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ACORD CERTIFICATE OF LIABILITY INSURANCE DATENAVCONY) <br /> 04/17/2009 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Ace Underwriting Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 5305 W. Broward Blvd. ALTER TIC COVERAGE AFFORDED BY THE POUCES BELOW. <br /> Plantation, FL 33317 <br /> 954-581-0202 INSURERS AFFORDING OVERAGE <br /> INSURED M. R. WILSON LLC INSURER A SEMINOLE CASUALTY INSURANCE CO <br /> INSURER B: <br /> 218 E BEARSS AVE, #332 INSURER C: <br /> TAMPA, FL 33612 INSURER D <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE USTED 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 HEREMI IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ASR POLICY EFFECTIVE POLICY EIMNA110N <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE IMPDDIYYI DATEISINENNYYI LIMBS <br /> GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Net one RN $ 100,000 <br /> CLAIMS MADE I X OCCUR ,,,ED EJRP (A we sweat) $ 5,000 <br /> A SCL- 000304106 -0 03/10/09 03/10/10 PERSONAL SADVINJURY $ 1,000,000 <br /> GENERAL AGGREGATE s 2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> )-1-1 POLICY n PRO- n LOC — — <br /> AUTOMOBILE UABERY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO <br /> (Es accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON -OWNED AUTOS (P° 1OAdent) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE UABEITY AUTO ONLY- EA ACCIDENT S <br /> ANY AUTO <br /> OTHER TWIN En ACC S <br /> AUTO ON .Y. AGG S <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR I I CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE <br /> $ <br /> RETENTION S S <br /> WORKERS COMPENSATION AND I T ORY LIMBS I I O R <br /> EMPLOYERS' LIABU TY <br /> EL EACH ACCIDENT S <br /> E.L DISEASE - EA EMPLOYEE S <br /> EL DISEASE -POLICY UNIT S <br /> OTHER <br /> DESCRIPTION OF OPERATIDNSUOCANC EVER IE EXCUJSIONS ADDED BY ETBORSEAEMEPECIAL PROVISIONS <br /> Residential Contractor <br /> CERTIFICATE HOLDER I 1 ADDITIONAL INSURED; INSURER LUTE CANCELLATION <br /> SHOULD ANY CF 11E ABOVE DESCRIED POLICES BE CANCELLED BEFORE THE IDIRBAT10N <br /> DATE THEREOF, THE ISSUES INSURER EMI ENDEAVOR TO ME 30 DAYS YBSTTEN <br /> City of Zephyrhills- Building Dept. <br /> 5335 8 St. NOTICE TO TIE CRW 1$ <br /> ICA1E HOLDER MANED TO 1$E LEFT, BUT MLURE TO DO SO SHALL <br /> Zephyrhills, Fl. 33542 MESE NO OBIOATION OR LUBIITY OF ANY KED UPON THE INSURER, ITS AGENTS CR <br /> REPRES AMES. .1 <br /> BIT AIWE <br /> 813- 780 -0020 <br /> ACORD 25-S (7/97) ® ACORD CORPORATION 1988 <br />