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09-8940
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09-8940
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Last modified
1/12/2011 10:54:50 AM
Creation date
1/12/2011 10:15:37 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-8940
Building Department - Name
MCGLONE,DENISE C
Address
5911 9TH ST
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Il Lown , ULM 1 II-11;A I L OF LIABILITY INSURANCE DATC(MWO <br /> 03/19/2009 <br /> PRODUCER (800)524-7024 FAX (800) 524 -4013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 ADP Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Roseland, N3 07068 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED ALL SEASON AIR CONDITIONING AND HEATING, INC. INSURERA: Twin City Fire Insurance Co 29459 <br /> 3659 LAKE BREEZE DRIVE INSURER 6: <br /> LAND 0 LAKES, FL 34639 INSURER C: <br /> (813)929 -9424 INSURER 0: <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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> o FaOD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION <br /> DATF IMNIMD/YYI DA1etMM/DWYYI LIMITS <br /> GENERAL LIAB1UTY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILm DAMAGE TO RENTED S <br /> PRFMI.RPR /Pa nrnuwnre <br /> I CLAIMS MADE n OCCUR MED EXP (Any one Denton) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> OF_N'L AGGREGATE LIMIT APPLIES PER: <br /> PRO PRODUCTS - COMP /OF AGG $ <br /> POLICY n JECT - n LOC -" <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (ES Aoelelant) <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS IPer person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON - OWNED AUTOS {Par aacklgM) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ <br /> - <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY; AGG $ <br /> EXCE85 /UMBRELLA UABILITY EACH OCCURRENCE $ <br /> OCCUR n CLAIMS MADE AGGREGATE _ S <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> WORKERS COMPENSATION AND 76WEGH09042 03/21/2008 03/21/2009 X WC STATU TOTH- <br /> EMPLOYERS' UABILITY MIT4 I l AR <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE • EA EMPLOYEE $ 100,000 <br /> n Dyeed UtAL PR Oa VISIO under NS below E.L. DISEASE - POLICY LIMIT $ 500,000 <br /> SPECL PR <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER _ CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br /> City of Zephyr Hills BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABILITY <br /> 5335 8th Street OF ANY KINO UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. <br /> Zephyr Hills. FL 33542 AUTHORIZED REPRESENTATIVE <br /> Rudy Pena /Bird- Waldron <br /> ACORD 25 (2001/08) FAX: (813) 780 -0021 OACORD CORPORATION 1988 <br />
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