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N 5 2007 4 33PM N 4765 P 1/2 o v. . - o. )T1 :'i1/o's~~;; A (;ut(U cERTifiCATE OF LIABILITY INSURANCE TM PRODUCER (813)933-6691 FAX (813)932-6287 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Adcock & Adcock Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 315 W. Fletcher Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33612-3414 John Alexander Green INSURERS AFFORDING COVERAGE NAlC# INSURED Lloyd's Heating & Cooling, Inc. INSURER A North Pointe Insurance Company 27740 4811 Londonderry Drive INSURER B Tampa, FL 33647 INSURER C INSURER D INSURER E --..------ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1'1: ~~~ TYPE OF INSURANCE POLICY NUMBER p:;1k~,~rr~~~E POLICY EXPIRATION LIMITS GENERAL LIABILITY 3094086143 12/01/2006 12/01/2007 EACH OCCURRENCE $ 1, 000, OO(J ~ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,OO(J I CLAIMS MADE IT] OCCUR MED EXP (Anyone person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 - 2,000,000 GENERAL AGGREGATE $ -- 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ -l n PRO- n POLICY JECT LOC ALlTOMOBILE LIABILITY COMBINED SINGLE LIMIT -- (Ea aCCident) $ ANY AUTO -- ALL OWNED AUTOS BODIL Y INJURY - $ SCHEDULED AUTOS (Per person) -- HIRED AUTOS BODIL Y INJURY -- $ NON-OWNED AUTOS (Per aCCIdent) -- -- PROPERTY DAMAGE $ (Per aCCident) GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONL Y AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ :J OCCUR 0 CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 1.fc';~g~~c;1 IOJ~- EMPLOYERS' LIABILITY EL EACH ACCIDENT ANY PROPRIETORIPARTNERlEXECUTIVE $ OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ If yes. descnbe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 'VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS City of Zephyrhills Building Department 5335 8th Street Zephyrhills, FL 33542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL _ DAYS WRITTEN NOTlCETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BLIT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE crt) John Alexander Green/CLS ACORD 25 (2001/08) FAX: (813)780-0021 @ACORDCORPORATION 1988