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09-9007
Zephyrhills
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Building Department
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2009
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09-9007
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Last modified
1/12/2011 3:24:43 PM
Creation date
1/12/2011 2:43:46 PM
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Building Department
Company Name
HAZEL HEIGHTS
Building Department - Doc Type
Permit
Permit #
09-9007
Building Department - Name
ANGELLO,JOSEPH
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ACORD CERTIFICATE OF LIABILITY INSURANCE 1 4/9 /2009 ) <br /> PRODUCER (727) 521 - 2100 FAX: (727) 528 -0626 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Comegys Insurance Corner ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Florida Contractor Insurance ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> One Beach Drive S. E. Ste. 230 <br /> Saint Petersburg FL 33701 INSURERS AFFORDING COVERAGE NAIC 5 <br /> INSURED INSURER A Ohio Casualty Insurance 24074 <br /> Gicoll Inc. Gina Salado INSURER B: Employers <br /> DBA: All American Air Cond. & Appliance Sery INSURER C: <br /> P 0 Box 46038 INSURER D: <br /> Tampa FL 33646 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 ANY <br /> REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> INSR ADD 'L POLICY EFFECTNE POUCY EXPIRATION <br /> LTR INSRD TYPE OF INSURANCE POUCY NUMBER DATE (MMIDD(YY) DATE (MWDD/YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 <br /> u <br /> A CLAIMS MADE X OCCUR 3A053339320 4/1/2009 4/1/2010 MED EXP (Any one r s on ) $ <br /> ED XP (Any one pera0n) S 10,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GE�N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> 3 POLICY n sr& n LOC <br /> AUTOMOBILE UABLITY <br /> COMBINED SINGLE LIMIT $ 1,000,000 <br /> ANY AUTO (Ea accident) <br /> A ALL OWNED AUTOS SA053339320 4/1/2009 4/1/2010 BODILY INJURY <br /> X SCHEDULED AUTOS <br /> (Per person) <br /> $ <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY AGO $ <br /> EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE $ 1,000,000 <br /> X OCCUR n CLAIMS MADE A_OGREGATE $ 1,000,000 <br /> $ <br /> A DEDUCTIBLE US0533339320 4/1/2008 4/1/2009 $ <br /> RETENTION $ ��}} $ <br /> B WORKERS COMPENSATION AND X I T ORY LiAAITS I I <br /> EMPLOYERS'UABIJTY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 <br /> OFFICER/MEMBER EXCLUDED? WCV7078502 5/2/2008 5/2/2009 E.L. DISEASE - EA EMPLOYEE $ 500,000 <br /> It yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY UMIT $ 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSA .00ATIONSNEHICLESIEXCLUSIOI S ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> City of Zephyrhills Buliding Department EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL <br /> 5335 8th St 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> Zephyrhills, FL 33542 FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE <br /> INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Mark Sierra /JESSIC <br /> ACORD 25 (2001/08) ® ACORD CORPORATION 1988 <br /> INQME ,n, no, no.. Pans 1 of <br />
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