Laserfiche WebLink
<br /> <br />CERTIFICATE NUMBER <br />436693 <br /> <br />PRODUCER <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />Marsh, Inc. <br />1166 Avenue of the Americas <br />New York, NY 10036 <br />Telephone (212) 345-5000 <br /> <br />INSURED <br /> <br />SimplexGrinnell, LP <br />4701 OAK FAIR BLVD <br />TAMPA, FL 33610 <br />United States <br /> <br /> <br />WORKERS COMPENSATION POLICIES <br /> <br /> <br /> Carrier Policy Number Eff. Date Exp. Date State <br />(B) American Home Assurance Co. WC 1616749 6/29/2008 10/1/2008 CA <br />(D) Illinois National Insurance Co. WC 1616750 6/29/2008 10/1/2008 MI <br />(A) AI South Insurance Co. WC 1616751 6/29/2008 10/1/2008 GA <br />(B) American Home Assurance Co. WC 1616752 6/29/2008 10/1/2008 PA <br />(F) New Hampshire Ins. Co. WC 1616753 6/29/2008 10/1/2008 NY,OH,WI <br />(B) American Home Assurance Co. WC 1616754 6/29/2008 10/1/2008 NJ <br />(C) Commerce & Industry Ins Co WC 1616755 6/29/2008 10/1/2008 FL <br />(E) Insurance Company of the State of PA WC 1616756 6/29/2008 10/1/2008 AR,MA, VA <br />(B) American Home Assurance Co. WC 1616757 6/29/2008 10/1/2008 OR <br />(B) American Home Assurance Co. WC 1616758 6/29/2008 10/1/2008 AOS <br />(B) American Home Assurance Co. WC 1616759 6/29/2008 10/1/2008 TX <br /> <br />LIABILITY PROGRAM <br />Certificate holder is added as an additional insured for General Liability and Auto Liability, but only to the <br />extent of the Named Insured's negligence. <br /> <br />Additional Insureds: City of Zephyrhills <br /> <br />Project: Various Inspections <br /> <br />If there is a question regarding this certificate please contact Robert Walp <br />(Email: rwalp@tycoint.com Phone: 813-626-5482) <br /> <br /> <br />City of Zephyrhills <br />5335 Eighth Street <br />Zephyrhills, FL 33540-4312 <br />