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08-7467
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2008
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08-7467
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Last modified
3/6/2009 4:47:33 PM
Creation date
10/16/2008 10:58:52 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7467
Building Department - Name
ZEPHYR COMMONS
Address
7874 GALL BV
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<br />Feb, 5. 200811:48AM <br /> <br />No. 5457 <br /> <br />p, 1/1 <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE - I DATE (MMfODIYYYY) <br />TM 02/05/2008 <br />PRODUCER Phone (813) 988-1234 Fax 813-988-0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ASSOCIATES AGENCY, INC. ONl Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PO BOX 16190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />11470 N. 53RD ST. AI "..D RV R'" '''f <br />TEMPLE TERRACE FL 33687 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />Aaencv lIe# ROO1766 <br />INSURED INSURER A: AUTO OWNERS INSURANCE CO. 18988 <br />MCNEALON ELECTRICAL SERVICES, INC. INSURER B: AUTO OWNERS INSURANCE CO. 18988 <br />14208 BRIARTHORN DRIVE INSURER c: SOUTHERN OWNERS INSURANCE CO. 10190 <br />TAMPA FL 33625 <br /> INSURER D: <br /> 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 <br />ANY REQUIREMENT, TERM 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR AOO'L TYPE OF INSURANCE POLICY NUMBER PD~~~:,:~g/~~~ P~~~Y ~~~~'~,N LIMITS <br />LTR INSRO <br /> GENERAL LIABILITY 20641728 10/01/07 1 0/01/08 EACH OCCURRENCE $ 1,000,000 <br /> .--- DAMAGE TO RENTED <br /> X COMMERCIAL GENERAl LIABILITY PREMISES (Ea Qccurence) $ 50,000 <br /> I CLAIMS MADE ~ OCCUR MED. EXP (Anyone person) $ 5,000 <br />C PERSONAL & />DV INJURY $ 1,000,000 <br /> f- <br /> GENERAl AGGREGATE $ 2,000,000 <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> I n PRO- nLOC <br /> POLICY JECT <br /> AUTOMOBILE LIABILITY 4470630901 10/01/07 1 0101 108 COMBINED SINGLE LIMIT <br /> - (Ea aCCident) $ 1,000,000 <br /> X ANY AUTO <br /> - <br /> AlL OWNED AUTOS BODIL Y INJURY <br /> - (Per person) $ <br /> SCHEDULED AUTOS <br />B X <br /> HIRED AUTOS BODIL Y INJURY <br /> X (Per aceldenl) $ <br /> NON-OWNED AUTOS <br /> ~ <br /> t-- PROPERTY DAMAGE $ <br /> (Per aCCident) <br /> GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONL Y AGG $ <br /> EXCESS I UMBRELLA LIABILITY 4470630900 10/01/07 1 0/01 108 EACH OCCURRENCE $ 1,000,000 <br /> o OCCUR o CLAIMS MADE AGGREGATE $ 1,000,000 <br />A $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ 0 $ <br /> WORKERS COMPENSATION AND I we STATU- I I OTHER <br /> TORY LIMITS <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRlETORIPARTNERlEXECUTIVE <br /> OFFICERiMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ <br /> If yes, de.cribe under EL. DISEASE-POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER: <br />DE SCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY NDORSEMENTI SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br />City of Zephyrhllls-Building Department DO SO SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S <br />5335 8th street AGENTS OR REPRESENTATIVES <br />Zephyrhills, FI 33542 AUTHORIZED REPRESENTATIVE <br /> ~ <br />Attention: 780-0021 Trevor McCarthy <br /> <br />ACORD 25 (2001/08) <br /> <br />Certificate # <br /> <br />144870 <br /> <br />@)ACORD CORPORATION 1988 <br />
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