Laserfiche WebLink
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br /> 05/02/2008 <br />PRODUCER (561) 338-3030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Starling Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1700 North Dixie Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 109 <br />Boca Raton FL 33432- INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURERA:Nationwide Mutual Ins. Co 23779 <br />J&G Carpentry, Inc. INSURER B: <br />13461 79th Court North INSURER C: <br /> INSURER 0: <br />West Palm Beach FL 33412- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE 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. <br />INSR ADD'L POLICY NUMBER P~A~~~:U&Wf Pg~fl(~~~N <br />LTR INSRD TYPE OF INSURANCE LIMITS <br />A GENERAL LIABILITY 77PR769812-3001 05/02/2008 05/02/2009 EACH OCCURRENCE $ 1,000,000 <br /> t-- ~~~~~J?~cel <br /> X COMMERCIAL GENERAL LIABILITY $ 50,000 <br /> I CLAIMS MADE ~ OCCUR / / / / MED EXP (Anv one oersonl $ 5,000 <br /> f- PERSONAL & ADV INJURY $ 1,000,000 <br /> / / / / GENE;RAL AGGREGATE $ 2,000,000 <br /> ril'L AGGREnE LIMIT AFlES PER: PRODUCTS. COMPIOP AGG $ 2,000,000 <br /> X POLICY ~~8i LOC / / / / <br />A ~OMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT 500,000 <br /> (Ea accident) $ <br /> - ANY AUTO <br /> - ALL OWNED AUTOS / / / / BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS / / / / BODILY INJURY <br /> (Per accident) $ <br /> NON-OWNED AUTOS <br /> r-- 05/02/2008 05/02/2009 <br /> ~ OWNED 77BA769812-3002 PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> R ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY / / / / EACH OCCURRENCE $ <br /> :=J OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND / / / / I WC~TATU-I 10lli- <br /> TOR LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIOE;NT $ <br /> OFFICERlMEMBER EXCLUDED? / / / / E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER / / / / <br /> / / / / <br /> / / / / <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHlCLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />( ) - (813) 780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE lliE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 10 DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT <br /> - <br /> City of Zephyrhills FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON lliE <br /> Permitting / Licensing INSURER ITS AGENTS OR REPRESENTATIVES. <br /> 5335 8th Street AUTHORIZED REPRESENTATIVE for M~a~S~;to- <br /> Zephvrhills FL 33542- <br /> <br />ACORD 25 (2001/08) <br />~.",i INS025 (0108).05 <br /> <br />ELECTRONIC lASER FORMS, INC. . (800)327-0545 <br /> <br />@ACORDCORPORATION1988 <br />Page 1 Of~. <br />