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<br />"<~;r', _ , <br /> <br />f{ <br /> <br />.. <br /> <br /> <br />Page <br /> <br />1 55040 nl/87> <br />Issued 04-17-2007 <br />TAILORED PROTECTION POLICY DECLARATIONS <br /> <br />INSURANCE COMPANY <br />610] ANACAPRI BLVD., LANSING, MI 48917-3999 <br /> <br />AGENC LEE REED INSURANCE INC <br />12-0154-00 MKT TERR 052 <br />INSURI) GARY STEVE <br />DBA G l STEVE CONSTRUCTION <br /> <br />Renewal E~~ective 06-03-2007 <br /> <br />(813) 782-5502 <br /> <br />POLICY NUMBER 972312-20548117-07 <br /> <br />ZEPHYRHILLS, Fl 33542-3328 <br /> <br />Company POLICY TERM <br />Bill 12:01 a.... 12:01 a.m. <br />06-03-2007to 06-03-2008 <br /> <br />ADORES 37651 8TH AVE <br /> <br />In consideration of ~t of the p~iu. sf-. below, this pOlicy is rttrWW8d. Pl__ .tt.ch this <br />Declarations and .ttactwents to your pOlicy. If you ha_ any questions, pl__ consult with your agent. <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br /> <br />LIMITS OF INSURANCE <br />6eneral Aggregate <br />(Other Than Products-Completed Operations) <br />Products-Completed Operations Aggregate <br />Personal Injury And Advertising Injury <br />Each Occurrence <br />Damage to Premises Rented to You (Fire Damage) <br />Medical Payments <br /> <br />$600,000 <br /> <br />600,000 <br />300,000 <br />300,000 <br />50,000 Any One Premises <br />5,000 Any One Person <br /> <br />Twice the "General Aggregate Limit", shown above, is provided at no additional <br />charge for each 12 month period in accordance with ~orm 55300. <br /> <br />AUDIT TYPE: Annual Audit <br />FORMS THAT APPLY TO LIABILITY: 59350 (01-06) <br />Il0021 (11-85) CG0220 (07-92) ILOOl7 (11-85) <br />55238 (06-04) 55196 (03-05) 54255 (03-02) <br /> <br />55157 <br />55146 <br />55296 <br /> <br />(07-96) <br />(06-04) <br />(07-05) <br /> <br />55068 <br />55188 <br />55300 <br /> <br />(08-89) <br />(09-04) <br />(07-05) <br /> <br />'\ <br /> <br />LOCATION OF PREMISES YOU OWN, RENT OR OCCUpy <br />LOC 001 SLDG 001 37651 8Th Ave <br />Zephyrhills, FL 33541-3328 <br /> <br />TERRITORY: 006 <br /> <br />COUNTY: Pasco <br /> <br />Classiflication <br /> <br />Subline <br /> <br />Prelli.. <br />Basis <br /> <br />Rates <br />Each 1000 <br />18.861 <br />4.432 <br /> <br />PrelliL8 <br /> <br />CODE 91340 <br />Carpentry - Construction O~ <br />Residential Property Not Exceeding <br />Three Stories In Height <br /> <br />Pre../Op <br />Prod/Co..p Op <br /> <br />Payroll <br />118,255 <br />118,255 <br /> <br />$2,230.00 <br />$524.00 <br /> <br />CODE 91583 <br />Contractors-Subcontracted Work-In <br />Connection With Building <br />Construction, Reconstruction, <br />Repair Or Erection O~ One Or Two <br />Family Dwellings <br /> <br />Prem/Op <br />Prod/Comp Op <br /> <br />Total Costs <br />550,446 <br />550,446 <br /> <br />Each 1000 <br />.919 <br />2.128 <br /> <br />$506.00 <br />$1,171.00 <br /> <br />... <br />I". . <br />:x <br />