Laserfiche WebLink
<br />ACORQ.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODIYYVY) <br />05/08/2008 <br />PRODUCER (407)831-3832 FAX (407)830-4681 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Blackadar Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERnFICATE <br /> HOLDER. THIS CERnFICATE DOES NOT AMEND, EXTEND OR <br />988 Highway 427 North ALTER THE COVERAGE AFFORDED BY THE POlICIES BELOW. <br />longwood, Fl 32750 <br />Fabiola Munoz INSURERS AFFORDING COVERAGE NAIC "II <br />INSURED 3D Constructlon Services, Inc. INSURER A: Auto-Owners Insurance 18988 <br />11132 Cypress leaf Dr. INSURER B: Bridgefield ~loyers Ins Co 10701 <br />Orlando, FL 32825 INSURER c: <br /> INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POlICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO ll-E 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 CERTFlCATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUClES OESCREED HEREIN IS SUBJECT TO ALL THE TERMS, EXClUSIONS AND CONOITIONS OF SUCH <br />POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REOlICED BY PAlO ClAIMS. <br />INSR lIOO'l TYPE OF INSURANCE POLICY NlMlER POLICY EFFECTIYE POLICY EXPIRATION LIMITS <br /> GENERAL UABlUTY 0346827263491607 06/21/2007 06/21/2008 EAOi OCCURRENCE $ l,OOO,OOC <br /> r-x COMMERCIAL GENERAL UABlLIlY DAMAGE TO RENTED $ 50 , OO( <br /> I ClAIMS MADE 00 OCCUR ~ MEO EXP (Any one pe<son) $ 5,OO( <br />A PERSClNAL & /ICN INJURY $ I,Ooo,OO( <br /> GENERAL AGGREGATE $ 2,OOO,ooCl <br /> GEN'l AGGREGATE lIMIT APPlJES PER: PRODUCrS. COMPK>P AGG $ 2,OOO,OOCl <br /> I POLICY n ~ n LOC <br /> AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT <br /> - $ <br /> ANY AUTO (Ea accident) <br /> - <br /> All OWNED AUTOS BOOll Y INJURY <br /> - $ <br /> SCHEDUlED AUTOS (Per peaoon) <br /> - <br /> HIRED AUTOS BODILY INJURY <br /> - (Per accident) $ <br /> NQN-OWNED AUTOS <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABlUTY AUTO ONLY. EA ACCIDENT $ <br /> ==1 ANY AUTO 01l-lER THAN EAACC $ <br /> AUTO ONlY: AGG $ <br /> EXCESSlUMBREliA UABlllTY EAO-IOCCURRENCE $ <br /> :=J OCCUR D ClAIMS MADE AGGREGATE $ <br /> $ <br /> ==1 DEDUCTIBlE $ <br /> RETENllON $ $ <br /> WORKERS COMPENsATION AND 83032819 11/30/2007 11/30/2008 I we STA1U- I I OJ;';!' <br /> EMPLOYERS' llABlUTY 100,000 <br />B ANY PROPRIETORIPARTNERIEXECUTIVE E.L EAOi ACCIDENT $ <br /> OFFICERlMEMBER EXClUDED? E.L DISEASE. EA EMPlOYEE $ loo,OO(J <br /> n yes, describe under <br /> SPECIAL PROVISIONS below E. L DISEASE . POlJCY LIMIT $ 500,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICt.ES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECW... PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD /IJfY OF THE ABOVE DESCRIBED POlICIES BE CANCElLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING IHStJRER WILL ENDEAVOR TO MAil <br /> _ DAYS WRfTTEH NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Zephyrhills BUT FAIlURE TO MAlL SUCH NOTICE SHAllIllPOSE NO OBlIGATION OR lIABilITY <br />5335 3th St. OF ANY KIND UPON TIE JNSURER. ITS AGENTS OR REPRESENTATIVES. <br />Zephyrhills, Fl 33542 AlITHORIZED REPRESENTATIVE ~~ <br /> Lorrie Jickell/SWEBB <br /> <br />ACORD 25 (2001108) FAX: (813)780-0005 <br /> <br />@ACORD CORPORATION 1988 <br />