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09-9060
Zephyrhills
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Building Department
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2009
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09-9060
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Last modified
1/13/2011 8:23:41 AM
Creation date
1/13/2011 8:23:40 AM
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Building Department
Company Name
WACHOVIA BANK
Building Department - Doc Type
Permit
Permit #
09-9060
Building Department - Name
WACHOVIA BANK
Address
5230 6TH ST
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• <br /> , Client#: 810583 64ORRSAF <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE 4/20/200 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> BB &T Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 2600 Eastpoint Parkway (40223) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P 0 Box 436869 <br /> Louisville, KY 40253 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: National Union Fire Ins Co of P 19445 <br /> Orr Safety Corporation; Orr Protection INSURER B: New Hampshire Insurance Company 23841 <br /> Systems Inc.; Orr Protection Systems <br /> INSURER C: <br /> Inc. dba Borrell Fire Systems INSURER D: <br /> PO Box 19802 Louisville, KY 40259 -8029 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 /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYl DATE (MMIDDIYY) <br /> A GENERAL LIABILITY GL4020898 07/01/08 07/01/09 EACH OCCURRENCE $1,000,000 <br /> X D AMAGE TO RENTED $ 500 000 <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) r <br /> CLAIMS MADE © OCCUR MED EXP (Any one person) $ 10, <br /> PERSONAL &ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000, <br /> n POLICY n MT - I I LOC <br /> A AUTOMOBILE LIABILITY CA3853776 07/01/08 07/01/09 COMBINED SINGLE LIMIT $1,000 r 000 <br /> X ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> A EXCESS /UMBRELLA LIABILITY BE4890963 07/01/08 07/01/09 EACH OCCURRENCE $10,000,000 <br /> OCCUR n CLAIMS MADE AGGREGATE $10,000,000 <br /> DEDUCTIBLE $ <br /> X RETENTION $ 0 $ <br /> WC STATU <br /> B WORKERS COMPENSATION AND WC7578122 07/01/08 07/01/09 X I TORY 1 IMITS I OT F H- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 <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 EXPIRATION <br /> City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3n DAYS WRITTEN <br /> Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Zephyrhills, FL 33542 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTA IVE <br /> ACORD 25 (2001/08) 1 of 2 #S3456375/M3369401 MCH © ACORD CORPORATION 1988 <br />
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