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Jul. 7. 2009 10:26AM No. 6817 P. 1/1 <br /> ACORD DATE (MMroD/YYYI� <br /> TM CERTIFICATE OF LIABILITY INSURANCE 07/07/2009 <br /> PRODUCER Phone (813) 988 Fax: 813 -988 -0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ASSOCIATES AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> PO BOX 16190 • HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 11470 N. 53RD ST. Al TFR THE COVFRACCF AFFORIWO RY THE POI ICIES RE/ OW <br /> TEMPLE TERRACE FL 33687 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> Agency Lick R001766 <br /> INSURED INSURER A: SOUTHERN OWNERS INSURANCE CO. 10190 <br /> HUNSBERGER PLUMBING COMPANY, INC. INSURER B: AUTO OWNERS INSURANCE CO. 18988 <br /> 111 CHAPMAN ROAD EAST INSURER C: <br /> LUTZ FL 33549 <br /> INSURER D: <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 /> INSR ADD'L TYP OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD DATE (MM/DO /YYI DATE IMM/DD/YYI LIMITS <br /> GENERAL LIABILITY 20633634 04/27/09 04 /27/10 EACH OCCURRENCE _ $ 1,000,000_ <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50 000 <br /> PREMISES (Ea occurence) r <br /> CLAIMS MADE X OCCUR MED. EXP (My one person) $ 5,000 <br /> A PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LI PLIES PER. PRODUCTS - COMP /OP AGG. $ 2,000,000 <br /> 7 POLICY JECT P1 LOC <br /> AUTOMOBILE LIABILITY 4442960401 04 /27/09 04/27/10 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 500,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> B X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> — <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS 1 UMBRELLA LIABILITY 4442960400 04 /27/09 04/27/10 EACH OCCURRENCE $ 3,000,000 <br /> X I OCCUR CLAIMS MADE AGGREGATE $ 3,000,000 <br /> B $ <br /> DEDUCTIBLE $ <br /> RETENTION $ 0 $ <br /> WORKERS COMPENSATION AND we sTATU OTHER <br /> EMPLOYERS' LIABILITY TORY LIMITS <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE <br /> E.L. EACH ACCIDENT $ <br /> OffICER/MEMSER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ <br /> R yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER: rented/leased equipment 20633634 04/27/09 04 /27/10 limit S75,000 <br /> A <br /> DlJSCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO <br /> City of Zephyrhills DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. IT'S <br /> 5335 8th Street AGENTS OR REPRESENTATIVES. <br /> Zephyrhills, Fl 33542 AUTHORIZED REPRESENTATIVE <br /> 7 <br /> Attention: 780 -0021 T revo r <br /> ACORD 25 (2001/08) Certificate # 180640 0 ACORD CORPORATION 1988 <br />