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ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/llD/YYYYJ 6/25/2008 PRODUCER THIS CER11FICATE IS ISSUEDAS A MATTER OF INFORMAnON ONLY AND CONFERS NO RIGHTS UPON THE CERnFICATE :Insurance Shop LLC Suite A HOLDER. THIS CER11FICATE DOES NOT AMEND, EXTEND OR 3400 Buttonwood Dr ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Col.umbia, NO 65201 573.445.5535 INSURERS AFFORDING COVERAGE HAIC. INSURED Associated Automatic Sprinkl.e INSURER A: . I Guarantee Insurance Company 20850 INSURER B: PO Box 340564 INSURER c: Tampa, FL 33694 INSURER D: I INSURER E: THE POUClES OF INSURANCE USTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCNE FOR THE POUCY PERIOD INDICATED. N01WITHSTANllING AP>N REQUIREMENT. TERM OR CONomON OF AP>N CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlACATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUClESDESCRlBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDlTlONS OF SUCH PQUClES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ :, POUCY NUMBER POUCY EFFECTIVE POUCY EXPlRAllON UMlTS IYPE OF INSURANCE DATE DATE ~ERAL LIABIUTY EACH OCCURRENCE $ """"^..~- COMMERCIAL GENERAL UABILfTY PREMISES (EII-) $ I ClAIMSMAOE CIOCCUR MED EXP(Anyonepenon) $ PERSONAL & AOV INJURY $ GENERAL AGGREGATE $ ~LAGGRept:~ APPUn~: PRODUCTS - COMPIOP AOO $ POUCY JECT LOC AUTOMOBILE L1ABIUTY COMBINED SINGLE UMIT - $ AP>NAUTO (Ell ocx:idenl) - f- ALLO'M>lED AUTOS BOllIL Y INJURY $ SCHEDULED AUTOS (Per penon) - - HIREO AUTOS BOllIL Y INJURY $ NON-OWNED AUTOS (Per ocx:idenl) I-- PROPERlY DAMAGE $ (Per ocx:idenl) ~GE LIABILfTY AUTU ONLY - EAACClDENT $ ANYAUTO OTHER THAN EAACC $ AUTUONLY: AOO $ :5E~MBRELlA UABILfTY EACH OCCURRENCE $ OCCUR D ClAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ \/YORKERS COMPENSATION AND X I TORY UMITS I lo~:;r EMPLOYERS' UABIUTY IWf PROPIlIETORf'ARTNER/EXECUIlV E.L EACH ACCIDENT $ 100 000 B OFFICERIIotEMIlER EXCLUIlED? GWGCll000l066107 07/13/08 07/13/09 E.L llISEASE- EAEMPLOYEE $ ~nn nnn Ifyes.desalbeunder SPECIAL PROVISIONS below E.L llISEASE- POUCY UMIT $ 100 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS COVERAGES CERnFICATE HOLDER CANCELLAnoN The City of Zephyrbil.l.s 5335 8th Street Zephyrhil.l.s, Fl. 33542 SHOULO ANY OFTHE ABCNE DESCRIBED POUClES BE CANCEllED BEFORE THE EXPlRAllON DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOllCE 10 THE CERTIFICATE HOLDER NAMED 10 THE LEFT, BUT FAILURE 10 DO so SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTAllVES. AllIHORlZED REPRESENTAllVE ACORD25 (2001108)