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• <br /> • <br /> ACDRD. CERTIFICATE OF LIABILITY INSURANCE OP ID , OATE(MMiODJYVYI) <br /> E -1 11/04/09 <br /> PRODUCER THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> Wallace Welch & Willingham Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 300 First Avenue South, 5th: F1 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O. Box 33020 ALTER THE COVERAGE AFFORDED BY THE POWCIE8 BELOW. <br /> St. Petersburg FL 33733 <br /> Phono :727- 522 -7777 Fax:727- 521 -2902 INSURERS AFFORDING COVERAGE NAICIO <br /> INSURED INi4URI:HA FCC/ Commercial ins. Co. 33472 <br /> Hawkins Electrical Service INSURERS: FCC/ Ins Co. 33472 <br /> Company dba Hawkins INsuRERc. Nat ional Trust Ins CO. <br /> 9260 <br /> PlazaBlvd:4504 <br /> Tampa FL 33619 NCUncn <br /> 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 HEQUIHEMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM ANT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED DY TI IC pOLICICS OC;;LTiIIatU I$HkIN IS SUELIh{% 1 1 U ALL I Hk Ik*MS, kXU.0 WUNS ANU CONOITIOPI:; OF SuCI1 <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE REF RFRLX:FR RY PAIR CJ AIMS <br /> LTR PARE TYPE OF INSURANCE POLICY NUMBER DATE E �IMM PDPD DATE (MT 1 0/W N J LIMIT LIABILITY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> A X COMMERCIAL GENERA! LIARILITY CPP0010315 08/06/09 08/06/10 PRE ISES{E:; $ 300,000 <br /> CA:: MADC [ XJ UK:wH MEV ESP (Any one WW1) $ 10,000 <br /> __. - .._.. PERSONAL & ADV INJURY $ 1, 000, 000 <br /> GENERAL AGGREGATE $2,000,000 <br /> CCML AGGREGATE LIMIT APFI IFS I+I•F• PRODUCTS - COMP/OP ADG s 2,000,000 <br /> POLICY X ` i. n LOC <br /> AUTOMOBILE UABILIIY C,nMRINFR SINN F 1 IMIT <br /> C X ANYAITo CA0014099 08/06/09 08/06/10 (hiC ', $ 1,000,000 <br /> ALL OW NCD Au"! u.s <br /> BODILY INJU 4. <br /> SCHEDULED AUTOS (Ing person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON -OWNED AUTOS (PIA uccidond <br /> PROPERTY DAMAGE <br /> (Por uccidoni <br /> C ^RACE LIABILRY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO <br /> � — IITHFR THAN EA AI:O $ <br /> AUIUCNLY. .._. ..... —.... _ <br /> AGG <br /> E7(CESSNMDRELLA LIABILITY EACH OCCURRENCE 82,000,000 <br /> A X j occua CLAIMS MADE ;[11480009280 08/06/09 08/06/10 AGGREGATE $2,000,000 <br /> _ UtUU(.; IICIL <br /> X RETFNTioN g 0 <br /> 3 <br /> WORRIERS COMPENSATION ANO WG 6TA TU- OI H• <br /> Emp s• taAalLrtY X (TORY UMITR_ <br /> $ ANY PROPRIETOR/PARTNER/RIR': RIVE I001WC09A62322 08/06/09 08/06/10 E.L. EACHACCIDENY $ 800,000 <br /> OrrICCR/McHDER EXCLUDED9 <br /> R y e s � under F I OISFASF FA FMPI OYFF 8500,000 <br /> - _ <br /> SPECIAL NFIOVI$IUNH bow, C.L. DISEASE • POLICY LIMIT $ 500, 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSiON9 ADDED 8Y ENDORSEMENT / SPECIAL PROVISIONS <br /> 10 days notico applies for:non- payment of premium. <br /> A - <br /> CERTIFICATE HOLDER . CANCELLATION <br /> $UOULO ANY OF1Hk AHQVE OESOHIUAD POLICIES OE OANCEUI,EO IsEpOtni THE $XPWATIQN <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 DAYS WRITTEN <br /> NOTICE TO THE_ CERTIFICATE HOLDER NA1ED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Sephyrhills <br /> 5335 8th Street IMPOSE NO OBUOATIQH OR LIABILITY OF ANT KIND UPON THE INSURER, ITS AGENTS OR <br /> zephyrhills FL 33540 REPRESENTATIVES. <br /> AUT • ..'RES - , 'i NE <br /> ACORD 25 (2001/08) or ®) ACORD CORPORATION 1988 <br /> 17/2'd 21786LTL €TB : 802917TS+b2bST89 00 39Ind3S SNDIMIJH :WO TS :OT 6002- b0 -('0N <br />