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08-7717
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08-7717
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Last modified
3/6/2009 4:46:12 PM
Creation date
8/14/2008 9:57:53 AM
Metadata
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7717
Building Department - Name
MCDONALDS USA, LLC
Address
6042 GALL BV
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<br />To: Hernando Fire & Safety <br /> <br />From: Tom Browning <br /> <br />4111200811:01:31 AM (Page 4 of 8) <br /> <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DAlIi~'W.., <br />4/1/2008 <br />PItODUCEIt PIlone: 1352 119t'\-~~32 THIS CERTIFICATE IS ISSUED AS A MAneR OF INFORMATION <br />I3n~nil\llnsllnIl1l:c A;!\'llcy Inc. -l3rooks\illc !'lIX: (352)796-8811 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERnFICA TE DOES NOT AlIENO. EXTEND OR <br />I' 0 Bo.x lllll ALTER THE COVERAGE AFFORDED BY THE POUCES BELOW. <br />13rooksville. Horida 3~60S <br /> INSURERS AFFORDING COVERAGE NAIC. <br />- II8JRER A: Bri<Ib>etickl En'{lIoycn; Jnswancc Co. 10701 <br />Hernando Fire & Sal;;ty Equipment Company INSURER B: <br />1109 I'ullce De LC,\1l HI \'J . , <br />13ruoksvillc. I'L 3~h() I INBURERC: <br /> INSURER D: <br /> INSURER E: <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO tlDlCATED. NOTWITHSTANDING <br /> A~ REQUIREMENT, TERM OR CONDITION OF AN'( CONTR,t,CT OR OTHER DOCUMENT WITH RESPECT TO WHIOi nls CERTIACATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES tESCRl8ED.HERBWS SUBJECI.T.O.ALLnE reBUS, exa.USlONS.uD.COllIDlTlONS.QESlOl. .. <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEENREOUCED BY PAID CLAIMS. <br />LTR- I'CLICY_ E ~ ~ <br />lYP <br />~LUABIUTY ElIOt OCCURRENCE S <br />---1 ~MERC IAL GENERAL UABlLITY PR S <br /> CLA.MS MADE 0 OCCUR MEDEXP(Anr-pormn) S <br /> -' <br /> PER801W. & /IIIJV IUlRY S <br /> . OENERALAOGREGATE S <br />---' -- <br />~N'LAGGnE9UMlTnPER: PROOUC11I-COIFIO' AGO S <br /> POL,C" r:r8; lOC <br />~UABUrY COIBNED lIINQU! LMT S <br /> ~y AU10 lEa ........0 <br />- . <br />- ALL OWNED AUTOS IIOOIL Y INJURY <br /> S <br /> SCHFntK-EDAUTOS (....--) <br />- <br />- HIRE!) AUTOS BODILY INJURY <br /> (Per ecdlIeriI) S <br />- NON.()WNED AUTOS <br />- - -' PROPERTY MIMGE S <br /> - - (Per -*IerlI) <br /> - <br />~ UABlUTY AUTO ONLY -EIIACODBfT S <br />rlANV""TO . oneRTHAN FAACC S <br /> AUTO ONLY: AGO I <br />~8SIUMIIRELLA LIA8LITY EACH 0CCUfI'lENCI! S' <br /> OCCUR 0 ClAIMSMAIlE AGGREGATE S <br /> S <br />==1 DEDUCTBLE S <br /> RE1EN r'ON S S <br />A WORKERS COMI'I:NSA lION AND O!OG-:I7315 '+.1/2008 ~/Ji1009 ~I 10m- <br /> EIIII'LOYERS' UAIlIU rY J(X),ooo <br /> N4YPROPRIETORPARTNERlEXECUTIVE E.L, EACH ACCIDENT $ <br /> OFFiCERlMEMBER ExCLUDED? E,L, DllIEASE -Ell BFlOYEE S J(X),Ooo <br /> tfyel, deSCrib8lll':.i::1 E,L, DISEASE - PClUC'f L1Mrr 500,000 <br /> SPECIAL PROV ,S () N~ below S <br /> 0T1ER I <br /> ! <br /> I <br />DESCR....ION ~ OPI:RA liONS/lOCATIONS/VEHICLES/ EllCUI8ION8 AIlOED BY ENDORSEMENT /SPEClALPROWlION8 <br /> hre Equipment ...,,:, , ,IIIJ IIE.tallation <br /> <br />CERTFICATE HOLDER <br />IllllJcr', Nature.>1 1:,'"",[ : Certilicatc tioldcr <br /> <br />COVERAGES <br /> <br />533:-- 'Ih ~l <br />L~I'II\1l1d:,:I'L 33540 <br /> <br />CANCELLAnON <br />StlClULDNn Of'TIlE AIIOYE DE~ POIJCld _ CNICELUID ~ TIlE 1llP1tA11llN <br />DAlIi TllEIIEOf'. THE ..uwa __ WLL ENIIEAVOll TO -. ..lL DAYI WNTTEN <br />~ TO THE CEKTlPlCAft IIOLIlEIl __ TO TIlE I.S'T. aUT'~ TO DO 80 IIW.L <br />~ NO OBLIGA T1ClII OR IJI\8aJI'Y Of' ANY _ UPClII T" --. ITS AGENTS OR <br />REPllEIENTATIYE8. <br />AUTIIOItIEED~ <br /> <br />Cil~ ,,: Ll'phyrhills <br /> <br />o ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />
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