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ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlllOIYYYY) 6/25/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Shop LLC Suite A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3400 Buttonwood Dr ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Columbia, NO 65201 573.445.5535 INSURERS AFFORDING COVERAGE HAIC f. INSURED Associated Automatic Sprinkle INSURER A: INSURER B: Guarantee Insurance Company 20850 PO Box 340564 , INSURER c: Tampa, FL 33694 INSURER 0: I INSURER E: COVERAGES THE POUClES OF INSURANCE L1STEO BELDWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOtCATEO. N01WITHSTANDlNG ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POUClES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CU\lMS. '~ ~ POLICY NUMBER POUCY EFFECTIVE POUCY EXPIRATION LIMITS TYPE OF INSURANCE DATE DATE GENERAL LIABILITY EACH OCCURRENCE $ - ~-" COMMERCIAL GENERAL LIABILITY PREMISES (Ea ocannce) $ - '--I CLAIMS MADE o OCCUR '-- MED EXP (Any oneperson) $ -' PERSONAL & AOV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ -'-"-I POLICY n~:& n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ ANYAUTO (Ea aa:idanI) - ALL OWNED AUTOS BOlltL Y INJURY - $ SCHEOULED AUTOS (Par person) - HIRED AUTOS BOlltL Y INJURY - $ NOI'H)WNED AUTOS (Par aa:idanI) - PROPERTY DAMAGE $ (Par aa:idanI) GARAGE LIABILITY AUTO ONLY - EAACClDENT $ ~ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ :==iSSlUMBREUA LIABILITY EACH OCCURRENCE $ OCCUR CI ClAIMSMADE AGGREGATE $ $ =i DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ~T lo~:t X TORY UMITS EMPLOYERS' LIABILITY IWt PROPRIETOM'ARTNER/EXEClIIl E.L. EACH ACCIDENT $ 100.000 B OFFICERJMEMBER EXCLUDED? GWGC110001066107 07/13/08 07/13/09 E.L. DlSEASE- EAEMPLOYEE $ 500 000 l!yes, desa;beundar SPECIAL PROVISIONS balow E.L. DISEASE - POLICY LIMIT $ 100.000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BYENOORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATlON The City of Zephyrhills 5335 8th Street Zephyrhills, F1 33542 SHOULD ANY OF THE ABOVE DESCRIBED POUClES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBUGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25 (2001108)