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<br />2008.Jul.17 09:37 AM DunnWell Facilities Services 919.661.1900 <br /> <br />3/9 <br /> <br /> Cllent#: 1009988 21 DUNNWLLl! <br />A CORD.u CERTIFICATE OF LIABILITY INSURANCE I DATI! IMMIDOI\'YYY) <br />07/08/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />BB&T Insurance-Wilmington ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />115 Third Street, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, meND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Wilmington, NC 28401 <br />910 n2.3700 INSURERS AFFORDING COVERAGE NAIC. <br />INSURI!D INSUFl!R A: Travelers Indemnity Company of Amerl 25888 <br /> DunnWell LLC Restaurant Services Inc lNSUR~ 8: Travelers Property Casualty Co of Am 25674 <br /> and DB Marketing Ino INBUR!RC: Travelers Casualty & Surety Company 19038 <br /> PO Box 1908 INSURER D: <br /> Garner, NC 27529 INlIURER E: <br /> <br />COVERAGES <br /> <br />THE POUCI!$ OF INSURANCE! LISTED BiLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE!RIOD INDICATED. NOlWlTHSTANDING <br />ANY f!f!QUIMMENT, 11!RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THe POUCI!$ DI!$CflUlll!O HEMIN IS SUBJECT TO AI.I. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LlMrrs SHOWN MAY HAVE BE!!N REDUCED BY PAlD Cl.AIMS. <br />LTR N- TYPE OF INIUFWlCE POLICY NUMII&R "rPA'4w.=~ Pg~~ L1MIT8 <br />A ,!!HERAL LIABILITY 6308113A941Tl:T08 02120/08 02120109 EACH OCCURRENCE .1 000 ODD <br /> A. 3~II1ERClAL G~Nl!RALLIA8IUTY DAMAGe TO ReNTED 5100 000 <br /> ~ CLAIMS MADE ~ OCCUR MEt! EX1" (Anyone ll8IIOl11 85.000 <br /> PERSONAL & /IDV INJURY .1.000.000 <br /> GENeRAL AGGREGATE 12.000 000 <br /> lJe.l'l.AGGn LIMIT APnIPER: f'RODUCT8 - COMPlOp ACIG I s2-0oo 000 <br /> "I POlICY ~~ LOC <br />B ~TOMOIlILl! LIAIlIUTY 8108f13~5311L08 02/20/08 02120109 COMBINED SINGLE UMIT '1,000,000 <br /> !"A/of'fAllTO (Ea Icclaenlj <br /> to-- ALL OWNED AUTOS 800lL Y INJURY <br /> (.....~) 1 <br /> SCHEDULED AUTOe <br /> rx HIRED AUTOS BODtL Y INJURY <br /> rx . <br /> NON-OWNED AUTOll (Pe<'lIOllIdlnl) <br /> 'X Drive other Car PROPERTY DAMAGE <br /> X Lessors of Veh #CA20011001 Addllns Loss Payee (Par ecc:Idenll . <br /> ~AAGE LlADIUTY AUTO ONLV. EA ACCIDENT 1 <br /> Afol'fAUTO O'Jlol~ TIWI I1A ACe . <br /> AUTO ONLY: AGG . <br />B TMlllI!LLALIAIILlTY PSMCUP6113A96!STILO 02/20108 02/20109 eACH OCCURRENCE $5.000 000 <br /> X OCCUR 0 ClAIMS MADE AOlaRIGATE 55.000.000 <br /> . <br /> il DEOUC'l'IBLE . <br /> X RETENTION .10000 . <br />C WQftI(liRll CClMJISNSAllON AND PACRUB3410C16708 02/20108 02120/09 X I we STATU. I IO~. <br /> IMPLoYIAS' UAIIl.lTY IU. EACH ACCIDENT .1.000,000 <br /> Afol'f PftOPftl&roRlPARTH!RIIiXICUTlVE <br /> OFFICER/MEMBeR iXCLlIDED? E.L. DlllEASI! -I!A eMPLOYEe .1.000.000 <br /> :~~':~llblllOW 1.1.. DlelAH - POUCY LIMIT .1.000.000 <br /> OTHER <br />DUCRIPTlON 01' Ol'mtATlOH$' LOCATIOIilS , VEttlCL.S/l!XCLu.l0N8 Ablll!D 8Y IlNIlORllEMeNT IIPSc1AL PROVlIION8 <br />Certlftcate Holder Is addltlonallnsu red for work done on their behalf by InsUred. Form , <br />CGD037040S is attached to General Liability policy which provides Blanket Additional <br />Insured coverage If the Insured has agreed to such In 8 written contract or agreement. <br />Form .CGD1881103 Waiver of Subrogation also applies. <br />Various cleaning Jobs to be done In the city of Zephyrhllls Florida. <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Zephyrhills- Building <br />Department <br />5335 8th Street <br />Zephyrhllls, FL 33542 <br /> <br />CANCELLATION <br />SHOULD ANY' OF TIft AllOW DI!SCRl8I!D POUellS II! CANCI!lLIIlIII'ORI! TIft! EXl'11t4~ <br />DATI! THI!RI!OI'. 'ftll! .SUING IN$UIUIA WlL~ ENDEAVOR TO MAIL .....3.ll..... DAYV WIUl'l1iN <br />NOllCETO TH& CERTIFICATE HOLDllR NAMeD TO THI! LIl'1'. BUT 'AILUIU! TO 110 &0 $ItAlL <br />IMPOII! NO OBUII4TlOtl 01' lJAIllLITV 01' ANV KIND UPON THIi INIUIUiR, rra ACIliNTI OR <br />REPRESINTAllVliS. <br />F1&IENTATIVI <br /> <br /> <br />PGG <br /> <br />CI ACORD CORPORATION 1888 <br /> <br />919-661-5145 <br />ACORD 25 (2001/08) 1 on <br /> <br />ft2520525/M2313"1 <br />