Laserfiche WebLink
<br />ACORDTM <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />DATE 9/4/07 <br /> <br />Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />BROWN & BROWN INC CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />220 SOUTH RIDGEWOOD AVENUE AFFORDED BY THE POLICIES BELOW, <br />POBOX 2412 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />DAYTONA BEACH, FL 32115 A GREENWICH INSURANCE CO 22322 <br />INSURED COMPANY <br />WAYNE AUTOMATIC FIRE SPRINKLERS, INC B HARTFORD CASUALTY INSURANCE CO 29424 <br />HAZARD FIRE PROTECTION ENGINEERING COMPANY <br />WAYNE FIRE INSPECTIONS C NAVIGATORS SPECIALTY INSURANCE CO 36056 <br /> COMPANY <br />222 CAPITOL COURT D FFVA MUTUAL INSURANCE CO (FL ONL YI 10385 <br />OCOEE FL 34761 COMPANY <br /> E HARTFORD INSURANCE CO OF THE SE 38261 <br /> COMPANY <br />COVERAGES <br />THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWlTliSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFECllVE POLICY LIMITS <br /> DATE (MMlDDIYYI EXPIRATION <br /> DATE IMlDD/YY1 <br /> GENERAL LIABILITY RMG6400124 09/01/07 09/01/0B GENERAl AGGREGATE $ 2,000,000 <br />A ~ OMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> 00 CLAIMS MADE (gJ OCCUR PERSONAL & ADV IN JURY $ 1,000,000 <br /> DOWNER S & CONTRACTOR-S PROT EACH OCCURRENCE $ 1,000,000 <br /> ~ IUIT FIRE DAMAGE (Anyone fife) $ 50,000 <br /> APPLIES PER PROJECT MED EXP (Any one person) $ 5,000 <br />B AUTOMOBILE LIABIlITY 21UENLJ7216 09/01/07 09/01/0B $ 1,000,000 <br /> [gJ ANY AUTO COMBINED SINGLE LIMIT <br /> o ALL OWNED AUTOS <br /> [gJ HIRED AUTOS ~ODIL Y IN JURY $ <br /> Per Person) <br /> [gJ NON.OWNED AUTOS BODILY INIURY $ <br /> 0 (Per AccidonlO <br /> 0 PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO DNLY-EAACCIDENT $ <br /> o ANY AUTO OTHER THAN AUTO ONLY: $ <br /> 0 EACH ACCIDENT $ <br /> 0 AGGREGATE $ <br />C EXCESS/UMBRELLA LIABILITY NY07EXC169817NC 09/01/07 09/01/08 EACH OCCURRENCE $ 1,000,000 <br /> (gJ OCCURRENCE AGGREGATE $ 1,000,000 <br /> SIR $ 10,000 <br />D WORKERS COMPENSATION AND VVC8400016B652007A 04/01/07 04/01/0B lXI STATUTORY LIMITS <br />EMPLOYERS LIABILITY <br /> THE PROPRIETOR! o INCL EACH ACCIDENT $ 500,000 <br /> PARTNERS/EXECUTIVE $ 500,000 <br /> OFFICERS ARE: o EXCL DISEASE-POLICY LIMIT <br /> DISEASE-EACH EMPLOYEE $ 500,000 <br />E OTHER <br /> LEASED/RENTED EQUIPMENT 21 MSLJB023 09/01107 09/01/08 $100,000 PER ITEM <br /> $2,500 DEDUCTIBLE $200,000 AGG <br />DESCRIPTION OF OPERATlONSJlOCATlONSNEHICLESJSPECIAL ITEMS <br />CANCELLATION: EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM <br />TAMPA - BRUCE COPPIN AND <br />RICHARD LENNERTH ARE LICENSE <br />HOLDERS <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CITY OF ZEPHYRHILLS THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br /> ATTN: BILL BURGESS MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br /> 5335 8TH ST THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br /> OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR <br /> ZEPHYRHILLS FL 33540 REPRESENTATIVES. <br /> ~~ <br /> ACORD 25-S (3/93\ @ ACORD CORPORATION 1993 <br />