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Apr. 24. 2009_11: 52AM NOVAK AGENCY No. 2123 P. 1 <br /> ACOF#D,„ CERTIFICATE OF LIABILITY INSURANCE I c,9 ' <br /> PRODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION <br /> xQ'URkAgCnCty - Insurors ONLY AND CONFERS NO RIGHTS UPON THE' CERTIFICATE <br /> . 4:11) 11590 Seminole Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Le 0, FL 33778 - 3204 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> • <br /> (727) 393 - 0640 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED rAX. (727) 397 4323 • . <br /> INBURERA: NAUTILUS INS CO <br /> GERALD F MELADY DBA MELADY ROOFING , INC INSURER B: <br /> 12212 SUAVE LANE INSURER C: <br /> HUDSON, FL 34669 INSURER D: <br /> • 1 INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE USTED 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 -Ab0' POLuI YEFFECI1VE POLN:Y EXWRATXIN YL <br /> LTR ro9R TYPE OUNSURANCE POLICY NUMBER 0* I .DATEI MMIODM LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 300, 000 <br /> • A In COMMERCIAL GENERAL LIABMJTY DAMAGE TU RENTED NC642507 2/20A9 2/20110 PREMISEg(Eaoavroncel $ 50,000 <br /> CLAIMS MADE I X 1 OCCUR MED EXP (My one person) $ 5,000 <br /> PERSONAL s ADV INJURY $ _ 300 , 000 <br /> • <br /> GENERAL AGGREGATE $ 300,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO. $ INCLUDED <br /> POLICY n ,,,, n LOC. <br /> AUTOMOBILE LIABILITY <br /> I ANY AUTO COMBINED SINGLE LIMIT $ <br /> ALL OWNED AUTOS <br /> II SCHEDULED AUTOS BODILY (Per person) $ <br /> (Per person) <br /> ■ HIRED AUTOS <br /> • III BODILY INJURY 1 <br /> NON•OWNED AUTOS • (Per saddest) <br /> — <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> • GARAGE UABIUTY w AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO • . OTHER THAN EA ACC $ <br /> AUTO ONLY: AOG $, <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR E CLAIMS MADE AGGREGATE $ <br /> ■ DEOUCTIBLE $ <br /> $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND ( TORY STATU- ORYIIMTTS I 1OTH- <br /> • EMPLOYERS' UABILITY E <br /> • ANY PROPRIETORIPARTNERJEXECUTIVE E.L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> Eyes. .esse desalt)* under E.L DISEASE -EA EMPLOYEE $ <br /> . SPECIAL PROVISIONS below EL. DISEASE - POLICY UMIT $ <br /> . OTHER <br /> DESCRIPTION OP OPERATIONS I LOCATIONS / VEHICLES / EXCLUBIONB' BY ENDORSEMENT / SPECIAL PROVISIONS <br /> ROOFING CONTRACTOR <br /> CERTIFICATE HOLDER _ CANCELLATION <br /> BHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TN$ E.XPIRATNIN <br /> CITY OF ZEPFEYRHILLS • DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> 5335 8TH ST NOTICE TO THE CERr1RCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL <br /> ZEPHYRHILLS, FL 33542 IMPOSE NO OEUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, rT8 AGENTS OR <br /> REPRESENTATIVe$. . <br /> AUTHORIZED REPRESENTATIVE <br /> FJ NOVAK . <br /> ACORD 25 (2001/09) RP.RF�T,�,[ION 1060 <br /> • <br />