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09-9911
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09-9911
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Last modified
1/19/2011 3:20:43 PM
Creation date
1/19/2011 3:20:42 PM
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Building Department
Company Name
CRESTVIEW HILLS
Building Department - Doc Type
Permit
Permit #
09-9911
Building Department - Name
GARNER,LLOYD & MARY BUSH
Address
7609 JENO ST
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) <br /> 12/2/2009 <br /> PRODUCER Phone: 727 - 461 -6044 Fax: 727- 442 -7695 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Brown & Brown Insurance Clearwater ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P.O. Box 2456 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Suite 660 <br /> Clearwater FL 33757 -2456 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Southern- Owners Ins. Co. 10190 <br /> Duramade Windows & Doors Inc & Duramade INSURERB:FCCI Insurance Company 10178 <br /> Windows & Doors Inc dba Fafco Solar of Tampa <br /> 5733 Myerlake Circle INSURERC:Auto- Owners Insurance Co* 18988 <br /> Clearwater FL 33760 INSURER D: <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. <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSRD TYPE OF INSURANCE DATE (MM/DD/YYI DATE (MM/DD/YY) <br /> A GENERAL LIABILITY 20715155 12/8/2009 12/8/2010 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $300,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2,000,000 <br /> POLICY PRO- LOC <br /> JECT <br /> C AUTOMOBILE LIABILITY 4784845900 2/25/2009 2/25/2010 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1,000,000 <br /> X ALL OWNED AUTOS BODILY INJURY <br /> X SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br /> X NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AU OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WC STATU- <br /> $ WORKERS COMPENSATION AND 60870 12 / 8/ 2 0 0 9 12/8/2010 X TORY LIMITS O ER <br /> EMPLOYERS' LIABIUTY <br /> E.L. EACH ACCIDENT $ 500, 000 <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500, 0 0 0 <br /> If ye, describe under <br /> SPE PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> License Holders: John MacLeod CBC010111 (Duramade Windows & Doors, Inc <br /> Jeffrey Saitta CVC56780 (Duramade Windows & Doors Inc dba Fafco Solar of Tampa <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br /> City of Zephyrhills WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br /> 5335 8th Street CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so <br /> Zephyrhills FL 33542 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br /> THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> eo <br /> ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />
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