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From Paul Sram At Roe Insurance, Inc. FaxID: 727- 376 -2262 To: City of Zephyrhills Date: 4/15109 11:40 AM Page: 2 of 3 <br /> OP ID P$ <br /> BM DATE (MWDD/YYYY) <br /> O <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE PL[7Nt 04/15/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Roe Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 9851 State Road 54 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> New Port Richey FL 34655 <br /> Phone:727- 376 -0030 Fax:727- 376 -2262 INSURERSAFFORDINGCOVERAGE NAIC# <br /> INSURED INSURER A 1019 0 <br /> SouUfKn O wner: ZNYSanco Co. <br /> BMW Plumbing dba Bromley & INSURERB Auto Owners Insurance Co. 18988 <br /> Bromley Inc. INSURER C: Zenith Insurance Co. <br /> Chris Bromley <br /> 6327 Hwy 301 S INSURER D: <br /> Riverview FL 33578 <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 /> TIVbK FWU u POLICY NUMBER POLICY EH-EC FIVE POLICY EXPIKATION LIMBS <br /> LTR NSRC TYPE OF INSURANCE DATE (MMIDD/W MI <br /> ) DATE (MDDM/) <br /> GENERAL LIABILITY EACH OCCURRENCE _$1,000,000 <br /> UA IV KC <br /> A X COMMERCIAL GENERAL LIABILITY 20703470 01/25/09 01/25/10 PREMISE S (Ea occu rence) $ 300,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 <br /> A X Contractual Liab 20703470 01/25/09 01/25/10 PERSONAL &ADVINJURY $ 1,000,0 <br /> GENERAL AGGREGATE $2,000,000 <br /> GENII AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> POLICY n J ECT n LOC <br /> AUTOMOBILE LIABILITY <br /> _ COMBINED SINGLE LIMIT $1000,000 <br /> B X ANY AUTO 4264892900 01/25/09 01/25/10 (Ea accident) i <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <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 /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X IT O R SIAM- IUIH- <br /> ORYLIMITS ER <br /> EMPLOYERS' LIABILITY 2068987303 03/21/09 03/21/10 E.L. EACH ACCIDENT $ 1000000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1000000 <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 <br /> OTHER • <br /> DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> Workers Compensation applies to Florida operations only. *30 days notice of <br /> cancellation except 10 days notice for non - payment of premium. <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 * DAYS WRITTEN <br /> CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> FAX# 813-780-0021 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 5335 8TH STREET <br /> ZEPHYRHILLS FL 33543 REPRESENTATIVES. <br /> RIZED REP NT/171VE 7 - <br /> ACORD 25 (2001/08) �� @ ACORD CORPORATION 1988 <br />