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May. 11. NB— ::23PM STAHL Vo, 7195 '. 1/1 <br /> D <br /> ACORD OP ID DATE (MMIDDIYI'YY) CERTIFICATE OF LIABILITY INSURANCE SECUR -4 05/11/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Stahl & Associates Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Oldsmar FL 34677 <br /> Phone: 727- 784 -8554 Fax:727- 789 -2823 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSUPER A Southern Owners 10190 <br /> INSUPER E Bridgefield Casualty <br /> Security Aluminum & Screening, wsueERc <br /> Debbie Hammond <br /> 9347 Denton Ave Unit 8 -12 NEUPER D <br /> Hudson FL 34667 <br /> INEURER 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 /> INSK AIML POUCY EFFECTIVE POLICY EXPIRATION <br /> LTR NSRD TYPE OF INSURANCE POUCY NUMBER DATE (MMJDDIYY) DATE (MMIDDIW) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> �AMA KtN <br /> A X COMME L <br /> R CI AL GENERA_ LIABILIT" 20648191 02/18/09 02/18/10 PREMISE V S (- aoccu $ 300,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GENII AGGREGATE LIMT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> 'OLI PEa LOC <br /> AUTOMOBILE LIABILITY <br /> COIvBINEDSI NGLE_IN11T $ 1,000,000 <br /> ANY AUTO (Ea accident; <br /> ALL OWNED ALTOS BOD L'r INJURY <br /> SCHEDULED AUTOS (Per pe <br /> A X - 1IRED AUTOS 20648191 02/28/09 02/28/10 BOD LY INJURY <br /> A X VON -OWNED AUTOS 20648191 02/28/09 02/28/10 <br /> (Per a"iden.) <br /> PROPERTY DAMAGE <br /> (Per ac :iden-) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO O-HERTHAN EA.ACC $ <br /> AUTO ONLY AG3 $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE <br /> OCCUR CLAIMS MADE AGGREGATE <br /> $ <br /> DEDUC - IBLE $ <br /> RETENTION $ <br /> WC.SIAIU- UI - I- <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> 8 EMPLOYERS'LIABLITY 196 -03481 02/01/09 02/01/10 E L E A C H A C C I D E N T $ 100,000 <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E L. DISEASE - EA EMPLOYEE $ 100 , 000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E L. DISEASE - POLICY LIMIT $ 800,000 <br /> OTHER <br /> DESCRPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> ZEPHYRH 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 /> City of Zephyrhil is NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Building Department IMPOSE NO OBLIGATION OR LIABLrIY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Fax 813 - 780 -0021 <br /> 5335 8th Street REPRESENTATIVES. <br /> Zephyrhills FL 33540 A ig.' RE ESE ATIVE <br /> ACORD 25 (2001108) © ACORD CORPORATION 198 <br />