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ACORD CERTIFICATE OF LIABILITY INSURANCE OPID DF <br /> INTE -17 DATE(MMIDDIYYYY) <br /> 04/23/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Brown & Brown of Florida, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P . O . Box 15519 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Tampa FL 33684 - 5519 <br /> Phone: 813 226 - 1300 Fax: 813 226 - 1313 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURERA: ZENITH INSURANCE CO 13269 <br /> International Sign & Design <br /> Corp & International C & C INSURER B: AUTO OWNERS INSURANCE 18988 <br /> Corp DBA Sign X Press & Intl <br /> g <br /> Linear Matrix Corp INSURERC: st. Paul Fire c Marine Ins.Co. 24767 <br /> 10831 Canal Street INSURER D: Southern Owners Insurance Co. 10190 <br /> Largo FL 33777 -1696 <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 AMYL POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> D X COMMERCIAL GENERAL LIABILITY 20718180 (FL) 04/15/09 04/15/10 PREMSES(Ea $100,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $5,000 <br /> B X $1,000 Ded PD 20718181 (AL) 04/15/09 04/15/10 PERSONAL &ADV INJURY $ 1, 000, 000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000, 0 00 <br /> POLICY x PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> B X ANY AUTO 9669517502 (AL) 04/15/09 04/15/10 (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS 9669517500 (FL) 04/15/09 04/15/10 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 $5,000,000 <br /> C X OCCUR CLAIMS MADE QK06803212 04/15/09 04/15/10 AGGREGATE $5,000,000 <br /> $ <br /> DEDUCTIBLE _$ <br /> X RETENTION $ 10, 000 $ <br /> WORKERS COMPENSATION AND X TORY LIMITS 01 <br /> A <br /> EMPLOYERS' LIABILITY 2067917204 (AL) 09/15/08 09/15/09 E.L. EACH ACCIDENT $ 1000000 <br /> ANY <br /> A OFFICER /MEMBER EXCLUDED? ECUTIVE <br /> 2830005722 (FL) 09/15/08 09/15/09 E.L. DISEASE - EA EMPLOYEE $ lOOOOOO <br /> If yes, cribe undr e <br /> SPECIAL des PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 100000 <br /> OTHER <br /> D Installation 20718181 04/15/09 04/15/10 Inst Floa $50,000 <br /> D Rental Equipment 20718181 04/15/09 04/15/10 Ren Equip $50,000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> ZEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Zephyrhills IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 5335 Eighth St REPR SENTATIVES. <br /> Zephyrhills FL 33542 A • : • ED ESENTATIVE <br /> YR O <br /> ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />