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09-9215
Zephyrhills
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Building Department
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2009
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09-9215
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Last modified
1/14/2011 9:19:20 AM
Creation date
1/14/2011 9:19:18 AM
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Building Department
Company Name
TACO BELL
Building Department - Doc Type
Permit
Permit #
09-9215
Building Department - Name
TACO BELL
Address
7313 GALL BLVD
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Jun 2. ,2009 10:48AM A -1 FIRE & ELECTRIC No. 1841 P. 3 <br /> ACOR 7M. CERTIFICATE OF LIABILITY INSURANCE DAT 03/ 03/2 009 <br /> , <br /> PRODUCER Phone ;. (305) 445-5060. Far .305. 448 -8189 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> WEXLER INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1120 PONCE DE LEON BLVD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> CORAL GABLES FL 33134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC # _ <br /> INSURED INSURER A: HANOVER INSURANCE COMPANY <br /> ABA FIRE EQUIPMENT CO, INC. INSURER B: ASPEN SPECIALTY INSURANCE <br /> A -1 FIRE EQUIPMENT CORP, INSURER C; AMERICAN INTERNATIONAL <br /> A -1 ELECTRIC COMPANY <br /> 3819 N.W. 2ND AVE. INSURER 0: <br /> MIAMI FL 33127 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 CONORION 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 AOD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LYR INSNr DATE IMMOOryY) DATE (MWOD/YY) <br /> GENERAL LIABILITY CRA521 N09 02/01/09 02/01/10 EACH OCCURRENCE S 1,000.000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED easiness pi occurs $ 50,000 <br /> C9) <br /> CLAIMS MADE © OCCUR MEO. EXP (My one person) $ 5,000 <br /> B PERSONAL & AOV INJURY 5 1,000.000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEM. AGGREGATE LI MIT. APPLIES PER: PRODUCTS - COMP/OPAGG. S 1,000,000 <br /> PRO - <br /> 7 POLICY JECr LOC <br /> AUTOMOBILE UABILITY AHX436235401 11/01/08 11/01/09 COMBINED SINGLE LIMIT <br /> ANY AUTO (Eaacdaenq 5 1,000,000 <br /> .— ALL OWNED AUTOS BODILY. INJURY <br /> (Per. person) S <br /> X SCHEDULED AUTOS <br /> A X HIREO.AUTOS <br /> _ BODILY INJURY S <br /> X NON- OWNED.AUTOS (Per l) <br /> acdden <br /> — PROPERTY DAMAGE $ • <br /> (Per swam) <br /> GARAGE LIABILITY , AUTO. ONLY .EAACCIOENT S <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG S <br /> EXCESS /UMBRELLA LIABILITY 0E019893868 02/01/09 02/01/10 EACH OCCURRENCE S 2,000,000 • <br /> OCCUR 0 CLAIMS MADE AGGREGATE _ S 2,000,000 <br /> C S <br /> _ DEDUCTIBLE S <br /> _ <br /> .-- RETENTIONS 10.000 S <br /> WORKERS COMPENSATION AND I TO RY. .LIMITS I I OTMER <br /> EMPLOYERS' LIABILITY E.L, EACH ACCIDENT S <br /> ANY PROPRIETOR/PARTNERIO[ECUTIVE <br /> OFFICERMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S <br /> II yes. laseaP molar <br /> SPECIAL PROVISIONS Plow E.L. DISEASE- POLICY LIMIT $ <br /> OTHER: <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> GENERAL LIABILITY - $15, 000 DEDUCTIBLE <br /> • <br /> CERTIFICATE HOLDER CANCELLATION . <br /> CITY OF ZEPHYRHILLS SHOULD .ANY OF THE .ABOVE. DESCRIBED POLICIES BE CANCELLED. BEFORE THE <br /> 5335 8TH STREET EXPIRATION.DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO. HAIL 30 DAYS <br /> WRITTEN .NOTICE TO THE .CERTIFICATE HOLDER NAMED TO THE. LEFT, BUT FAILURE <br /> ZEPHYRHILLS, FL 33540 TO. 00 SO. SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY. KIND UPON TH INSURER <br /> ITS AGENTS OR REPRESENTATIVES. <br /> AUTMORIZSO REPRESENTATIVE <br /> Attention: M J. Wexler <br /> ACORD 25 (2001/08) Certificate # 107936 0 ACORD CORPORATION 1908 <br />
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