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08-8168
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2008
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08-8168
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Last modified
10/31/2008 10:44:13 AM
Creation date
10/22/2008 9:07:52 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-8168
Building Department - Name
PIZZA HUT
Address
6548 GALL BV
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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I DATI! (MMIIlOl'NVY) <br /> Y... 09/08/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hilton Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CEIUIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />10211 Wast Sample Road ALTER THE COVERAGE AFFORDED aY THE poucles aELOW. <br />Suite 208 <br />Coral Spri!1Qs FL 33065 INSURERS AFFORDING COVERAGE NAIC# <br />,.-- .. -.. <br />INSUReo Sean Reilly Plumbing INSURER A: Western World Insurance Company <br /> 4844 Headlee Dr. INSURER Jl: ..- <br /> - <br /> ~~: <br /> Orlando FL 32822 J~!~.YBift 0: <br /> INSUAER E: <br /> <br />COVERAGES <br /> <br />'THE POLICIES OF INSURANCE LISTEO BELOw HAVE BEEN ISSUED TO 'THE INSUReo NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUME!NT WITH RESPECT TO WHICH THIS CERTI"ICATE MAY. BE ISSUED ()~~ <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SuBJECT 'TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF Si :Ce. <br />. POLICIES. Al3~REGATE ,l;lMITS SHOWN _~ HAv,E BEEN ReoUCEO BY PAID CLAIMS. ..... <br />tN:S~ ~D'L POLICY NUMBER POUCY EFFECTIVE POUCY l!XPIRATION UMlTS <br />! I~NERAL UABILITY SACH OCCURRENCE S 100,000 <br />A ~ 3MEiF<CIAL GENERAl. I.....BILITY HILOOOO81808-OB 08/22/2008 08/2212009 O~~~~!O RENTED $ 50,000 <br /> -..- CLAIMS MADE [X] OCCUR MED EXP /"'n. ono "....onl S 5,000 <br /> r--- --.- --- PERSONAL & ADV INJURY s 100,000 .'- <br /> f-- -..---..- ~ GENERALAGGREeATE S 200,000 <br /> ~rl AGGREnE LIMIT APr~S PER: PRODUCTS. COMP/OP AGG S 100 000 <br /> X POLICy ~bW.;: LOC <br /> ~TOM08ILE LIA8ILrrY COMBINEO SINGLE I.JMIT S <br /> r---- ANY AUTO (Ee acctdent) <br /> 1- ALL OWNED AUTOS 80011. Y INJURY <br /> $ <br /> SCHEDULeD AUTOS (P..rp~) <br /> r-- <br /> -.. HIRED AUTOS 80DIL Y I";JURY <br /> (Per accident) $ <br /> f-- NON.OWNED AUTOS -... <br /> - ----. - PROPERTY DAMAGE $ <br /> (Per accidenl) <br /> ~RAGE L~un AUTO DNL y. EA ACCIOIONT S <br /> ANY AUTO OTI"tER THAN EAACC S <br /> AuTO ONLY: AGG S <br /> exCE88/UMBftEUA UABIUTY I EACH OCCURRENCE $ <br /> :J OCCuR [J CLAIMS MADE AGC3REGATE .I <br /> . <br /> =l DEDUCTIBLE .I <br /> RETENTION $ $ <br /> wORI(ER& COMPENSATION AND I TVX&9Tt:.T.'4.-.. I 10J~- <br /> EMPl.OYI!R$' LIABILITY E.I.. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTiVE <br /> OFFICER/MEMBER exCLUDED? E.L. OISSASe . SA EMPl.OYEE S <br /> ~~~~I~ts.;r~~v~g?6~s below E.L. DISEASE - POLICY LIMIT S <br /> OTHER <br />DEllCRIPTlON OF OPERATIONS /I.OCATlDN81 VEttICLES I EXOLUSIONS ADDED BY ENDOR$EIIIIENT I SPECIAL PROVISIONS <br />813.780-0021 <br />Attn: Jackie <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Zephyrhills Building Department <br />5335 8th Street <br /> <br />CANCELLATION <br />SHOULD AHY 01' THEASOVE DesORlBED POUCll5$ ElECANC&Lt.ED 81!I'OItETHI! EXPIRATION <br />DATE THEREOf, THI! ISSUING INlSURER WILL ENOEAVOR TO IIIAIL ~ WlYe WRITTEN <br />NOTICE TO THE CI!RTIFlCATE HOLDER NAMED TO THE L.EPT.1l1JT FAlLURi TO DO SO SHALL <br />IMPOSE NO OIlLllJATION OR UABIUlY 0' <br />ItEPRI!8....TATlVEB. r <br />AUTHORlZliO REPftliB <br /> <br /> <br />RATION 1988 <br /> <br />Zephyrhllls, FL 33452 <br /> <br />ACORD 25 (2001/08) <br /> <br />W/U3 39t1d <br /> <br />38Nt1~nSNI NOLIIH <br /> <br />8L99l:PEP96 <br /> <br />06:El: 8006/80/60 <br />
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