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08-7923
Zephyrhills
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Building Department
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2008
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08-7923
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Last modified
3/6/2009 4:45:10 PM
Creation date
8/22/2008 10:38:51 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7923
Building Department - Name
JOSEPH,JOSEPH
Address
37815 15TH AVENUE
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<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYV) <br /> 06/03/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> Aon Risk servic~s Northeast, Inc. <br /> c/o client service center AND CONFERs NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br /> 1000 Milwaukee Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> Glenview IL 60025 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PHONE-(8661 283-7122 FAX- (847) 953-5390 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Greenwi ch Insurance company 22322 <br /> cintas corporation INSURER B Westchester Fire Insurance co 21121 <br /> dba cintas Fi re protection <br /> 9203-0 King Palm Drive INSURER C XL specialty Insurance co 37885 <br /> Tampa FL 33619 USA <br /> INSURER D <br />~ INSURER E <br /> SIR Mil 'AM~I\I' <br />TIm POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIm INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CON1RACT OR OTHER DOCUMENT WITH RESPECT TO WIDCH TInS CERTIFlCATE MAYBE ISSUED OR MAY <br />PERTAIN, TIm INSURANCE AFFORDED BY TIm POLICIES DESCRIBED HEREIN IS SUBJECf TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INSR ::S~ POUCYEFFI!:CTIVI POUCY I!:XPIRATION <br />LTR TYPE OF INSURANCE POUCY NUMBI!:R DATE(MM\DDlYY) DATE(MM\DDlyy) UMITS <br />A ~"._>n RGD943715702 07/01/07 07/01/08 EACH OCCURRENCE $2,000,000 <br /> X COMMERCIAL GENERAL LL\BILITY DAMAGE TO RENTED $100,000 <br /> CUtiMS MADE I!] OCCUR PREMISES (Ea occureneo) <br /> one person S5,OOO <br /> X Contractual Liability PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGAlE $2,000,000 <br /> GEN'L AGGREGAlE LIMIT APPLIES PER $1,000,000 <br /> PRODUCTS - COMP/OP AGG <br /> o POLICY 0 PRO- ~ LOC <br /> lECT <br />A AUTOMOBILE UABlUTY RAD943715802 07/01/07 07/01/08 COMBINED SINGLE LIMIT <br /> r::: ANY AlITa AOS (Ea accident) $5,000,000 <br />A RAD943715902 07/01/07 07/01/08 <br /> ALL OWNED AlITOS MA BODIL Y INJURY <br /> ~ SCHEDULED AUTOS (Per person) <br /> ~ HIRED AlITOS BODILY INJURY <br /> ~ NON OWNED AlITOS (Per accident) <br /> ~ comp/co 11 Cov. Incl. PROPERTY DAMAGE <br /> with $0 Oed. (Per accldmt) <br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT <br /> R ANYAlITO OTHER THAN EA ACC <br /> AlITO ONL Y : <br /> AGG <br />B EXCESS /UMBRELLA UABlUTY G22035277002 07/01/07 EACH OCCURRENCE ) 5 , DDD , DDO <br /> ~ OCCUR 0 CLAIMS MADE AGGREGAlE $5,000,000 <br /> aDEDUCTIBLE <br /> RETENTION <br />C RWD ./ ., X Jwc STATU-' I~JH- <br />C WORKERS COMPENSATION AND RWR943511402 07/01/07 07/01/08 <br /> EMPLOYERS' UABlUTY <br />c RWE943512102 07/01/07 07/01/08 E,L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR / PARTNER / EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED> E.L. DlSE.<\SE-EA EMPLOYEE Sl,OOo,OOO <br /> lIves, describe undo: SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT $1,000,000 <br /> below ~ <br /> OTHI!R <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> ~ ,."""""- <br /> City of Ze~h~rhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Attn: aui dlng Department DAlE TIlEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 5335 8th street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Zephyrhills FL 33542 USA BUT FAILURE TO ])(} so SHALL IMPOSE NO OBLIGATION OR LIABIUTY <br /> OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES, <br /> AUTHORIZED REPRESENTATIVE ~ ~..9"___~..:::.v~ <br /> 19RJI <br /> <br />N <br />.... <br />LL <br /> <br />.. <br />~ <br />5 <br />... <br />= <br />~ <br />"C <br />.... <br />.. <br />~ <br />"C <br />"S <br />== <br /> <br />ID <br />'" <br />'" <br />v <br />'" <br />.... <br />00 <br />N <br />o <br />o <br />.... <br />U"\ <br /> <br />~ <br />Z <br />~ <br />~ <br />... <br />t=: <br />t: <br />... <br />u <br /> <br />Iii <br />a <br />~ <br />~ <br />it! <br />m <br />~ <br />i.Q <br />;!i <br />~ <br /> <br />~. <br /> <br />I <br />-= <br />- <br />
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