08-7818 - Laserfiche WebLink

Browse Search

ACORDTJI CERTIFICATE OF LIABILITY INSURANCE r DATE (MMlDDNYVY) 04/11/08 PRODUCER 1-813-229-8021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M. E. Wilson Co. , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 300 W. Platt St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ste 200 Tampa, FL 33606 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Westfield Ins Co 24112 The Diaz/Fritz Group, Inc.; dba Diaz Fritz Isabel and Delvis H. Diaz INSURER B: Amerisure Mut Ins Co 23396 13075 Telecom Parkway North INSURER C: Temple Terrace, FL 33637-0926 INSURER D: INSURER E: 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~~ r:.~~~ POLICY Nl MBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A ~NERAL LIABILITY CMM3581749 01/01/08 01/01/09 EACH OCCURRENCE $1,000,000 DAMAGE,~9tENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence' $150,000 I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $10,000 X Contractual Liability PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 ~'L AGGRErilE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY X~~R,: LOC A ~TOMOBILE LIABILITY CMM3581749 01/01/08 01/01/09 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - X HIRED AUTOS f-- BODILY INJURY $ X NON-OWNED AUTOS (Per accident) f-- f-- PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ ~ESSlUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ $ ==i DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC200573405 01/01/08 01/01/09 X I WC~T:UN~ I TOJ~- EMPLOYERS' LIABILITY $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 ~~~~f!:~~~~~!S'lONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyr hills Building Dept. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE ~...g ~ USA ACORD 25 (2001/08) MS003 8521805 @ ACORD CORPORATION 1988