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From Carey Roberts At: Brown & Brown FaxID: To: Building Dept Date: 613012008 08:57 AM Page: 1 of 3 ACORD... . CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYYI 6/30/2008 PRODUCER Phone: 941-205-2040 Fax: 941-205-2048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Charlotte County ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 126 E Olympia Ave Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Punta Garda FL 33950 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Owners Insurance Co. 12700 A Window Pro Contracting, Inc INSURERB: Richard Leonard 28230 Pasadena Dr. INSURERC: Punta Garda FL 33955 INSURERD: INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~:: ~DD'L POlICY NUMBER P~,i~:~~8,W.E pg...Lfl,=,WlN LIMITS NSR A ~NERAL LIABILITY 20588793 6/21/2008 6/21/2009 EACH OCCURRENCE $See Attachec X- 3MERCIAL GENERAL LIABILITY PREMISES iFa occur""ce) $See At tachec - CLAIMS MADE Ii] OCCUR MED EXP (Anyone person) $See Attache PERSONAL & HJV INJURY $See Attache( - GENERAL AGGREGATE $ Sep ll.r tache! ~'LAGG~n LIMIT 7lPER: PRODUCTS - COMPIOP AGG $Spe ll.trache X POLICY ~rc?T LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccid""t) - - ALL OWNED AUTOS BODILY INJURY (per person) $ SCHEDULED AUTOS f-- f-- HIRED AUTOS BODILY INJURY (per accident) $ f-- NON-OWNED AUTOS f-- PROPERTY DAMAGE $ (per accident) ~GE LIABILITY AUTO ONLY - EA ACCIOENT $ mv AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ ~ESSI\JMBRELlAlIABlurY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ $ :=j ,DEDUCTiBlE $ RETENTION $ $ WORKERS COMPENSATION AND I WCSTATU- I IOJ~- EMPLOYERS' lIABILITY ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ II yes. deSC~be under SPECIAl PROVISIONS bel"'" E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE S I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS :;lass, Door and Window Installation - Refer to attached for General Liability limits of coverage ontractor: Richard Leonard CERTIFICATE HOLDER City of Zephyrhills - Building Dept 5335 8th Street Zephyrhills FL 33542 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUI' FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001108)