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<br />Date: :1'312008 03:30 PM
<br />
<br />Sender's Fax !e: 3.IWAROt.
<br />
<br />"'age 2 of3
<br />
<br />ACJJBO.
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />OP 10 Al1
<br />ca~-~ 05/13/08
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOt.l
<br />ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />
<br />DATE IMWOCNYYi)
<br />
<br />"ROOuCER
<br />
<br />Bay Area Insurance Inc.
<br />9P67 Belcher Road
<br />Pinellas Park FL 33782
<br />Phone:72i-S44-8841 Fax: 727-544-SS42
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />, NAIC#
<br />
<br />'NSURED
<br />
<br />! Ir'~:SJ<fF;' Assoc:. tnc.ustries Ins:. S.xvicti ~
<br />i--..------..-~-----.---------"--.------~---.__r---------'.
<br />
<br />:I'J$ _ h'~:h' E
<br />
<br />Commercial Air and Applicance
<br />Services Inc.
<br />2418 41st Street E
<br />Bradenton FL 34208
<br />
<br />t
<br />~:."-=~~~----------._-----------L~_':~~--.__
<br />I :~'JS_:-:EF, [i I
<br />I--~---_._------------------------,-----_..-
<br />: Ir'J5U-:t.f=,'t: '
<br />
<br />COVERAGES
<br />
<br />TH::- =OLlCIES OF Ir~SiJPA\CE LlSlCD B:-L0\N f',AVE BEE\ is;;UE[J TO TH~ 1f~~URFc-; r-.i,.:l,M-~ ,o.,8()'JF F'JR T-~ DOLl::_',' :=>EPIOD ~JC<-,A;'::D NorvViT-STAi'lrJd\iC.;
<br />.4J\jv RE:',U REfdE~C. TFF'M OR C(INJITv:r'J OF ~NY C')t~T~.ACT ,:IR OTHER co,:urdEf-.jT "/'./i'-H RESPECT L-' ',.vf1iCH TH',3 CERflFIC,L-E r";A'( BE r38UED OR
<br />MAv P~P-AJh!, THF n::,up4JK:E ):,f::FOh':;EC =-y "':"HE' PO,,, (iF; :~E:::;CPI8ED H=RFi;-.j IS SUE=:,JE:-:T;() AL_ TI..iF TFRI\,1S E:~L:LUSIO("J3 llND I....ONC,1TI0r,J3 :,J:' SlJCH
<br />PCLICIES";;':GR=!~;,qE UMITS ~:;hOI!'/N MAy' H'::".=': 3EEN F'EC_')CED By PA, [i ':L'::';,:rd::~
<br />
<br />L ~~ iifs~an TYPE OF Ir,SURANCE POLICY NUMBER
<br />! (;ENERAL LIABILITY
<br />A : x~i C)I,M::R'.,N. :;EI.JER^cLl"8,,'TY ! LBA006134
<br />I : I ':L". MS ~,I;>DE [_~ ')Xi_,,'
<br />I
<br />
<br />1 P01.:JCYEFFECTiVE
<br />I DATE (MMIODr(YI
<br />
<br />
<br />LIMITS
<br />
<br />02/08/0S
<br />
<br />EACH CCCI_R;EI'JCE
<br />--C',~!7?~r,,!~_}
<br />02/0S/09 ~PEI,1ISES(Ea'>:uen.o.~_~ 50 ~~Q...
<br />i i'.1ED E."iF r An'~ ('N' ~,er~(1i1' i :!_~.i. 0 0 0 __.__
<br />I PEV;:'rJ~~ ,C[ nu;. 1\ 1,000,000
<br />~~~;B:~,- A.:(;O~':'.~~_$~!~~~~OO-.-
<br />:_..F'R,:{1ucr"::"'~("'~(PA('G i ~ 1, O~O, 000_._
<br />
<br />---+-
<br />I
<br />
<br />u~u1-,900,_Q.00
<br />
<br />'--~ ------------
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<br />x
<br />: AUKMOBlLE U;.BllIl"r
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<br />
<br />c
<br />
<br />i -~ni
<br />,--,
<br />~_ _ -1 ~..L :I\V(~=D ;Cl,UTI):;
<br />
<br />R1 SCH=DULEDA'.'.)5
<br />
<br />i HirED A_ TO;:
<br />
<br />I ! :'Jm+~~'\i\,1NEr::-, ..;UL:,;:.
