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09-9012
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2009
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09-9012
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Last modified
1/12/2011 3:24:21 PM
Creation date
1/12/2011 2:51:03 PM
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Building Department
Company Name
CHILI'S BAR & GRILL
Building Department - Doc Type
Permit
Permit #
09-9012
Building Department - Name
CHILI'S BAR & GRILL
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Mar 31.2009 04:44 PM Dunnwell 9196611900 3/5 <br /> Cllent#:1009988 21DUNNWLLC <br /> ACOAD. CERTIFICATE OF LIABILITY INSURANCE DATE ( N Y' <br /> DIYYY <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> BB &T Insurance - Wilmington ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 115 Third Street, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Wilmington, NC 28401 <br /> 910 7724700 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER k Travelers Indemnity Company of CT 25682 <br /> DunnWell LLC Restaurant Svcs Inc; DB INSURER It Travelers Property Casualty Co of Am 25674 <br /> Marketing Inc; Carolina Comml Cleaners INSURER C Travelers Casualty & Surety Company 19038 <br /> PO Box 1908 <br /> INSURER o: <br /> Garner, NC 27529 INSURERS <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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN TR iN6gt TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> DATEIMM/ODYYI DATFReMNDNYI UNITS <br /> A GENERAL LIABILITY 6306113A941TCTO9 02/20109 02(20/10 EACH OCCURRENCE 61.000.000 <br /> x COMMERCIAL GENERAL LIABILITY WAYS nmi 5100,000 _ <br /> 1 CLAIMS MADE © OccuR MED EXP (My one ware) 55.000 _ <br /> PERSONAL & ADV INJURY 51,000,000 <br /> _ GENERAL AGGREGATE s2,000,000 <br /> GEMLAGGREG AT -- EUMRAPP VESPER: PRODUCTS - COMP/OPAGO 52, 000,000 <br /> — I POLICY l 17 I LOC <br /> B AUTOMOBILE ABRJTY 8106113A953TIL09 02120/09 02/20/10 COMBINED SINGLE LIMIT $1,000,000 <br /> X ANY ALL OWNED AUTOS BODILY INJURY �_ <br /> SCHEDULED AUTOS (PurPw%en) S <br /> X HIRED AUTOS <br /> — <br /> BODILY INJURY 5 <br /> X NON.OWNEDAUTOS (Peracddon* <br /> X Drive Other Car <br /> PROPERTY DAMAGE S <br /> X Lessor of Veh #CA20011001 Addl Ins Loss Payee (Peractld0M) <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT S _ <br /> R ANY AUTO <br /> OTHER THAN EA ACC 5 <br /> AUTO ONLY: AGG $ <br /> B EXCES9NMBRELLA PSMCUP6113A965TI 02/20/09 02/20/10 EACH OCCURRENCE 51 0,000,000 <br /> o OCCUR El CLAIMS MADE AGGREGATE 510.000.000 <br /> S <br /> DEDUCTIELB 5 <br /> X RETENTION S 10000 5 <br /> C WORXERS COMPENSATION AND PACRUB3470C16709 02/20/09 02/20/10 X ITORYi Nr I a <br /> EMPLOYERS` LLABIUTY <br /> ANYPROPRIETORIPARTNER,EXECUTIVE EL EACH ACCIDENT 51,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE • EA EMPLOYEE 51 ,000,000 <br /> If e, deeorAe under <br /> SPECIAL PROVISIONS below E.L. DISEASE- POLICY 51,000,000 <br /> OTHER <br /> DESCRIPTOR OF OPERATIONS J LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> Certificate Holder Is additional Insured for work done on their behalf by insured. Form # <br /> CGD0370405 Is attached to General Liability policy which provldes Blanket Additional <br /> Insured coverage Nth() insured has agreed to such In a written contract or agreement. <br /> Form #CGD18B1103 Waiver of Subrogation also applies. <br /> (See Attached Descriptions) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION <br /> City of Zephyrhllls- Building GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AR DAYS WRITTEN <br /> Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 130 so SHALL <br /> 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Zephyrhllls, FL. 33542 REPRESENTATIVES. <br /> AUTHORED REPRESENTATIVE <br /> ACORD 25 (2001108)1 of 3 #M3201957 PGG 0 ACORD CORPORATION 1986 <br />
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