Laserfiche WebLink
<br />-..-.."". _...1. .-,.-- ,..--.-............ __"'''''_''1 <br /> <br />7401 Oypress Gardens Blvd. <br />. Winter Haven, FL 33888-0007 <br /> <br />W-19-1871-F611 F E 3 <br /> <br />2740 <br />BOBBY HILTON CONSTRUCTION INC <br />6415 16TH ST <br />ZEPHYRHILLS FL 33542-1675 <br /> <br />11111...11.11.1..1..1..1111..11.11..1...1.1.1.1..11.1.1.1..1.1 <br /> <br />Location: 6415 16TH ST <br />ZEPHYRHILLS FL <br />33542-1675 <br /> <br />"'.;- <br /> <br />Forms, Options, and Endorsements <br />Special Form 3 <br />Amendatory Endorsement <br />Tree Debris Removal <br />Policy Endorsement Contractors <br />Glass Deductible Deletion <br />Fungus (Including Mold) Excl <br />Amendatory Collapse <br />Policy Endorsement-Contractors <br />Inc Cost and Demolition Cov <br />Policy Endorsement <br />Dist Mat Violat Statues Excl <br />Terrorism Insurance Cov Notice <br /> <br />FP-6160 <br />FE-6210.3 <br />FE-6451 <br />FE-6467 <br />FE-6538.1 <br />FE-6566 <br />FE-6843 <br />FE-6622 <br />FE-6587 <br />* FE-6656 <br />* FE-6.655 <br />* FE-6999 <br /> <br />*Effective: JUL 102007 <br /> <br /> <br />n&;;.nu;;... ,",i... "'Ln. or . "'..... I i... <br /> <br />JUL 102007 <br /> <br />.SEE BA1...A~.~bIJEN9TlCE <br />$3,199.81 <br /> <br /> <br />Coverages and limits <br />Section 1 <br />A Buildings <br />B Business Personal Property <br /> <br />Deductibles - Section 1 <br />Basic <br />Section II <br />Other deductibles may <br />apply - refer to policy <br /> <br />Section II <br />L Business Liability <br />M Medical Payments <br />Gen Aggregate (Other than PCO) <br />Products-Completed Operations <br />(PCO Aggregate) <br /> <br />Estimated Prem (Sec I) <br />Estimated Prem (Sec II) <br />FL EMPA Fund Surcharge <br />FL Trust Fund Surchg <br />FHCF Assessment <br />FL Guaranty Fund <br />2005 Citizens EM Asmt <br />Amount Due <br /> <br />Premium Reductions <br />Renewal Year Discount <br />Yrs in Business Discount <br />Claim Record Discount <br /> <br />Cov. A - Inflation Index: <br />Cov. B - Consumer Price: <br /> <br />N/A <br />203.9 <br /> <br />~ NOTICE: Information concerning changes in your policy language is included. Please call your agent if <br />~ you have any questions. <br />~ <br /> <br />8 Audit period: Annual <br />o <br />')I <br />... <br /> <br />G EY)errA \ <br /> <br />\,--, i 0b I' 1 i-ry <br /> <br />Policy number 98-TG-8741-7 replaces 98-0B-8293-9. <br /> <br />> <br />'" <br />a: <br /> <br />;e <br />o <br />.., <br />~ <br /> <br />TktrLs> ~ h;t~uS~p.... <br />2740 2018 I Agent BRANT BLESSING <br />E * 1,S8,S9,G2 Telephone (813) 788-5554 <br /> <br />Excluded <br />2,700 <br /> <br />500 <br />250 <br /> <br />$300,000 <br />5,000 <br />600,000 <br />600,000 <br /> <br />$113.00 <br />$2,967.00 <br />4.00 <br />3.08 <br />30.8e <br />38.81 <br />43.12 <br />$3,199.81 <br /> <br />If you have moved, please contact your agent. <br />See reverse side for important information. <br /> <br />RES <br /> <br />Prepared MAR 30 2007 <br />