<br />':
<br />f--.---1------...--__ I
<br />I I
<br />i (lARAGE LIAa;LITY-~
<br />
<br />'I ."l'jV A'JrC'
<br />
<br />~--
<br />
<br />:::I\V_= _'h"i
<br />dCC,("', n
<br />
<br />I! 500,000
<br />
<br />-<\IJTO
<br />
<br />3383612
<br />
<br />02/0S/08
<br />
<br />I l(
<br />02/0S/09 l_______
<br />,
<br />, 13,:D ~ ',' :r'l.il)~~--
<br />, IF'8!- aCI:-':i';.r-~.'
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<br />,
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<br />L..____._.--I-.._____
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<br />: f="'Rl:iPEr:Ty :.:.c."HI:,';E i
<br />! \PAr3C: Jl2rU ! f
<br />
<br />I "'~O,)..L" -'<cTf'P:Ji ~
<br />
<br />I ~~f~)L';li- ..~~H:---=~=----.
<br />
<br />E)<CESSfUM8RELLA LlA81U'fY
<br />()(,CUF' C '-:.L,~i!v:-:; M,.o.Dl::
<br />
<br />B
<br />
<br />c---,
<br />! GED' i'- f'BL~
<br />~-l RE~;:TI>:'I' -
<br />
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />.u.J...;"Y ;:'r<~':PR:ETI)R,PA.RT'ER/E)<ECUT :c
<br />OF,=! ::-:~RlM:::\,18F~ F~C:L U~iEc. '=,
<br />
<br />~~E~::11~36~~~i'i~i~~;~s b9!Ov"
<br />OTHER
<br />
<br />i AWC1000855
<br />i
<br />
<br />03/0S/08
<br />
<br />03/0S/09
<br />
<br />E.C-,CJ-l')CCU.;:=EI'-J2E ___ ___ ;__$
<br />, >U.iRb" TO, I ~
<br />r-=.==-=-*--=-==
<br />
<br />[------.-----l-----__
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<br />,1'...1 : :,Ri.l_II~ITd__ l:E-+____________
<br />~..:::~H ,"-~~~O 0 , Q.~2u___,.
<br />1[" [iSEN3[ - iCe EtiPLO'E, I if 500 ,000
<br />:;, C'SE"5E - ~,(~-, _;~LT-T$50a,000
<br />
<br />I :,
<br />- I I I
<br />OESCRlPTIQr~ OF OF'ER.ATIONS I LOCATIONS f VEHICLES I E~CLWSIONS ,o.:D:O BY ENOORSEMENT I SPECIAL PR'JV',lm~s
<br />2418 4~st street East Bradenton, FL 3420S
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />SHOULO ANY OF THE ABO'!E OESC~18ED POLICIES eE CAtj':ELLED BEF'JR" THE E)<.PIR""ON
<br />
<br />DATE THEREOF THE ISSIJ~;(; IIJSURER WiLL E~;OEAVOR TO ~t~IL 30
<br />
<br />DAYS ,\,I<I".E',
<br />
<br />CITY OF ZEPHRYHILLS
<br />BUILDING DEPAR~1ENT
<br />5335 STH STREET
<br />ZEPHRYHILLS FL 33542
<br />
<br />",onCE TO T~E C"RTlFIC.~TE HOLDER ~AMEO TO THE LEFT, B"'T FAILURE T,J 0') 30 $~A"L
<br />:M~OSE N,:, OB.L1GA TIOt-J OR UA8:UT\' O~~"... KIN':; UPOf,J THE 1~,S'JReR. 'TS ':"CF.l'f;S ':'R
<br />
<br />ACORD 25 (2001/08)
<br />
<br />
<br />@ACORDCORPORATION 1988
<br />
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