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06/04/2009 14: 47 3525679638 PASCO FARM BUREAU PAGE 01 <br /> CERTIFICATE OF INSURANCE N THE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF IO ALTER O THE COVERACEAAF ORDER BY THE OOCI S LISTED B HOER NFERS NO RIGHTS <br /> THIS CERTIFICATE DOES NOT AMEND, EXTEND OR COMPANIES AFFORDING COVERAGES: <br /> FLORIDA FARM BUREAU INSURANCE COMPANIES corny <br /> P.O. BOX 147030 Letter A: <br /> GAINESVILLE, FLORIDA 32614 - 7030 Florida Farm Bureau General Ins. Co, <br /> NAME AND ADDRESS OF INSURED: Company <br /> BAHR' S ALUMINUM INC Letter B: <br /> 6440 FORT KING RD Florida Farm Bureau Casualty Ins. Co. <br /> ZEPHyRHILLS FL 033542 <br /> The po des of Insurance fisted below have been issued to the insured named above and are In force at this time. ',standing any requirement, term or condition of any contract or <br /> other document with respect to which the certificate may be Issued or may pertain, the insurance afforded by the policies described herein Is subject to all the terms, exclusions and <br /> trorrt$O. pole POLICY EFFECTIVE DATE POLICY EXPIRATION ALL LIMITS IN I� <br /> CO. TYPE OF INSURANCE POLICY NUMBER ( �p,NDopry) DATE (MMIDD/YY) <br /> LTR General Aggregate $ 10 0 0 <br /> General Liability: <br /> operatlora agg Pio°"��COI" regate $ 10 0 0 <br /> OCommoniel General Liability 0 b /15/10 Personal A Advanleing blur). $ 5 0 0 <br /> A (Occurrence Form) CPP 9522690 04/15/ $ 500 <br /> A ❑ Owner's a Contractor's FIm Damage IAN one Ike) $ 5 0 <br /> P►otactNe <br /> 51 Farmer's Personal Liabagy • Medeal Warn Vol aw Person) $ 5 <br /> Combined <br /> Automobile Liability: Single Unit $ <br /> CJ Any auto . <br /> Sadly Injury $ <br /> 7 All owned autos (Per Person) <br /> C� Scheduled autos Bodily Injury $ • <br /> (Per Acxldent) <br /> [] Hired autos Property <br /> Non•Owned auras Damage $ Each <br /> Ettcess LIablHly: <br /> Occurrence Aggregate <br /> O Umbralla Form $ $ <br /> U Other then Umbrelm form $ <br /> Employers uabfPty: 1E80 Name <br /> D Farm Employer's Uaagry <br /> L $ Farm Employee's Medical $ Emlorne) <br /> Outer. <br /> — $ <br /> DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES: <br /> SHEET METAL WORK <br /> CANCELLATION: Should any of the above described policies be cancelled before the expiration date thereof, the Issuing company will endeavor to <br /> man 10 days written notice to the below named certificate holder, but failure to mall such notice shall Impose no obligation or liability of any kind <br /> upon the company. <br /> NAME AND ADDRESS OF CERTIFICATE HOLDER: COUNTY CODE 51 DATE ISSUED 06/ 03 / 09 <br /> CITY OF ZEPHYRHILLS Serviced by PASCO County Farm Bureau <br /> 5335 8TH STREET <br /> ZEPHYRFIILLS, FL33541 JOHN W GRANT, IV <br /> AUTHORIZED REPRESENTATIVE <br /> 93 -7.892 (Rov, 5/99) <br />