Laserfiche WebLink
<br />5/1/2008 3:29 PM <br /> <br />Odiorne Insurance <br /> <br />99488922 <br /> <br />002 <br /> <br />ACOBQ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDII'YYY) <br />05/01/2008 <br />PRODUCER (813)685...: 7731 FAX (813)685-1823 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Odiorne Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1206 N. Parsons Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Post Office Box 810 <br />Brandon, Fl 11509 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED CB Sign Service, Inc., INSURER A The Travelers Indmnty of Conn 25682 <br />DBA: C B SignServices INSURER B Auto Owners Insurance Co <br />19608 lake Patience Road INSURER C FCB&I Fund <br />land 0' lakes, Fl 14619 INSURER D' <br /> INSURER E <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'MilCH 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 />~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS <br /> GENERAL LIABILITY I6809492C460 01/17/2008 01/17 /2009 EAQ-IOCCrnRENCE $ I,OOO.OO(] <br /> - DAMAGE TO RENlCD 300,00(] <br /> X COMMERC~LGENERALL~~ITY $ <br /> U CLAIMS MADE [!] OCCUR M:D EXP (Any one persoo) $ 5,00(] <br /> - <br />A PERSONAL & ADV NJJRY $ 1 OOO,OO(] <br /> - <br /> GENERAL AGGREGATE $ 2 , 000, OO(J <br /> - 2 , 000, OOC <br /> GEN'L AGGREGATE LMT APPLES PER: PRODUCTS. COMPIOP AGG $ <br /> I POLICY n ~g. nLOC <br /> AUTOMOBILE LIABILITY B008041818176 04/18/2008 04/18/2009 COMBllED SINGLE LIMfT <br /> - (Ea accid8lll) $ 1,000,000 <br /> Am AUTO <br /> f--- <br /> ALL O'M'JED AUTOS BOOt. Y IN..URY <br /> X $ <br /> sa-tEOULED AUTOS (Par pelSOO) <br />B f--- <br /> HIRED AUTOS BOOt. Y INJJRY <br /> f-- $ <br /> NCJN.OWNED AUTOS (Per accident) <br /> f-- <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ON.. Y . EA ACaDENT $ <br /> R Am AUTO OWER THAN EA ACC $ <br /> AUTO ON.. Y: AGG $ <br /> EXCESSlUMBRELLA LIABILITY EAQ-IOCCrnRENCE $ <br /> =:J occrn o QAIMS MADE AGGREGATE $ <br /> $ <br /> l DEDUCTlBLE $ <br /> RETENTlON $ $ <br /> WORKERS COMPENSATION AND 10640206 04/01/2008 04/01/2009 X I ~i'l:.ws I 10TH- <br /> ER <br /> EMPLOYERS' LIABILITY 100 OOC <br />C Am PROPRIETORJPARTNERlEXECUTlVE EL EAQ-I AcaDENT $ <br /> OFFICERlMEMBER EXQLOED? EL DISEASE. EA EMPLOYEE $ 100,000 <br /> ~ad~~~~~NS below E L DISEASE. POLICY LItIVT $ SOO.OO(] <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCaLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Zephyrhills Permit Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHAlL IMPOse NO OBLIGATION OR LIABILITY <br />S:BS 8 th street OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Zephyrhills, Fl 33542 AUTHORIZED REPRESENTATIVE l702/R: ~~ t2/iu.ML <br /> George Odiorne Ext <br /> <br />ACORD 25 (2001108) FAX: (81])941-8922 <br /> <br />@ACORDCORPORATION1HB <br />