Laserfiche WebLink
ACORD DATE (MNUDD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 04/3012009 <br /> PRODUCER Phone: (813) 988.1234 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. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> TEMPLE TERRACE FL 33687 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> A. ency Lictl: R001768 <br /> INSURED IINSURERA: Southern Owners Insurance Co 1 02954 <br /> EDMONSON ELECTRIC INC 1INSURER B: Auto owners Insurance Co. 1 18988_ <br /> DBA & B J ENTERPRISES INC INSURER C: FCCI Insurance Co. 03499 <br /> 1034 SKIPPER ROAD <br /> TAMPA FL 33613 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 CONDRION 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 ADDt I POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OF INSURANCE POLICY NUMBER EPIRAT 1 LIMITS <br /> LTR INSRC r DATE (MMIDDIYY) I DATE 1NMVDDIYY) 1 T • <br /> GENERAL LIABILITY 09 -027 ! 02/06/09 02/06/10 I EACH OCCURRENCE $ 1,000,000 <br /> A <br /> I X COMMERCIAL GENERAL LIABILITY ! PRAMEMIGE SES TO R R E oa NT urer ED <br /> we) $ 300,000 <br /> F DI MED. X (Any one person <br /> CLAIMS MADE! X J OCCUR EP A ) $ 10,000, � <br /> A L'ESI PERSONAL B ADV INJURY 5 1,000,000 • <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER:I PRODUCTS - COMP/OP AGG. $ 2,000,000 <br /> 1 POLICY 1 X PET , I LOC( I <br /> AUTOMOBILE LIABILITY 4133618101 02/06/09 02/06/10 COMBINED SINGLE LIMIT ` i <br /> X ANY AUTO 1 (Ea actldent) IS 500,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> SCHEDULED AUTOS <br /> B YES -- X HIRED AUTOS <br /> BODILY INJURY <br /> II X NON -OWNED AUTOS (Per accdent) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ <br /> L 1 ANY AUTO OTHER THAN EAACC S <br /> AUTO ONLY AGG 1$ <br /> EXCESS J UMBRELLA LIABILITY 4340454501 j 02/06/09 02/06 /10 EACH OCCURRENCE I S 1,000,000 <br /> X 1 OCCUR CLAIMS MADE I I AGGREGATE $ 1,000,000 <br /> B I $ <br /> DEDUCTIBLE $ <br /> RETENTION $ 10,000 $ <br /> WCSTATU- <br /> WORKERS COMPENSATION AND 001.WC08A -59759 05/02/09 05/02/10 X TORY OMITS OTHER <br /> I EMPLOYERS' LIABILITY I <br /> I E.L. EACH ACCIDENT . $ 500,000. <br /> 6 , ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? EL. DISEASE - EMPLOYEE $ 500,000 <br /> PEC, descrise under <br /> S PECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500 <br /> SPECIAL <br /> OTHER: <br /> DESCRIPTION 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 30 DAYS • <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> CITY OF ZEPHYRHILLS TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br /> 5335 8TH STREET ITS AGENTS OR REPRESENTATIVES. <br /> ZEPHYRHILLS, FL 33542 AUTHORIZED REPRESENTATIVE <br /> CIO <br /> Attention: SEAN OR KAREN /813 -780 -0021 Bill Owen <br /> ACORD 25 (2001/08) Certificate # 176173 OACORD CORPORATION 1988 <br />