Laserfiche WebLink
<br />May, 28, 2008 1:18PM <br /> <br />No. 7248 <br /> <br />P. <br /> <br />I <br />l <br />I <br />I <br />I <br />j <br />I <br />i <br />I <br />I <br />I <br />f <br />I <br />r <br />i <br />i <br /> <br />ACOBIt '.. I DATE IMIIIIIDCrfYYY) <br />CERTIFICATE OF LIABILITY INSURANCE OS/28/2008 <br />PRODUCIiR (813)637-8877 FAX (813)637-8484 THIS CERTIFICATE I8I88UED AS A MAnER OF INFORMATION <br />Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />491S W. Cypress Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR , <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 100 <br />T~a. FL 33607 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Uni versa' F, re Systems, Inc. INSURER k Travelers Indemity <br />374 Hobbs Road INSURER B: Travelers PIC Co. of America 25674 <br />Ta~a, FL 33619 INSU~ER c: American Int'l Specialty Lines <br />I INSURER 0; Zenith Ins CO <br /> INSURER E: St. Paul Surplus Lines Ins. Co. <br /> <br /> ES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEIIIISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOlWlTHSTANDING <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 Al-l THE TERMS. EXCLUSIONS AND CONDITIONS' OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY tfAVE BEEN REDUCED BY PAID CLAIMS. <br />~ TYPE OF INSuRANCE JIOUC'f' NUMBER JIOUCY EFFEC11W POLICY EXPIRATION UMITI <br /> GENERAL LIABIUTY DTC05372C723-IND-08 01/01/2008 01/01/2009 EACH OCCURRENCE $ 1.000.00~ <br /> ~ <br /> X COMM~CIAL GENERAL ~IABILITY DAMAGa TO RENreO $ 300.OOIl <br /> f--, CLAIMS MADE [!] OCCUR MED exp (Any ~~) S S.ooll <br />A X $10.000 PO ded. PERSONAL & ADV INJU~ S 1.000.0CNl <br /> X Contactual liab GeNERAL AGGREGATE $ 2.000,000 <br /> GEN'L ACGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/O? N;J; S 2.000.001l <br /> h POLICY m ~~S= n LOC <br /> AUTOMOBILE UAIIIUTV DT810S372C723-TIl-08 01/01/2008 01/01/2009 COMBINED SINGLE LIMIT <br /> f-- (lOa accklent) S 1.000.000 <br /> X ANY AUTO <br /> f-- <br /> ALL OWNED AIlTOS BODILY INJURY <br /> ~ $ <br /> SCHEDULED AUTOS (Per pe.-,) <br />B - <br /> X HIReD AfJTOS BODILY INJURY <br /> T NON.QWNED AUTOS (Pl!~ 8CCklent) S <br /> X Comp/Coll Oed $500 PROPERTY DAMAGE <br /> (Per &c:Qd.nt) $ <br /> GARAGe LIABILITY AlITO ONLY. EA ACCIDENT $ <br /> =j ANY AlITO Oll4ER TliAH EA ACC $ <br /> AUTO ONLY: AGG S <br /> EXCE$S/UIIIlRELLA LIAIIIUTY BE3956697 01/01/2008 01/01/2009 EACH OCCURRENCE S IS.000.000 <br /> Xl OCCUR D CLAIMS MACE UMBRELLA FOLLOWS AGGREGATE s 15.000,000 <br />C FORM AND IS OVER $ <br /> ~ DE:OUCTIBLE WORKERS COMP. s <br /> X RETENTION $ 10.000 $ <br /> WORKliR8 COMPENSATION AND Z067973203 01/01/2008 01/01/2009 X I T"Xg9r~Wi I IOJ~. <br /> EMPLOYER&' UASlUTY 1.000.000 <br />D ANY P~OPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFlCeRIMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE S 1.000.000 <br /> 11 YIJ~ dl!sctibl! LIlder 1.000.000 <br /> SP~ IAL PROVISIONS bl!Iow E.L DISEME. POLICY LIMit $ <br /> f,r~EII QC05500567 01/01/2008 01/01/2009 $2.000,000 Each Act. <br /> rrors & Omissions <br />E Liab $10,000 Deductible Each Act. <br />DIiSCRIP'llON OF OPeRATIONS I LOCATIONS' V2HICLES I EXCLUSIONIl ADDED BY D1IlORSEII&NT / SPECIAL PROVISIONS <br /> <br /> <br />City of Zephyrhi1ls <br />Building Department <br />5335 8th Street <br />Zephyrhil1s. FL 33542 <br /> <br />CE <br />SHOULD Nf'( OF TIlE ABOve DESCRIBI!D POUCIES BIE CANCELLI!D "!FORE THE <br />I!XPIJlATION DATE THEREOF. THI! ISSUING INSURER WILL I!NDEAVDR TO MAlL <br />-1L DAYS WRlTTI!N NOTlCE TO THE CERTIFICATEi HOLDER NAMED TO THI! LEFT. <br />BUT FAIW~I! TO MAIL SUCH NOTICE SHALL IMPOSE NO O8LIOATlON OR LIABILITY <br />OF AtlY KIND UPON THE IHSU~ER.ITS AGeNTS Oft REPRESENTA'r'IW$. <br />AUl1IORIZED REPRUENTAllVE <br /> <br />--o.:a )1f. <br />RJOA ~I <br />@ACORD CORPORATION 1988 <br /> <br />William Massaro Jr. <br /> <br />ACORD 25 (2001108) <br />8136620080 <br /> <br />OS/28/2008 13:24 <br /> <br />RECEIVED FROM: <br /> <br />#7108-001 <br />