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09-9135
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09-9135
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Last modified
1/13/2011 11:22:23 AM
Creation date
1/13/2011 11:22:20 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9135
Building Department - Name
FIGUEROA,ANTHONY & ROSA
Address
39532 MEADOWOOD LP
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MAY. 19. 2009 3:13PM PORCH STRIBLING WEBB NO. 003 P. 2 <br /> MD- Ha CERTIFICATE OF LIABILITY INSURANCE 5 i 9i2oo9 1 <br /> PRODUCER (931'296 -4271 FAX: (931)296 -4811 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Porch - Stribling -Webb, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br /> 132 East Mein Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P 0 Box 549 <br /> wav ®sly TN 37185 INSURERS AFFORDING COVERAGE NAIC a <br /> INSURED INSURERA; State Automobile Mutual <br /> • <br /> Consolidated Industries, LLC INSURER B: Accident Fund 10166 <br /> Vista Portable Sheds INSURER C: <br /> 760 Westbrook Road ISURER D: <br /> Hickory KY 42051 INSURER <br /> COVERAGE <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br /> REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br /> THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, <br /> INBR ADO'I POLICY Ep TIVE POL Cr I EXPIRATION LIMITS <br /> 1 1811640 TYPE OF INSURANCE POUCY NUMBER f#ATR Bpi I I DA IM P / M rI <br /> GENERAL LIABILITY iA OCCURREUr.F S 1,000,000 <br /> DAMAGE TO_REWTED <br /> X COMMERCIAL GENERAL LIABIUir <br /> 100,000 <br /> PRE1ILar o nenrei <br /> A 1 CLAIMS MADE E OCCUR EDP 2514061 2/1/2009 2/1/2010 MEDEXp,(MvoryPreen) $ 5,000 <br /> 2E860NAL&AJIJURr li 1,000, 000 <br /> igtas 1 meo 00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCER- _ 2m p. rop 6 00 S 2 , 00 , 000 <br /> D POLICY ri 7RT El LOC ..--^ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ <br /> (Ea ecclden1) <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> — SCHEDULED AUTOS - <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per =Dent) <br /> NON -OWNED AUTOS <br /> — <br /> PROPERTY DAMAGE <br /> — (Per ecCpoM) _ <br /> GARAGEUABILITY AUTO ONLY - EA ACCIDENT ,S <br /> R ANY AUTO OTHER THAN . 1&60 AUTO ONLY: AGG 3 <br /> EXCEBBIUMBRELLA LIABILITY FACH OCCURI NIIF $ <br /> OCCUR El CLAIMS MADE AGGREMTE ._ <br /> $ <br /> DEDUCTIBLE $ <br /> — <br /> c l al.. <br /> .. y�I� BTpTU oTH <br /> B WORKERS COMPENSATION AND x T�R7 [ 1MIrR Fp <br /> EMPLOYERS' LIABILITY EEACH ACCIDENT $ 500, 000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE • OFFICERIMEMBEREXCLUDED? WCV6053161 2/1/2009 2/1/2010 E.L DISEASE • EA EMPLOYEE $ 500,000 <br /> IF cc, describe under , ; E , I, 500 000 <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 P16 <br /> CITY OF ZEPHYRHILLS- BUILDING DEPT. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 5335 8TH STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> ZEPHYRH ILLS , FL 33542 FAILURE TO DO BO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE <br /> INS ITS AGSLITS OR REPRESENTATIVES, <br /> AUTH D REP�4ESENJ Q f T <br /> 1�/0Z C/L/'� --J I r <br /> ACORD 25 (2001108) DACORD CORPORATION 1988 <br /> 1NS025 (0+138).0ee Pace 1 ore <br />
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