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08-7915
Zephyrhills
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2008
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08-7915
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Last modified
3/6/2009 4:45:11 PM
Creation date
10/17/2008 9:43:09 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7915
Building Department - Name
PIZZA HUT
Address
6548 GALL BV
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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE C.MlDDIYYYY) <br /> "" 01/0212008 <br />PfllotlUCIER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hilton Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, eXTEND OR <br />10211 West Sample Road At TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 208 <br />Coral Springs FL 33065 INSURERS AFFORDING COVERAGE NAlCfI <br />INtSUftEO Sean Reilly Plumbing INSURER A; Western Wortd Insurance Company <br /> 4844 Headlee Or. INSURER 8: <br /> INSURER c: <br /> Orlando FL 32822 INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED aELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POUCY PeRIOD INDICATED. IIj()TWITHSTANOING <br />ANY' REQUIREMeNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC'J' TO WHICH THIS CeRTlACATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFOItOEO BY THE POLICIES oeSCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. exCWSIONS ANO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN ReoUCED BY PAID CLAIMS, <br />IMaR ~o.'~ POLICY NUMBCR PO~ICY Effl!CTlVC POLICY EXPIRATION <br /> UMrnl <br /> ,,!!!,NIERAL LlABILIT'f EACH OCCURRENCE $ 100,000 <br />A lL ~~ERCIAL GENERI1JIABILITY NPP1127175 08/22/2007 0812212008 DAMAGE TO RliNTED $ 50 000 <br /> - CLAIMS MACe X OCCUR UEo EXP IAn. one "",.."" $6000 <br /> PERSONAL & AOV INJURY $ 100.000 <br /> GENERALAGG~eGATE s 200,000 <br /> ~'L ABBREnE LIMIT APn5 PER; PROoUCTS-COM~OPAGG _$ 100,000 <br /> X POLICY ~~,: LOC <br /> ~TOIIOBILE UA8It.ITY COM81Nlio SINGLE LIMIT $ <br /> - MY AUTO lea accidenl) <br /> - ALL OWNED AUTOS 8001L'' INJURY <br /> $ <br /> - SCHEDULED AUTOS (Per ""rson) <br /> - HIRED AUTOS 800lL Y IN,JURY <br /> $ <br /> - NON-OWNED AuTos (Pot lICdd8ll11 <br /> PROPERTY DAMAGIi J <br /> (P.....o:I"""O <br /> ~RAGE UAIlIUTY AUTO ONLY - EA ACCIDENT , <br /> ANY AUTO OniER THAN ~ACC S <br /> AUrO ONLY; AGG $ <br /> EXCES8IUMBR.ELLA W\IIIUrt' EACH OCCURRENCIi , <br /> :::lOCCUFl D CLAIMS MADE AGGREGATE S <br /> Is <br /> R olioUCTI8Le S <br /> RErliNTION $ , <br /> S .' , <br /> WOIV<ER:s Co.oEflllATlON ANIl I..."/.;::;-J';t;. I IOdb'- <br /> EMPLOYERS' UABlUTY E.L EAOH ACOloENT S <br /> ANY PROPR.eTOR/PART/IlERlEXECUTIVE <br /> OFFICliRIMr:MeeA exCLUOEO? E.L. DISEASE - EA EMPLOYEe $ <br /> ~~~Mt~~v~~s b&IOW E,L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION 0" OHrtA'nON8 I LOCATIONS I VEHICLQ I EXCLUSIONS ADDED 8'1 I!NIlOIt$EMENT f 8PEClAL PROVISIONS <br />813-780.0021 <br />Attn: Jackie <br /> <br />CERTIFICATE HOUlER <br /> <br />City of Zephyrhills <br />5335 8th Street <br /> <br />CANCELLA TION <br />SHOUI.O AHYOfTHli AIIOVE DISCMlCD POUClES N CAHCliLLm BEFORI! THI!I!XPlRATlON <br />DATI! THERl!:OI'. THE ISSUING INlNRIER Wl~L. IiNDUVOR TO MAIL. ~ DAve WftITTDl <br />NOTICE TO THE c:ERTlflCATe HOlDER.....m TO THE L&FT. BUT FAILURE TO 00 SO SUALL <br />IMPO$E NO OIlLlCJATlO , ANY ~o UPON THE INBURER, ITS AGI!NT$ OR <br />ItEPROENTATlVEB <br />Aunto IUi <br /> <br /> <br />Zophyrhllls, FL 33482 <br /> <br />ACORD 2S (2001/08) <br /> <br />10/10 39'ii'd <br /> <br />38N'ii'~SNI NO~lIH <br /> <br />8L991PEP96 <br /> <br />LE:60 800G/G01L0 <br />
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