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08-7984
Zephyrhills
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2008
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08-7984
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Last modified
3/6/2009 4:44:56 PM
Creation date
8/26/2008 2:25:16 PM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7984
Building Department - Name
CITY OF Z-HILLS
Address
6118 8TH STREET
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<br />I ACORDT. DATE (MM/DD/YYYY) I <br /> 06/03/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> Aon Risk services 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 /> FAX- (847) INSURERS AFFORDING COVERAGE NAIC # <br />PHONE-(866) 283-7122 953-5390 <br />INSURED INSURER A: Greenwich Insurance Company 22322 <br /> cintas Corporation INSURER B: westchester Fire Insurance Co 21121 <br /> dba cintas Fire Protection <br /> 9203-D King palm Drive INSURER C: XL specialty Insurance Co 37885 <br /> Tampa FL 33619 USA <br /> INSURER D <br /> INSURER E <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 OTIlER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY TIlE POLICIES DESCRIBED HEREIN IS SUBJECT 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 ADD' POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD\YY) DATE(MM\DD\YV) LIMITS <br />A ~~~"UIT RGD943715702 07/01/07 07/01/08 EACH OCCURRENCE $2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 <br /> CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) <br /> MED EXP (Anv one person) $5,00C <br /> X Contractua 1 L i abi 1 i ty PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 <br /> PRODUCTS - COMP/OP AGG <br /> D POLICY D PRO- ~ LOC <br /> JECT <br />A AUTOMOBILE LIABILITY RAD943715802 07/01/07 07/01/08 COMBINED SINGLE LIMIT <br /> 'X ANY AUTO AOS (Ea accident) $5,000,000 <br />A i-- RAD943715902 07/01/07 07/01/08 <br /> ALL OWNED AUTOS MA BODILY INJURY <br /> I- SCHEDULED AUTOS ( Per person) <br /> 7- HIRED AUTOS BODILY INJURY <br /> ~ NON OWNED AUTOS (Per accident) <br /> 7- Comp/Co 11 Cov. Incl. PROPERTY DAMAGE <br /> 7- with $0 Ded. (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> B ANY AUTO OTHERllIAN EA ACC <br /> AUTO ONLY <br /> AGG <br />B EXCESS /UMBRELLA LIABILITY G22035277002 07/01/07 07/01/08 EACH OCCURRENCE $5,000,000 <br /> ~ OCCUR D CLAIMS MADE AGGREGATE $5,000,000 <br /> !:3DEDUCTIBLE <br /> RETENTION <br />C RWD X ~C STATU-I WllI- <br />e WORKERS COMPENSATION AND RWR943511402 07/01/07 07/01/08 ORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />C RWE943512102 07/01/07 07/01/08 E.L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR / PARTNER / EXECUTIVE <br /> OFFICERlMEMBER EXCLUDED" E.L DlSEASE-EA EMPLOYEE $1,000,000 <br /> If yes. describe under SPECIAL PROVISIONS EL DISEASE-POLICY LIMIT $1,000,000 <br /> below <br /> OTHER <br />DESCRIPTION OF OPERATlONSfLOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> City of Ze~hyrhills SHOULD ANY OF llIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE llIE EXPIRATION <br /> Attn: Bui ding Department DATE llIEREOF, llIE 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON llIE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUllIORIZED REPRESENTATIVE ~ ~.9"'--....Jf/"~~ <br /> <br />N <br />Nl <br />u.. <br /> <br />... <br />... <br />!a <br />-= <br />... <br />"0 <br />- <br />... <br />... <br />"0 <br />'0 <br />== <br /> <br />'" <br />en <br />en <br />'</" <br />en <br />..... <br />co <br />N <br />o <br />o <br />..... <br />.,.., <br /> <br />c:> <br />Z <br />~ <br />~ <br />c.l <br />t.= <br />~ <br />... <br />U <br /> <br />- <br />~ <br />&i <br />---= <br />~ <br />~ <br />~ <br />~ <br />i.I:! <br />~ <br />~ <br /> <br />r.:" <br />~ <br />~ <br />- <br />
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