My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
09-8951
Zephyrhills
>
Building Department
>
Permits
>
2009
>
09-8951
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/12/2011 10:56:34 AM
Creation date
1/12/2011 10:30:04 AM
Metadata
Fields
Template:
Building Department
Company Name
DAVITA INC
Building Department - Doc Type
Permit
Permit #
09-8951
Building Department - Name
DAVITA INC PICKERING,MICHAEL
Address
6610 STADIUM DR
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
2009 -03 -23 08:49 PATTIE ELECTRIC 8137884904 » 813 780 0021 P 1/1 <br /> ACORD CERTIFICATE OF - LIABILITY INSURANCE /2 AIMNIOD/YYY1') <br /> "' 3/:.'0/::009 <br /> PRODUCR 1 '• `1 !' 11 : '' 1 , .3 - ti!^. - 21.1'. 1. 661 - :q2 - 6292 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Lanier iipsnrw, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 7.7 7 5 r. Hwy 9�: ~nth HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O. Box +158 ` ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> tuke:l ,and FL 33 %0; I <br /> INSURERS AFFORDING COVERAGE I NAIC 0 <br /> wasuRED MSURER LL A Genera.,, InsuranoR Compar r` A. :473: <br /> nttie Electric Refrigeration wsuRERR.FCCT 7ns.uranee Compan;/ . , 11017F <br /> 391 Pattie Road. - -- -..... <br /> Ze.phyrhill :; FL 33540 wsuRFRC. e.rica:l State Insurance C oln 17 _ _-, <br /> INSURFR D. <br /> INSIIRFRF <br /> COVERAGES <br /> ikti KI1.1f:166. Or LM. u.v.P.NCt; LLS1't1; tkJ.0W MA lit MALL/ 135U::V 'I•) Y'U4; IN3111!LU NAtit; AK? VI: 1.'01! TMI; 031. ICY F't) itI1.V :A'I't U. <br /> uiiw' 1 rI::i'1'AIJ Illla /i :.NY N EcU I. KeklEr'_, 11;aM U14 Co tan I1'Jfv '1 L' Ail . :1 ll'rctAc'L -h'. OTH ;JI IX1r :Ut1EN'1' 1, ;111H RIM VACT '10 wJi1':H 'HI <br /> 'vLll'1'141. '_ P.'1" :: MAY w' 15'i'JLU 011 !IA L'EN '1HI; it!;i9N:4hICP. At.•r`.)1 tJY '1'HL Pf)1, I! =1 t:6 Lit Sat ltl•,1/ M1LMt 1.N i5 3!JI3. 11'. 1 :'I' TO c LL Till:. <br /> 'I'v.tv.;, t.` :':'L U310IJ;3 AND C'ONUI'1' IOW.; .?F' M)C;( 1-'!!l, ICI li �R0I!1:L.' •1'L L Lil11'1:G: a IiOIePI tip. Y 11AV6 1I.) :N HLUJCJ L 1 %Y PAIL) CL.H mi.. <br /> 1AlR pOC1 POLICY EifE NE FOLIO/ EXPRAT N • <br /> LTR NJNIO rioE es MIRC+�r_� roLIC „ imam . ... DAIb I MeE m_n Dm ie�1111 8 <br /> A GENERALuAwurY 01.('974:707792 ' ,x/7.009 2/2812010 FACNOCCURRENCE. _ x1000000 <br /> ;; 1 COMMERCIAL CENERALLIABILIr I ,. a Sf e ) s "00000 - <br /> • CIAIMS i, OCCUR ∎M ED EXP(Any we yeller) _... .•. -- -_ -• <br /> _ _ _ ' ADM INJURY 510 000 00 <br /> - ... - -- GFNERN A GINtEGnTF S 2000000 - <br /> UENL AGGREGATE LIMIT APP. IF.S PER. PRODUCTS- CDMPIOP AGG 5 '2000 000 _ _ - <br /> A I AUTO/ROI:Rut 0:'CE.' 2/25/2009 2/-_6/2010 <br /> COMBINEDSINGLE LIMB <br /> :{ ANY AUTO (Ea ecaponp S i 0 0 () 0 (1 n ...__...._ - <br /> - N 1 O A*I l) AUT05 BOOR Y INJURY S <br /> SCI WOLXFD AUTOS (Pert ) <br /> X HI RED AUTOS • •__• <br /> B DOILY INJURY S L -- _. ._.. -. -- -- <br /> I+DN•DWNED AIROe IPgr rtJtl <br /> aenll <br /> - - - - - PROPERTYDAMAGF 5 <br /> IPer ecritler0 <br /> GAAAOELVALfTY AUTO ONIV.F.A S _ <br /> ^ _J ANY AUTO • EA ACC f • _. _ - <br /> 1 1 AUTO ONLY AGO S <br /> C I EXCESSILIMSRELLA L.IASIl1 TY ,O 1 S iI3 9 92 0 0 2/26/2009 2/26/2010 EACH OCL:URRFNCF $ :? 0 0 0 0_0 f1 <br /> ' - <br /> I :1 OCCUR u Li PA CLAW MA0,E ' - <br /> AGGRE 5 0 0 0 0 0 0 <br /> 1... r-... ----. -_ . ` . -- •--- - - - - - <br /> L_ DFO.1CTIyI.E I 5 <br /> Ix , RETENTION 510000 S -- - - -._. <br /> R WORNERSCOeiENOAflONANC 00iWC09A0951.8 2 /1/2007 1/1/2010 X WCSTAnI I om. <br /> lNPLOYENB' LMOILITr <br /> ANY PRCIPRIETORMARTNCRIEXECUTAfE E.L EACI1 A('.Ge7FNi L �) , 000 <br /> Of F IC,F WUAFMIJFR EXCLUDED? E L DISFASE - EA EMPLOYEE $ 5 0 0 , 000 . <br /> ey.i o <br /> SPECIAL PROVISIONS EL o15EASE POLICYOMIT $X0 0,000 <br /> SP EC I AL PItOVISIDNSDtltln c <br /> ^_ - <br /> OTHER <br /> ,-- - 1 <br /> OESCIr1ON OF OPERA1 NS(LOCATIONS VESICLES/ EXCLUSIONS ADDEO EY ENDORSEMENT ISPECI .PROVISIONS +- <br /> M <br /> L3 t)Ay Not,iCE or C011c411at.i ::.an b4 , iv tl l'r n.,.. pworient !•.f. premium, <br /> CERTIFICATE HOLDER CANCELLATION <br /> - <br /> L- 110!'L.I; ANY Or THE A!'JJVt; U1-:3Clt1NE:L'• FOL•I! :IM ;R bt CHtF:41.4.,'L <br /> 0t.POP.6 THl:: EXt'LHAT JON I;ATt; '1Htl.Lr)Y, 'i'Hl': I +111110 1.IS.11 <br /> • <br /> W 1.1 L h.;tn)t.AVQII. TO MAIL 31 1)•9Yfi mu.- TED ■rirl'•r: •1Q '1 <br /> CE11.'1' t Y1 ^!+'I'!•. 1101.,11' limit:p. .9 TMt: 1.1,:1-T. 1'•)' P•P.11 J1Kt'. 'r.) 1:'' Sr: <br /> SHALL 1MW),S I: NO nt'.1.I I:A'1'10N 01+. 4I.AHt L1'1 01. Atli r,INI:' ..1-111 <br /> THI. 111S914:V, 1'1'. A OR R.EelICSt;N'1AT1 VAS . <br /> AarrNONIZEO REPRESENTATIVE <br /> 11.M/..0 - Co... A.. <br /> ACORD 25 (2001/08) QACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.