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06/10/2009 14:52 3525679638 PASCO FARM BUREAU PAGE 03 <br /> 77q <br /> CERTIFICATE OF INSURANCE /f ... v �� <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES LISTED BELOW. <br /> COMPANIES AFFORDING COVERAGES: <br /> FLORIDA FARM BUREAU INSURANCE COMPANIES <br /> P.O. BOX 147030 Company <br /> Letter A: <br /> GAINESVILLE, FLORIDA 32614 -7030 <br /> Florida Farm Bureau General Ins. Co. <br /> NAME AND ADDRESS OF INSURED: Company <br /> RAM t S ALUMINUM INC •- Letter B: <br /> 6440 FORT KING RA <br /> ZEPHYRHILLS FL 033542 Florida Farm Bureau Casualty Ins. Co. <br /> The po ides of insurance listed below have been issued to the Insured named above and are in force at Ih , time. Notwithstanding any requirement, term or condition of any contract or <br /> other document with respect to which this oertilioale may be Issued or may penaln, the insurance afforded by the poNcles described herein Is subject to all the terns, exclusions and <br /> conditions of such polities. <br /> CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION LIMITS IN <br /> mumps <br /> LTR (MMIDD/YY) DATE (MM OD/Yr <br /> Germ' Aggregate $ 1000 <br /> General Liability: Proauas•canrareee <br /> General uadMlly <br /> operat amps $ 1000 <br /> fxcommerclal <br /> (Occurrence Form) . <br /> orm) 04 / 15 / l 0 Persand &" Mjury $ 500 <br /> A r1 Owner's &Caht►actors CPP 9527..690 04/15/09 Each Occurrence $ 500 <br /> ProtettivE' <br /> Fire Damage (Ay one lira) $ 50 <br /> ; D Fir's Personal Liability Medial Exp a (Any one person) $ 5 <br /> Automobile UabMIy: / Combined <br /> Single Unit $ <br /> IMyBub <br /> Bodily Injury <br /> 1 All owned autos (Per Person) $ <br /> 0 Scheduled autos Bodily Injury <br /> ❑ Hired autos (Per Acddont) $ <br /> f 1 Non -owned autos Property $ <br /> Damage <br /> Excess Lability: Each Aggregate <br /> Occurrence <br /> ❑ Umbrella Form <br /> ❑ Other than Umbrella form $ $ <br /> Employers LIabIHty: $ <br /> ❑ Farm Employer's LIabety (Ennocur nee) <br /> C� Farm Employee's Meth $ l $ <br /> Other. I ... _ - $ <br /> DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES: <br /> SHEET METAL WORK <br /> CANCELLATION: Should any of the above described policies be cancelled before the explration date thereof. the Issuing company will endeavor to <br /> mail 10 days written notice to the below named certificate holder, but failure to mail 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 0 6 / 0 3 / 09 <br /> CITY OF ZEPHYRHILLS PASCO County Farm Bureau <br /> 5335 8TH STREET Serviced by <br /> ZEPHYRHILLS, FL33541 JOHN W GRANT, IV <br /> AUTHORIZED REPRESENTATIVE <br /> 93.7.692 (Rev. 9193) <br />