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Page 2 of 3 Date:2/25/2009 02:07 PM Page:2 of 3 Pa <br /> From:Linda Allen FaxID:Florida Insurance Ce g <br /> ACORD OP ID LA DATE (MMIDD/YYYY) _ CERTIFICATE OF LIABILITY INSURANCE BRUCE - 02/25/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Florida Insurance Center Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 414 11 Alexander Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Plant City FL 33563 <br /> Phone:8i3- 754 - 3561 Fax:813- 764 -8402 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A Nasitield Insurance Company 24112 <br /> INSURER B. Auto Owners Insurance Co 18988 <br /> Bruce Doan Electric , Inc. INSURER C. <br /> P 0 Box 1390 INSURER D: <br /> Thonotosassa FL 33592 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 /> I LTR 7 NS L POLICY NUMBER DATE (MM/DD/YY) POLICY <br /> DATE (MM/DD/YY)N LIMITS <br /> LTR NSRC TYPE OF INSURANCE <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> _ UVIW \l,tIUHtNItIJ 8 150,000 <br /> A X COMMERCIAL GENERAL LIABILITY CWP3670957 01/11/09 01/11/10 PREMISES (Ea occurence) <br /> CLAIMS MADE 1 X 1 OCCUR MED EXP (Any one person) $ 10 , 000 <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> — I POLICY n 7 4 ^ LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 50 , 000. <br /> B ANY AUTO 9542032400 02/16/09 02/16/10 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> X SCHEDULED AUTOS <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 /> - 7 OCCUR I I CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ <br /> W(; SIAIU- UIH- <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITYZEP 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 Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Building Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 5335 8th Street IVES. <br /> Zephyrhills FL 33542 REPRESENTATIVES. <br /> AUT IZED REPRESENWIVE • <br /> ACORD 25(2001/08) L @ACORD CORPORATION 1988 <br />