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09-9286
Zephyrhills
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2009
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09-9286
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Last modified
1/18/2011 2:19:30 PM
Creation date
1/18/2011 2:19:28 PM
Metadata
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Building Department
Company Name
LIL STAR LEARNING CENTER
Building Department - Doc Type
Permit
Permit #
09-9286
Building Department - Name
LIL STAR LEARNING CENTER
Address
5034 18TH ST
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06/25/2009 08:30 FAX 9417464138 GEE AND SEIPEL INS Zi001 /001 <br /> I DATE(MMIDD/YYYY) <br /> AC c R D CERTIFICATE OF LIABILITY INSURANCE 6/25/2009 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Michael Gee Inc HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 623 39th St. West, Unit 4 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Bradenton, FL 34205 <br /> 5941) 746 - 1892 INSURERS AFFORDING COVERAGE NAIL# <br /> INSURED ACE ALUMINUM & CONSTRUCTION, LLC INSURER A; FIRST COMMECIAL INS CO <br /> INSURER B: <br /> 4926 AIRPORT ROAD INSURER 0; <br /> ZEPHYRHII,LS, FL 33542 INSURER D. <br /> 8 782- .16 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 UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> ILSA IIISR TYPE OF INSURANCE POLICY NUMBER , DATE(MMIDD/YWY1 DA M MID I <br /> L D/YYYY% LIMITS <br /> M INSRD <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 <br /> _ DAMA ,b 10 RENTED <br /> X COMMERCIAL GENERAL LIABILPTY PREMISES (Ea occurence) S 50,000 <br /> 1 CLAIMS MADE OCCUR MED EXP (Any one person) $ 5,000 <br /> A PERSONAL EADV INJURY $ 1,000,000, <br /> _ GL- 26974 -1 6/21/09 6/21/10 GENERAL AGGREGATE S 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS • COMP/OP AGO S 1 , 000 , 000 <br /> _ T POIICY in JECT FT LOC <br /> AUTOMOBILE LIABILITY t� a B � IN .d E e D I SINGLE LIMIT s 500,000 <br /> ANYAUTO <br /> _ ALL OWNED AUTOS BODILY INJURY $ <br /> X SCHEDULED AUTOS (Per person) <br /> MIRED AUTOS BODILY INJURY 5 A <br /> NON.OWNEO AUTOS CA- 27564 -0 5/17/09 5/17/10 (Per *cadent) <br /> PROPERTY DAMAGE S <br /> (Per *cadent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5 <br /> ANY OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE 5 <br /> ^ I OCCUR CI CLAIMSMADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION 5 S <br /> WORKERS COMPENSATION .... WC oTH- <br /> AND EMPLOYERS' LIABILITY , X <br /> YIN TORY LIMITS ER <br /> ANY PROPRIETOMPIIRTNERIEXECUTWE � E.L. EACH ACCIDENT $ 100,000 <br /> ER <br /> OIIFICA/EmBER EXCLUDEDT -. I <br /> A Mandatory In NN) WC -30947 6 / 17 /09 6 / 17 /10 EL. DISEASE • eA EMPLOYEE s 100,000 <br /> SPE CIAL PROVISIO deacllbc under NS helOW E.L. DISEASE - POLICY LIMIT $ 800,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS AODED By ENDORSEMENT / SPECIAL PROVISIONS <br /> COVERAGE INCLUDES RICHARD SHAFFER LICENSE# CRC1329266 <br /> ' CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF TH! ABOVE DESCRIBED POUCIEs BE CANCELLED BEFORE THE EXPIRATION <br /> CITY OF ZEPHYRBILLS DATI THEREOF, THE ISSUING INSURIR WILL ENDEAVOR To AWL 30 DAYS WRITTEN <br /> 5335 8TH STREET <br /> NOTICE TO THE CERTMICATE HOLDER MANED TO TM LEFT, BUT FAILURE TO 00 30 SMALL <br /> ZEPHYRHILLS, FL 33542 <br /> Impose NO OBLIQATION OR LIABILITY 01 ANY HIND UPON THE INSURER, ITS AGENTS OR <br /> ATTN: JACKIE <br /> FR# (813)780-0021 RI PREEtENTATrvBS. _ <br /> AUTHORIZED REPRESEN WE L t c & <br /> . 1 ACORD 25 (2009/01) ®1988 - 2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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