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09/09/2009 11:25 8137831374 BAHRS PROPANE & A/C PAGE 01/01 <br /> ACORD . CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) <br /> 08/17/2009 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Jamerson McLean Corporation H O OL LD D ER. THISOCERTI CERTIFICATE DOES S NOT AMEND, EXTEND OR <br /> P.O. Box 621149 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 825 Executive Nye <br /> Oviedo FL 32762 Phone: 407-366-3482 INSURERS AFFORDING COVERAGE NMC # <br /> INSURED Bahrs Propane Gas i AIr Conditioning, Inc. INSURER A: UNITED STATES FIRE INSURANCE CO. 21113 <br /> 4441 Alien Road INSURER e: Zenith Insurance Company 00984 <br /> INSURER C: <br /> Zephyrhllls FL 33541 INSURER D: <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD POLICY FFECTE P <br /> EIV OLICY EXPIRATI <br /> LTR IN - . T1rPF lIF INSIIpAi POLICY NUMBER DATE IU MR1D/ IV or17s EXPIRA ON <br /> UMrra <br /> GENERAL UAPILnY <br /> EACH OCCURRENCE $ 1,000,000 <br /> A COMMERO AL GENERAL LIABILRY 5064659528 09/01/2009 09/01/2010 DAMAGE TO RENTED <br /> PRIBMSFAMI nmrgllreL $ 100,000 <br /> CLAIMS MADE © OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONAL 5 ADV INJURY s 1,000,000 <br /> GENERAL AGGREGATE $ 2000,000 <br /> GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 2,000,000 <br /> POLICY n [ai n LOC <br /> AUTOMOBILE LIABILITY <br /> A 0 ANY AUTO 506- 865952 -8 0910112009 09/01/2010 (E accident) INGLELIMB 1,000,000 <br /> III ALL OWNED AUTOS . _ _ <br /> El SCHEDULED AUTOS BODILY INJURY (Per (Per person) <br /> Q HIRED AUTOS <br /> NON-OWNED AUTOS �� IL i d e n t ) Y $ <br /> X COMP DED $ 1.000 <br /> - <br /> X COIL DED $ 2,000 PROPERTY DAMAGE <br /> (Per accident, $ <br /> GARAGE LIABILITY <br /> El AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ _ <br /> AUTO ONLY AGO $ <br /> EXCESS/UMBRELLA LIABIUTY <br /> EACH OCCURRENCE $ <br /> ■ OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> ■ DEDUCTIBLE <br /> RETENTION $ <br /> S <br /> $ <br /> WORKERS COMPENSATION AND J WC ,'Mrr OTH <br /> B EMPLOYERS'UABIUTY 2836554609 05/11/2009 05 /11 /2010 TnwvISRS FR <br /> ANY PROPRETORIPAISTNERIEXECUTNE E l. EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> V nfesRlb I/Iaef EL DISEASE - EA EMPLOYEE S .500.000 <br /> SP PROVISI <br /> OTHER EL DISEASE - POLICY LIMIT f 500, <br /> DESCRIPTION OF OPERATIONS / LOCATION$1 VEIMCLE$ / EXCLUS/ONS ADDED BY ENDORSEMENT 1 SPECIAL PROV1$lONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULDANYOFTNEABOVE DESCRIBED POLICIES CANCELLED BEFORET1EExpo:Anon <br /> City of Zephyhills DATE THEREOF. THE ISSUING INSURER WEIL ENDEAVOR TO MAIL, 30 <br /> DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> FAX # 813- 780-0021 IMPOSE NO OBLIGATION OR LWBIUTY OF ANY KIND UPON THE INSURER, R, tT9 AGENTS OR <br /> REPRESENTATIVES, <br /> AUTHORIZED REPRESENTATIVE < <br /> ACORD 25 (2001/08) .ACORD CORPORATION 19813 <br />