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From:Lisa Johnson FaxID:863- 967 -7592 Page 2 of 3 Date:05 /13/09 09:52 AM Page:2 of 3 <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID LS <br /> OARS -01 DATE (MM/DD/YY1Y) <br /> 05/13/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Mulling Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P 0 Box 308 208 E Park Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Auburndale FL 33823 -0308 <br /> Phone:863- 967 - 4454 Fax:863 -967 -7592 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A. Old Dominion Insurance Co 40231 <br /> INSURER B. Florida Citrus Business c Ind <br /> Oar Electric, Inc. INSURER C <br /> Richard Hoar <br /> 920 East St. INSURER D <br /> Lake Wales FL 33853 <br /> 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 /> Wort NSRC TYPE OF INSURANWort gaol POLICY NUMBER DATE (MM/DDM')E POLICY (MM /DD/Y1')N <br /> LT LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> U IU(EaKt <br /> A X COMMERCIAL GENERAL LIABILITY MPG87292 04/01/09 04/01/10 PREMISE Soccurence) NItU $ 500000 <br /> CLAIMS MADE I X 1 OCCUR MED EXP (Any one person) $ 10000 <br /> PERSONAL &ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2000000 <br /> 7 POLICY n 5E 8 n LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X ANY AUTO B1G87292 04/01/09 04/01/10 (Ea accident) $ 300000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> 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 /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> _ $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WC SiAIU- <br /> WORKERS COMPENSATION AND X TORY LIMITS I () El <br /> EMPLOYERS' LIABILITY <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE 10640653 04/01/09 04/01/10 E . EACH ACCIDENT $ 100000 <br /> OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 100000 <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> electrical work - within buildings <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITYOZE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Zephyrhills IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 5335 8th Street REPRESENTATIVES. <br /> Zephyrhills FL 33540 AUTHORIZED ESENT <br /> ACORD 25 (2001/08) CD ACORD CORPORATION 1988 <br />