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<br /> '. " ItJ~. ..........".......... .. '. <br /> .ut: K.II"'~ UA 1 t: NUMBER <br /> , 404649 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br /> UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS <br /> CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Marsh, Inc. POLICIES DESCRIBED HEREIN. <br />1166 Avenue of the Americas <br />New York, NY 10036 COMPANIES AFFORDING COVERAGE <br />Telephone (212) 345-5000 COMPANY A: AI South Insurance Co. <br /> COMPANY B: American Home Assurance CO. <br />INSURED COMPANY C: Commerce & Industry Ins Co <br /> COMPANY D: Illinois National Insurance Co. <br />SimplexGrinnell, LP COMPANY E: Insurance Company of the State of PA <br />4701 OAK FAIR BLVD <br />TAMPA, FL 33610 COMPANY F: New Hampshire Ins. Co. <br />United States COMPANY G: New York Marine & General Insurance Co. (Lead) <br /> COMPANY H: White Mountain Insurance Co. <br /> .... .,., >\ ...'. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE <br />AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DD/YY) DATE (MMlDDIYY) <br />B GENERAL LIABILITY GL 1595415 6/29/2007 10/1/2008 GENERAL AGGREGATE $15,000,000.00 <br /> rx COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $15,000,000.00 <br /> ~ ~ CLAIMS MADE [2[] OCCUR PERSONAL & ADV INJURY $7,500,000.00 <br /> f-'= <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $7,500,000.00 <br /> f--- <br /> FIRE DAMAGE (Anyone fire) $1,000,000.00 <br /> MED EXP (Anyone person) $10,000.00 <br />B AUTOMOBILE LIABILITY CA 1606993 (VA) 6/29/2007 10/1/2008 COMBINED SINGLE LIMIT $7,500,000.00 <br />B )( ANY AUTO CA 1606992 (MA) 6/29/2007 10/1/2008 <br />B r-- CA 1606994 (AOS) 6/29/2007 10/1/2008 BODILY INJURY (Per person) <br /> ALLOWED AUTOS <br /> f-'= <br /> SCHEDULED AUTOS <br /> f--- <br /> X HIRED AUTOS BODILY INJURY (Per accident) <br /> rx NON-OWNED AUTOS <br /> ~ <br /> PROPERTY DAMAGE <br /> f-'= <br /> PROPERTY <br />B EXCESS LIABILITY BE 9835073 6/29/2007 10/1/2008 EACH OCCURRENCE $10,000,000.00 <br /> ~ ,UMBRELLA FORM AGGREGATE $10,000,000.00 <br /> OTHER THAN UMBRELLA FORM <br />B WORKERS COMPENSATION AND SEE PAGE TWO SEE PAGE TWO SEE PAGE TWO X I ~~I~~ATUTORY I I OTHER .... .... ... <br /> EMPLOYERS' LIABILITY < )<. <br />0 EL EACH ACCIDENT $2,000,000.00 <br />C THE PROPRIETOR! <br />A PARTNERS/EXECUTIVE RINCL EL DISEASE-POLICY LIMIT $2,000,000.00 <br />F OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $2,000,000.00 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />Please see page 2 for additional insureds and any additional language. <br />CERTIFICATE..HOLDER CANCELLATION << < <br />City of Zephyrhills SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE <br /> INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />5335 Eighth Street NAMED HEREIN, BUT FAilURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />Zephyrhills, FL 33542 THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. <br /> MARSH USA INC. BY: i'",\ ..:J~ <br /> David Kong, Casualty Program J I, ---"'" <br /> > VALID AS OF:1/29f2008 <br />