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08-7835
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2008
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08-7835
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Last modified
3/6/2009 4:45:37 PM
Creation date
8/21/2008 8:59:31 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7835
Building Department - Name
SUPER WAL MART
Address
7631 GALL BV
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<br />CERTIFICATE OF LIABILITY INSURANCE ~~~1 I DAT~:;;;7c;;; <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />ACORD.. <br /> <br />PRODUCER <br />Boyd .Insurance & Investment <br />Services, Inc. <br />717 Manatee Avenue West #300 <br />Bradenton FL 34205 <br />Phone: 941-745-8300 Fax: 941-745-2571 <br /> <br />INSURED <br /> <br />Florida Sign Co~any Inc. <br />1101 29th Ave W <br />Bradenton FL 34205 <br /> <br />COVERAGES <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A: AUTO OWNERS INSURANCE CO <br />INSURER B: Owners Insurance Company <br />INSURER C: <br />INSURER D: <br />INSURER E: <br /> <br />NAIC# <br />18988 <br />32700 <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION 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 CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR[ TYPE OF INSURANCE POLICY NUMBER 'if,N~lMMIDDrfif I "l::kTE (MMIDDIY'(i" LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> f-- <br />A ~ COMMERCIAL GENERAL LIABILITY 20706414 03/20/08 03/20/09 PREMISES (Ea occurencel $ 50000 <br /> ~ CLAIMS MADE [jJ OCCUR MED EXP (Anyone person) $ 5000 <br /> f-- <br /> PERSONAL & ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $ 1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $1000000 <br /> Xl n PRO- nLOC <br /> X POLICY JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ~ $ 1000000 <br />B ~ ANY AUTO 9542691301 03/20/08 03/20/09 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> HIRED AUTOS BODILY INJURY <br /> - $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $2000000 <br />A I!J OCCUR o CLAIMS MADE 9542691302 03/20/08 03/20/09 AGGREGATE $ <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $10000 $ <br /> WORKERS COMPENSATION AND I TORY LIMITS I IUJlt <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If ~s, describe under <br /> S ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> . --- <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - <br /> .. <br /> --- .. .. ... -- - -- - __ n___ n_ <br /> <br />CERTIFICATE HOLDER <br /> <br />CIT5335 <br /> <br />City of Zephyrhills <br />5335 8th Street <br />Zephyrhills FL 33542 <br /> <br />ACORD 25 (2001/08) <br /> <br />CANCEttATlON <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHD REPRESENT V <br /> <br /> <br />@ACORD CORPORATION 1988 <br />
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