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06/25/2009 09:02 FAX 9417464138 GEE AND SEIPEL INS Z001 <br /> I <br /> A CORU ® CERTIFICATE OF LIABILITY INSURANCE <br /> DATE (MMlDD/ <br /> 4.----- 6/25/2009 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Michael Gee Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 623 3 9th St. West, Unit 4 ALTER THE COVERAGE AFFORDED BY T HE POLICIES BELOW. <br /> Bradenton, FL 34205 <br /> (941) 746 - 1892 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED ACE ALUMINUM & CONSTRUCTION, LLC INSURER A: FIRST COMMERCIAL INS CO <br /> INSURER B: FIRST COMMERCIAL INS CO <br /> 4926 AIRPORT ROAD INSURER c: FIRST CCNMERCIAL INS CO <br /> ZEPHYRHILLS, FL 33542 INSURER D: <br /> q813) 782 -2616 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 /> 'We ADO L P OLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR IN3RD TYPE OF INSURANQE DATE(MM/DD/VYYY) DATE(MM/DD/YYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> ' DAMAGb JO RCNICO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES (Es ocanence) $ 50 , 000 <br /> CLAIMSMADE I OCCUR MED EXP (Any one Person) $ 5,000 <br /> A PERSONAL & ADVINJURY $ 1, 000 , 000 <br /> — GL- 26974 -1 6/21/09 6/21/10 GENERAL AGGREGATE $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS • COMPIOP AGG S 1, 000.000 <br /> POLICY n JEC PI LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMB 3 500,000 <br /> ANYAUTO (Ea accident) <br /> —_ ALL OWNED AUTOS <br /> BODILY INJURY S <br /> X SCHEDULED AUTOS (Per person) <br /> B MIRED AUTOS <br /> BODILY INJURY S <br /> — NON•OWNED AUTOS CA- 2 7 5 6 4 - 0 5 / 17 / 0 9 5 / 17 / 10 (Per academy <br /> I PROPERTY DAMAGE <br /> (Peracdoent) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S _ <br /> — <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY; AGG $ <br /> EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE _ 5 <br /> —I OCCUR CI CLAIMSMAOE AGGREGATE 5 <br /> S <br /> DEDUCTIBLE .—� S <br /> RETENTION $ S <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y X I TORY LIMITS ER <br /> ANY PROPRIETOR)PARTNERIEXECUTVE EL EACH ACCIDENT s 100,000 <br /> C OFFICERIMEMaER EICCLUOED1 © ,L. ManAxey In NN) WC-30947 6/17/09 6 / 17 / 10 E.L. DISEASE • EA EMPLOYEE 100,000 <br /> E Cw.L P ROV ALP iOnunder 500,000 <br /> E ISIONS below EL. DISEASE - POLICY LIMIT s <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS '"' <br /> COVERAGE INCLUDES RICHARD SHAFFER LICENSE# CRC1329266 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF ZE)?FIYRHILLS °Homo ANY OP THE ABOVE DESCRIBED 'woes se CANCELLED BERNIE THE EXPIRATIDM <br /> 5335 6TH STREET DA TIMR!OF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> ZEPHYRHI LL S , FL 33542 NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, an FAILURE TO DO 90 SHALL <br /> ATTN: JACKIE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> F33(813)780-0021 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE t C <br /> ACORD25(2009/01) 61988 -2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />