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From: Eileen To CITY OF ZEPHYRHILLS Date: 3/19/2009 Time: 1:12:24 PM Page 1 of 1 <br /> ACORD • CERTIFICATE OF LIABILITY INSURANCE OP ID EN DATE(MM/DD/WW) <br /> ALLSE -1 03/19/09 <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: OLD DOMINION INSURANCE CO 40231 <br /> INSURER B <br /> ALL SEASON AIR CONDITIONING INSURER C <br /> & HEATING, INC. <br /> 3659 LAKE BREEZE DRIVE INSURER D. <br /> LAND 0 LAKES FL 34639 <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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> iNSH AUU L - POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR NSRO TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MM/DDIYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> A X COMMERCIAL GENERAL LIABILITY MPG78589 04/30/08 04/30/09 PREMISES (Ea ccuence) $ 500000 <br /> CLAIMS MADE I X OCCUR MED EXP (Any one person) $ 10000 <br /> PERSONAL &ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2000000 <br /> POLICY n JECT n LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR 1 1 CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WCSIAIU- OIH- <br /> WORKERS COMPENSATION AND TORY LIMITS I ER <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> CONTRACTOR LICENSING BOARD IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> FAX 813 780 0021 <br /> 5335 8TH ST. REPRESENTATIVES. <br /> ZEPHYRHILLS FL 33540 Aur ° Q P' 'M E !1 ® <br /> ACORD 25 (2001/08) �, (�' C (� � ACORD CORPORATION 1988 <br />