINllO SINGL.. LIMIT <br />n:;;. .cadent) <br /> <br />s <br /> <br />_.. SCHEDULED AUTOS <br />_ I~IREO AUTOS <br />__ NON-OWNEP AUTOS <br /> <br />00011, V INJURY <br />IPar panI""l <br /> <br />s <br /> <br />BODILY INJURY <br />lPer 8CCIlIenl) <br /> <br />s <br /> <br />PROPERTY DAMAGE <br />(PlIr lII.em) <br /> <br />$ <br /> <br />GAIU.GB UAIIIUTY <br />=1 ANy AutO <br /> <br />exCI!SSIUIIBRIlLU. LIABlLIT'I' <br />=:J OCCUR D CLAIMS MADE <br /> <br /> <br />I DEDUCTIBLE <br /> <br />I RETENTION . <br /> <br />WCIRKIIR8 COMI"IiNllAl1O/1l AND <br />1!M"t.OYI!~8' UADlUTV <br />ANV PROPRIETOl'/P...RTNIiRIEXEeUTlVE <br />OI"I'ICI!:R1~MBeR exCLUDED? <br />If ,Y.' dll~bt1 ,,"der <br />SPECIAl. PROVISIONS bllll;lVf <br /> <br /> <br />~H~ I <br />B H~LLS, COUNTY BOND OFL-0528713 08/04/07 08/04/08 <br />GENERAL C~C'l'OR <br />DesCRIPTION O~ OPERATIONS I LOClll1DNS I WHICU;1I1 ElIICLUilON8 ADDED En' I!MDOIUII!MElfT /8P&CIAL PItOV~oi'lS <br /> <br />AUTOONLY-EAACCIDENT S <br />-... .._.. ... . .., .. <br />lOA ACC $ <br />__ ..._ __ __e_..._.._.. .. <br />AGG $ <br /> <br />OTHE'iR TJoiAN <br />AUTO ONLY: <br /> <br />EACH OCCURRENCe <br />AGGREGATE <br /> <br />s <br />s <br />...---.---.... <br />s <br />s <br />s <br /> <br />ITO~Y LIMI'rS I IUl~- <br />6.1., EACH A,CCIDENT $ <br />E,L. DISEA6E . EA EMPl.OyeE $ <br />E.L DISEASE - POLICY LIMIT $ <br /> <br />LIMi':r <br /> <br />5,000 <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY O~ ZEPHYRH~LLS <br />5335 ACE S'r <br />ZEPHY.RH~LLS FL 33542 <br /> <br />CANCELLATION <br />C~'rTZEl' SHOIILe ANY Of' THI! ~BOVli DI!8CRIND POUCII!8 "'E CANCSLLI!I:l ...'OItE THE IPCPIRATlQN <br />eATE THIiR&OF, THIi IlI1IUlNO INSURER WILL IiNeEAVOR 'TO M"'L ~ DAY1l W~..'" <br />NDl1CIi TO THIi CIiRl1F1CATE HOLDER NAMIiD TO THE LEI'T. uur ~"'ILlJ"E TO DO eo SHALL <br />IMPOIIIi NO OBLIOA110N OR UA81LI'I'Y 0' Aft'( IQllIP UPON THI! INSUItEIt.. IT':l ~NTS OR <br />RlillRliBlINTATlVa. <br />AUTH~ REPMIE8E,..,." <br />JOHN WA'l''rS <br /> <br /> <br />e ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />