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08-7635
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2008
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08-7635
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Last modified
3/6/2009 4:46:36 PM
Creation date
5/13/2008 10:37:11 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7635
Building Department - Name
Z-HILLS GOLF
Address
39248 B AV
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<br />FROM: R&L CLEANING <br /> <br />FAX NO. <br /> <br />813-737-21218121 <br /> <br />Mar. 1214 21211218 1216:36PM P2 <br /> <br />ACORn. <br /> <br />DA Tf (MMlDOtVVVV) <br />CERTIFICATE OF LIABILITY INSURANCE 2 2 2008 <br />THIS CERTIFICATE IS ISSUeD AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHlS UPON THE CERTIFICATE <br />HOLDER. THIS CERnFlCATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUClES BELOW. <br /> <br />PRODUCER <br /> <br />KILBRr.oE INSURANCE <br />400 N Parsons <br />Brandon, FL 33511 <br />Et13) 684-7467 <br />INSURED R &. 1. Cleaning, <br /> <br />LLC. <br /> <br />INSURERS AFFORDING COVERAGE <br />~A:. Co Insurance <br />INSURER B: <br />NiURER C: <br />MSUAE'R 0: <br />INSUJlER ~ <br /> <br /> <br />NAIC# <br /> <br />COVERAGES <br /> <br /> <br />9615 Bdison Rd. <br />Lithia, PI. 33547 <br />7 7-2080 <br /> <br />THE POLICIES OF INSURANce USl'ED BB...OW HAVE BEBlISSUED TOnElNSUR8) NAMED ABOVE FOR niE POUCY PERIOD INDICATED. N01WI1liSTANDlNG <br />At('( REQUIREMENT. TERM OR CONomON OF ANY CONTRACT OR 0THEFt DOCUMENT WITH RESPECi TO WHICH THIS CERTlFlCA'Tl! MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HeReIIllIS SU8JECTTO ALL THE TEfWS. EXCt.USlONS AND CONomONS OF SUCH <br />POUCIES.AGGREGATE L.IMrrSSHOWN MAY HAVE BEEN ReOUCEDBYPAID C1..AIMS. <br />iNiR=: ~~NE POlJC'/'~11ON <br />I LTR 1YPE OF WSURANCE POlJCY NUMBER OA: DA: L/Mm; <br /> ~ERAI. L\A8IUlY EACH 0CCtlRR&NCE $ 1. 000 .OOC <br /> .x OIALGEleAL LIABIlITY PREMISES IEa!lClUlllCe' $ 100 ooe <br /> I-- Cl.AIMSMAOE [iJ OCCUR IIB>EICf' (AnyClflllINllBClnI S 5 .ooe <br />A GL3393S61 0J.{20/08 01/20/09 PEA8OHAl.&MNINJURV $ 1 000 OO( <br /> '"-- GEHaw. AGGReGATE $ 2 000.00.( <br /> QEN"t. AGGQGA1IO UMIT N'PUES PER <br /> Xl POliCY -r=r~ -n LOC PRODUCTS. COMPIOP AGG S 2 000 OO( <br /> ~OU08IlEL.IABlUI'v l:OM8INED SINGLE I.JMIT <br /> ANY AUTO l&;I--.q S <br /> - <br /> "-- AI..1. OWNED AUTOS <br /> 8ODILYINJ\JRV <br /> SCNeDULEl) AUYOS cPer_> $ <br /> I-- <br /> "'- HIReD AUTOS <br /> IlOOt. VlNJURY <br /> NON-OWNEDAlITOS (P\.-,....",..., $ <br /> - <br /> PROfIERTy IWIAGe $ <br /> (P'erf( nJ III <br /> RGeUAB~ AUTO OM. Y .E;AAC:CIt1eIT $ <br /> ANYAUTO EAACC $ <br /> ontERTHAN <br /> AUTDON/.Y; AGG $ <br /> ~LIA8IUTY eAcH 0CClJIlAl;NCe S <br /> OCCUR D~ AGGI'lEGAlE $ <br /> ~= $ <br /> S <br /> $ <br /> WORI<eM~TlOHANO $ <br /> EMf'l.OVERS" IJA8lllTY I~~~l I\,I~ <br /> ~~~1rNll !.L &A.CH ACCIDDlr S <br /> ~~=..sbo!law E.L DISEASE - a EMPloVEI $ <br /> OllU;R E.L DISEASE. POlICY UNIT $ <br />OESCAlP'noffOF ~TTOHS'l.OCATIOHs fVB4ic..es'EXCLusIciiSADDIED BY <br /> ~ISP&r::1AlPRovlsroNS <br />CERnFlCATE HOLDER CAN~nON <br /> - <br /> <br />lDr Pr@DIlntltion ~8ea 0Dly*****..* <br /> <br />Original will be issuecl at ~e rel!Uest: <br />of the iDsured. <br /> <br />SHOUl.D IIHY OF"1lC AeOYE Dl!.o -. ---' I"OUlzs lie CAIlICiU.SJ 1liRJQl: lllF e;l/I'IllU.~ <br />1>>.110 ntEREOF. 'ntI!. ISSuMG __ WILL ENDEI\VCR TO ~ ~~ _fTTC>o <br />NOTICIi. TO''1J:'Ii\QERT''lAC:'.A.TE HOI.DE!R ~.,.o THE l..E1=T. OUT' r~ ...C~ ClC> ::JIO ~'I"'\. <br />MI()SE NO/~ nil ,.... nv ~ MIV"'" ,~...... fNa~ rr,,;; .~ ,..., <br />
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