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08-8150
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2008
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08-8150
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Last modified
3/6/2009 4:44:21 PM
Creation date
9/23/2008 9:50:05 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-8150
Building Department - Name
GREENAWALT,ANDREW R
Address
6134 9TH STREET
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<br />ACORD.. CERTIFICATE OF LIABILITY I,NSURANCE o:i:: PI' I DAn IMMlDDIYVVY) <br />D IN-l 08/06/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HElwSOme ADc1 "'aci.ates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />325 N. Belcher Rd" 2nd Fl ALTER THE COVERAGE APFORDED BY THE PQUelES BELOW. <br />Clearwater FL 33765 <br />Phone: 727-726-4989 Fax: 727-210-4448 INSURERS AFFORDING COVERAGE NAIC' <br />INSURED INSURER A: Nv ....tual rnauran"" COlIoroomr 23787 <br /> INSlIAER B: <br /> THE t>AAm TEAM INSURER C: <br /> FAX 727.573.7639 <br /> P. O. BOX 531 " .. <br /> LARGO FL 33779 INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICies O~ lNSUAANCe liSTED BELOW HAVE BEEN l$SUED TO THE INSUREO NAMEO ABove FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />IWY REQUIREMEHT, TERM OR COHDmON OF ANY CONTRACT OR OTHe~ DOCU~ENT WJTl.l RESPECT TO WHICfi THIS CERTIFICATe MAV Be 18SUED OR <br />MAY PERTAIN, T~ INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS sUllJeC'r TO ALL THE TERMS, EXCLIJSJOIllSAND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN ~'i' HAVE BEEN REDUCED BV"'AIO CLAIMS. <br />- TVJIE Ol" IN$URANCE POLICY NUMBER ~I~ UMlT8 <br /> GENERAL LIA8lUTV EACH OCCURRENCE 1 1,000,000 <br /> r-- <br />A X eOMMlmCIAL GENERAlllA8lLITY 77PR71.93163001 ,05/16/08 05/16/09 PReMiSES'{S~\ 1100,000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Any _~) $ 5,000 <br /> PERSONAL & ADV INJURY 11 000 000 <br /> - $2,000,000 <br /> GENERAL AGGReGATE <br /> - $ 1,000,000 <br /> GEN'L AOGRE04TE LIMIT APPLIES peR: PRODUCTS. COMPIO'" AGO <br /> Ixl POLICY r""f j~g;: n LOC <br /> AUTClIIOGlLE LlA8lLITY COMBINEO'SINGLE LIMIT <br /> I-- $ <br /> Nl'( AUTO (E;" -=CIVnt) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - . <br /> SCHEDULED AUTOS (P8I' person) <br /> I-- <br /> HIREO A\JTOS BOOll Y INJURY <br /> I-- $ <br /> NQN.OWNEtl A\JTOS (Per ,...;d9nl) <br /> - <br /> PROPERTY OANAGe S <br /> (Pet 8C:idetlt) <br /> GAMGE LIA8Il./TY AUTO ONLY - EA ACCIOE;NT I <br /> q A~ AUTO OTHER ~1oN EAACC S <br /> AUTO ONLy: AOO 1 <br /> EXCUMlMIREUA LIAIIlUTY EACH OCCURRENCE S <br /> tJ 'OCCUR 0 CLAIMS MADE< AGGREGATE . <br /> S <br /> ~ OEDuCTlflLE S <br /> RETENTION S $ <br /> WOIU<EIt8 COMPENaAlJON AND lTORV L1U1TS I IVeR <br /> EMPLOYERI'LIA8ILITY E.L. EACH ACCIDENT S <br /> Atf'i' PROPRIETORlPARTNER/EXeCUTIVE AI; m:PNUIoD CBRTrPlCAft <br /> OFFlCERlMSABER exCLUDED? E.... DISEASE. EA EMPLOYEE . <br /> 11 k,ea. C18IC1l1le WlCl8r E.L. DISEASE - POLICY UMIT I <br /> S CIAL ~OV'SlONS below <br /> OTH!lt <br />DliSCRlPTlON OF Ol'I!ftATION$I LOCATtOHaI VliHlCI.E8 f EXCI.USIONS ADDeD BY ENOORlWIIiNT f SPECIAL PROIfISlON8 <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY OF ZEPHYaHrLLS <br />FAX 813.780.0021 <br />5335 8TH SmEET <br />ZEPHYRHILLS FL 33542 <br /> <br />CANCELLATION <br />ZEPRRYH SHOULD ANY ~ THE A80\f& PE8CR1I1&D JIOUCIU 8E CANCELLED 8&FORE lNl! Dill"" <br />DATE nwtl!~, THl! ..UINO 1N8UR&R WlU.IND~VO" TO MAIL ~ DAYS WItrTTEH <br />NOllCE TO THe Cl!ImfIlCA1'& "OUlIiR NAIlED TO THE LEFt. BUT FAlWRIi TO DO $0 SHALL <br />IlIPOIlI! NO 0sL.IGA~ OR LlAllLITY 01' IUIY KIND UI'ON Tttl: INCUftSIt, ITa AGENq OR <br />RlPRIi8&NTATIVES.. <br />AUTHO " <br /> <br /> <br />ACORD 25 (2001108) <br /> <br />~ ACORD CORPORAnON 1988 <br />
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