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09-9188
Zephyrhills
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2009
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09-9188
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Last modified
1/18/2011 1:53:38 PM
Creation date
1/18/2011 1:53:36 PM
Metadata
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Building Department
Company Name
ALPHA VILLAGE
Building Department - Doc Type
Permit
Permit #
09-9188
Building Department - Name
JONES,DOLORES
Address
7204 OMEGA CT
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06/.10/2009 15:00 3525679638 PASCO FARM BUREAU PAGE 01 <br /> .a►c r� CERTIFICATE OF 114 Newa LS C E R TIFICATE IS ISSUED A MATTER OF INFORMATION <br /> L {ABI>. E [ 06/0912009 <br /> 4........--- PROW= Axe ONLY AND CONFERS NO RI UPON THE CERTIFICATE EXTEND OR <br /> Allen Altman Agency Pasco Co Farm Bureau <br /> ALTER T E CERTIFICATE COVERAG AFF DE ED BY TH O BELOW. <br /> 12445 US 3 Dade City, FL 33525 INSURERS AFFORDING CO } E NAM 0 MlVREEO FA.. <br /> FL MARL INSURERS: FFVA <br /> 1 <br /> Behr Aluminum, Inc. INSURER D: <br /> 6440 Fort King Rd INSURER C; <br /> Zephyfiills, FL 33541 .. INSuRERD: _ . 1.. . <br /> I ER <br /> INSUR e: 1 <br /> COVERAGES <br /> THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AOOVE FOR THE POLICY P REOD INDICATED. NOPAMISTANDING <br /> ANY REOUIROMENT. TERM OR CONDmON OF ANY OONTRACT OR OTHER DOCUMENT WIN RESPECT TO WHIM CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUGIES DESCRIBID HEREIN IS SUBJECT TO AU. The TERMS. CLUSIONS AND cONDmoNS OF SUCH <br /> POUCIES. AGGREGATE UNITS SHOWN MAY HAVE DEIN REDUCED BY PASO CLAIMS. <br /> t PD � Y ir rl oo mNi 1 1 LIANIS <br /> PAN OWL POLICY NURSER DAT, nmoDOI+'Y10'+ DATP <br /> T! um MR f NNIIYANCE EACNOCCURREsNGE S <br /> GENERAL LUDIUTY DA b'S TO gCwTFA <br /> COMMERCIAL GIBIERAL LIABLW PR iTI ISES IFS aea_�p10.NL_ s <br /> Mascoow ) S <br /> ` CHINS MADE Q OCCUR <br /> p@ 6ADVMAY S <br /> GE?1 AL _ AGGREGATE LIMIT APPLIES PIM <br /> p PRODUCTS • COWAN. A811 $ <br /> - t POUCV n •t ri LOG - I <br /> AUrcesoBI! UABlUT callow' SINGLE LIMIT $ <br /> ANY AUTO Tea Alxident) <br /> ALL MS= AUTOS l SIN JURY t <br /> SCHEDULEOAUTOS <br /> '^ DO YINJURY f <br /> — MIRED AUTOS (Per <br /> NON•OWNED AUTOS <br /> PR RTY DAMAGE s <br /> elf areNw <br /> _ AUTO ONLY - EA ACCIDENT S <br /> GARAGE LIABILITY AGC S <br /> ANY AUTO gulp ONLY: AGG = <br /> EAC _ <br /> iXCE.SSfI)AIDREW UABILITY AGORCGATE: _ <br /> OCCUR El CLAIMS MADE 1 <br /> - 1 = <br /> RETENTION i W CSTATU - ar r COMPENSATOR 1 L I L N• <br /> m � urs lei <br /> MID °P LOYelrLAe TTY V f w e.L.IeACH ACCIDewT $ 500,400 <br /> 8 IINYPROP RIE70R�PIIR © wc840- 0021343 -20 01/01109 01/01/10 � ,se• a,,,, s500.000 <br /> Niondstery IInN E9ICWDED7 <br /> It .desolR. DISEASE- POLICY NIT 1 500 000 <br /> - •lCILLPR• �. � . <br /> OM ER <br /> DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES 'EXCLUSIONS ADGEro R Y ENDOIfS T 7 snow- PROVI$IORS - <br /> SHEET METAL WORK <br /> CER11F1CATE•HOLDFR Fad • *Phone. CANCELI-ATION <br /> womb ANY OP ABOVE P $BCRE!DPOUCIUEER!CANCEU.EDI ORETEREXPIRATION <br /> CITY of ZEPHYRHILLS DATE THEREOF, THE ISSUING INSURER YELL ENDEAVOR TO MAIL 1Q_ DAYS TfRII TEN <br /> 5335 8th Street Room TOTER: common MOMS! NAEED TO THE I.1iT. RUT PMLURE To 00 SO SH ►LL <br /> Zephyrhills, FL 33541 EMPOSD No OBuOA urinary C F ANT IONP UPON TN 8J N. TTE AGENTS OR <br /> fax/4113 -78 021 T" �' <br /> / ACfI P A I <br /> ACORD 25 (2009107) <br /> 980.2009 ACOR D CORPORATION. All rights reserved. <br /> The ACORO name and logo rsObre d ,narks of ACORD <br /> T'd h66E88 s .J4e8 dbtP :EO 60 OT unr <br />
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