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08-7530
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2008
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08-7530
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Last modified
3/6/2009 4:47:11 PM
Creation date
5/13/2008 9:01:54 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7530
Building Department - Name
EAST PASCO YMCA
Address
37301 CHAPEL HILL LP
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<br />-ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE~ <br />JIf lGPKQGV6 11/13/2007 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Lighthouse-Programs, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />301 E. Pine Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 350 ALTERTHE COVERAGE AFFORDED BYTHE POUCIES BELOW. <br />Orlando, FL 32801 <br /> INSURERS AFFORDING COVERAGE . NAlC# <br />INSURED INSURER A: SUA Insurance Company <br />First Financial Employee Leasing, Inc. <br />3745 Tamiami Trail INSURER B: <br />Port Charlotte, FL 33952 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCM: FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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 CONDmONS OF SUCH <br />I ~~ES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~~ <br /> POLICY Nl*BER UIo1ITS <br /> ~ LIA8/UT'/' EACH OCCURRENCE $ <br /> COMMERCIAl GENERAL LIABn..rrv PREMISES EB occurence\ $ <br /> I ClAIMS MADE 0 OCCUR MED EXP (Any one person) $ <br /> PERSONAl. & ArN INJURY $ <br /> - <br /> - GENERAL AGGREGATE $ <br /> ~N1.AGG~n UMrr n PElt PRODUCTS - CCMPIOP AGG $ <br /> POLICY P,:g: LOC <br /> ~UAIIIUTY COMBINED SINGlE UMrr $ <br /> (Ea accident) <br /> - ANY AUTO <br /> I- AU. OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> I- SCHEDULED AUTOS <br /> I- HIRED AUTOS BODILY INJURY <br /> (Per ac:cidenI) $ <br /> I- NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accid8nl) <br /> ~Y ::rrv AUTO ONLY - EA ACCIDENT $ <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESSlUllBRELlA LIABILITY EACH OCCURRENCE $ <br /> ::J" OCCUR 0 ClAIMS MADE AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSATION AND WSLTHPE 000066 03 12/31/2007 01/01/2009 X I we STATu... I IW"H- <br /> EMPlOl'ERS' LIA8/UT'/' $ 1,000.000 <br /> ANY PROPRlF.TORlFWUNERlEXECUTlVE E.L. EACH ACCIDENT <br /> OFFlCERlMEMBER EXClUDED? E.l. DISEASE - EA EMPlOYEE $ 1,000,000 <br /> ~~~beIow . E.L. DISEASE - POLICY UMrr $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS' LOCATIONS 'VEHIClES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAl. PROVISIONS <br />Coverage is extended to the leased employees of alternate employer (Florida Operations Only): Elite Property <br />Solutions, Inc. client #2434 (Effective 1.01.2006) DISCLAIMER: The Certificate of Insurance does not constitute a <br />contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does <br />it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SHOULD NI'I OF THE ABOl/E DESCRIIED POUCES BE CANCElLED BEFORE THE EXPIRATION <br />DAT1!THEREOF, THE ISlIu.IG INSURER WILL ENDEA_lO MAIL 30 DAYSWRITTEN NOrlCElO <br />THE CERTFlCAT1! HOLDeR NAlEDlOTHE LEFT, BUT FAI1.URElO DO so SHALL ~ NO <br />OBI..IGATION OR UAIIIUTY OF NI'I KIND UPON THE INSURER. ITS AGENTS OR <br />REPRESENTA1IVES. <br /> <br />Elite Property Solutions, Inc <br />35213 Sr 54 West <br />Zephyrhills, FL 33541 <br />ACORD 25 (2001/08) <br /> <br />AIITHORIZED AEPRESENTATNE <br /> <br />Page 1 of 1 <br /> <br />~ <br /> <br />@ACORD CORPORATION 1988 <br />
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