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C CERTIFICATE OF LIABILITY INSURANCE D A 0 TE 3/07/09 Y' PRODUCER Bauer & Associates THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION 12210 US Highway 301 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Dade City, FL 33525 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. • Phone (352)567 -3702 Fax (352)523 -0434 INSURERS AFFORDING COVERAGE NAIC # _i INSURED CHRIS' NC COMPANY INSURER A: AUTO OWNERS INSURANCE CO. 12232 US HWY 301 INSURER B: BRIDGEFEILD EMPLOYERS INS. INSURER C: DADE CITY FL 33525 -- ' INSURER D: I INSURER E: COVERAGES INSURER F; THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OP INSURANCE POUCY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LTR INSRD DATE (MM/DD/YY) DATE (MWDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 1 MIL 157iViCE701FENTED -, M COMMERCIAL GENERAL LIABILITY 20681274 03/07/09 03/07/10 PREMISES (Es occuren oe) 50,000 ❑ 0 CLAIMS MADE © OCCUR MED EXP (Any one person) 5,000 A ❑ ❑ PERSONAL & ADV INJURY 1 MIL ❑ GENERAL AGGREGATE 1MIL GEM. AGGREGATE LIMIT APPLIES PER: PRODUCTS -, COMP/OP AGG 1 M I L 2 POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ALL OWNED AUTOS Li ❑ SCHEDULED AUTOS BODILY IN ❑ (Per person) HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) 1 PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT f ❑ ANY AUTO ❑ ❑ OTHER THAN EA ACC AUTO ONLY: AGG _ EXCESS1UMBRELLA LIABILITY EACH OCCURRENCE N" r � 0 OCCUR ❑ CLAIMS MADE AGGREGATE l _ j ❑ DEDUCTIBLE I ❑ RETENTION S WORKERS COMPENSATION AND EMPLOYERS•LIABILrTY 830 - 32770 11/14/08 11/14/09 TORY IiTS ❑ .R B ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT 500, 000 OFFICER / MEMBER EXCLUDED? If ysa, describe under E.L. DISEASE - EA EMPLOYEE 500,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I 500,000 OTHER DESCRIPTION OF OPERATIONS r LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECl/LL. PROVISIONS NC REPAIR & INSTALLATION CERTIFICATE HOLDER CANCELLATION - 1 srlouLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL CITY OF ZEPHYRHILLS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 5335 8TH STREET OF ANY KIND E INSURER, ITS AGENTS OR REPRESENTATIVES. ZEPHYRHILLS , FL 33542 AUTHO REPRESS TIVE J FAX @813- 780 -0021 YV l 3/6r /° Q ACORD 26 (2001/05) QF 0 ACORD CORPORATION / 1988