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08-8119
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2008
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08-8119
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Last modified
10/31/2008 10:39:48 AM
Creation date
10/22/2008 8:47:43 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-8119
Building Department - Name
TC FIRST BAPTIST CHURCH
Address
38300 5TH AVE
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<br />ACORD... CERTIFICATE OF LIABILITY INSURANCE OP IDEN I DATE~ <br />J'LOlUUR 01/30/08 <br />PRODUCER . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MORROW INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LENORA C. OLNEY/A196064 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />16606 NORTH DALE MABRY HIGHWAY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />CARROLLWOOD FL 33618 <br />Phone: 813-963-1669 Fax: 813-961-3743 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A KDIII'I'A_ USOlWIca lX*Put <br /> INSURER B: ZORICH INSURANCE CCIG'ANY 16535 <br /> J'LOlUDA URETHANE & <br /> COATING, INC INSURER C: 8UI8IITr /8JtIIlGD'IELD ... In co <br /> 5506 INDEPENDENCE COURT INSURER 0: <br /> PUNTA GeRDA FL 33982 <br /> INSURER E; <br /> <br />COVERAGES <br /> <br />'THE POliCIES OF INSURANCE LISTED BelOW HAVE BEEN ISSUED TO 'TliE INSURED NAMED ABOVE FOR 'mE POLICY PERIOD INDICATED. NOTWIT1-lSTANO"G <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEHTWIT1i RESPECT TO 'Mi1Qi lHlSCERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlllliETERMS. EXCWSIONS AND CONOmONS OF SUCH <br /> POlICIES. AGGREGATE LIMITS SHOVlIN MAY HAve BEEN REDUceO BY PAlO CLAIMS <br />M. """... I'CLICY EFFECnYE P'OUCY EPtRAnON <br />LTll _D TYPE OF INlURA,NCE pa.1CY NU_I!R DATE~- DATE !IlIMlDNYl LlMIl1l <br /> GliNIRAL LIABIUTY EACH OCCURRENCE .1,000,000 <br /> - DAMAGE TO RENTED <br />A X COMMERCIAL GENERAL LlA8/lnY 141914 11/18/07 11/18/08 PREMISES (Ell ocourence) $ 50,000 <br /> I CLAIUS MADE [!] OCCUR UED EXP (Any one person) . EXCLUDED <br /> PER~L&A'fNNJlJRY . 1,000,000 <br /> - <br /> GENERAL AOORE~TE .2,000,000 <br /> - <br /> GEN'l AGGREGATE lIUIT APPLIES PER: PRODUCTS - COMP~P AGG .2,000,000 <br /> 'iC'l POley npRQ. nLOC <br /> JECr <br /> AUTOMOeIL.r LIABILITY COMBINED StNaE LIMIT <br /> f-- .1,000,000 <br />B X ANY AUTO SCP002038935 11/18/07 11/18/08 (&accident) <br /> - <br /> ALL OVootfED AUTOS 80011 Y INJURY <br /> - . <br /> SCHEDULED AUTOS (Per P<<IOn) <br /> - <br /> X HIRED AUTOS BOOILYINJURY <br /> ~ . <br /> X N~EDAUTOS (Peraceldent) <br /> '-- <br /> f-- PROPERTY DAMAGE . <br /> (Peraccidenr) <br /> GAUQE LIABLITY AUTO ONLY - EAACClDENT . <br /> q AAY ~TO OlltER'Tt-w. fA ACC . <br /> AUTO ONLY: AOO . <br /> EXCB8U.ttBRELLA LIABILITY EACH OCCURRENCE . <br /> ~ OCCUR D CLAIMS MAOE AGGREGATE . <br /> . <br /> q DEDUCTIBLE . <br /> RETENTION . . <br /> I, WCSTATU_ I X 1'7; <br /> WORKIIt. COMPENM11ON AND X TORY LIMITS <br /> E....ove.... UA8kJ1Y 830-32868 12/04/07 12/04/08 . 500,000 <br />C E.L EACH ACCIDENT <br /> AHY PROPRIETORIPARTNEft1:XEClJTJVE <br /> OFFICERJMEMBER EXClUDED? OFFICERS INCLUDED E.L DISEASE - EA EMPLOYEE .500,000 <br /> "ye., deMribe under <br /> SPECIAL PROVISICWS betow E.L DISEASe - POliCY LIMIT .500,000 <br /> DTHER <br />oalCRIPTION or: OPDAYIONI/LOCAnoNI fYEHIQ.EI flXCLualONS ADDII) IV 1ND0000000T f SPECIAL "ROVIIIONI <br /> <br />CERnFICA TE HOLDER <br /> <br />CANCELLA TION <br /> <br />CITYZEP <br /> <br />8HOULD ANY '" 1HIi ABOVE DIICR8ED POL..JQEI I. CANCIiLLED "FORE TIE Dll'lftATION <br /> <br />DATE nEUOF. 1ME IIIU1NQ '_lIRa WLL ENDEAVOR TO MAL <br /> <br />30 <br /> <br />DAYI WRITTEN <br /> <br />CITY OF ZEPHYRHILLS <br />CONTRACTOR LICENSING BOARD <br />5335 8TH STRBET <br />ZEPHYRHZLLS FL 33540 <br /> <br />N011Cl: TO ntE CIRTFICATE HOLDER NA_O TO THE LIFT, BUT 'ALURE TO DO to 8HAU. <br /> <br />IMPOSE NO 08UGATION OR LlAalUtv OF ANY KIND UPON THI MUltER, ITS AGENTS OR <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />o~ <br /> <br />@) ACORD CORPORA nON 1988 <br />
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