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08/12/2009 15:54 8139350709 NEIGHBORHOOD INS PAGE 01/01 <br /> AC N?P ' CERTIFICATE OF LIABILITY INSURANCE 8/ OONYVVl <br /> �' _ 8/12/2009 <br /> PRODUCER (813) 935 -1561 FAX: (813) 935 -0709 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Neighborhood Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Neighborhood Insurance Service ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 14949 N Florida Ave <br /> Tampa FL 33613 INSURERS AFFORDING COVERAGE I NAIC # <br /> INSURED <br /> INSURER A AmArlcan Strategic Insurance <br /> James E. Chambers Jr ,Electrical i <br /> INSURER R <br /> Contracting Inc INSURER C. • <br /> 8349 Heather Dr INSURERS: I <br /> Zephyrhills FL 33540 -6816 I 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 CLAMS. <br /> INSR IA00•L I PDUCY EFFECTIVE • POUCY EXPIRATION i <br /> - • L,T,L INSROI TYP1Af_ INSURANCE POLICY NUMBER DATE IMMO) r YYY • • T „ I. • AA • LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY I DAMAGE EMI TO RENTED <br /> X 1 <br /> j PREMISES (E90ccurronco) S 100,000 <br /> A 1 !CLAIMS MADE : X I OCCUR FLB370B5 6/6/2009 6/6/2010 . MED EXP (Any one person) 3 5,000 <br /> PERSONAL &ADVINJURY 3 1,000,000 <br /> • 1GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER : PRODUCTS • COMPIOP AGG I 3 1 , 000 ,000 <br /> X • POLICY JFCT I 1 LOC , <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT ` $ <br /> ANY AUTO (Ea aCCIOenl) <br /> ALL OWNED AUTOS : BODILY INJURY S <br /> SCHEDULED AUTOS • (Par parson) <br /> I 1 HIRED AUTOS ROPILY INJURY I $ <br /> NON -OWNED AUTOS <br /> (Per accident) <br /> PROPERTY DAMAGE i <br /> • <br /> l I I (Par Abr:IrrNNI <br /> I GARAGE LIABILITY AUTO ONLY • EA ACCIDENT 3 <br /> ANY AUTO I OTHER THAN EA ACC . <br /> 1 AUTO ONLY: AGG ; S <br /> I EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE Is <br /> OCCUR CLAIMS MADE • , AGGREGATE S <br /> I$ <br /> DEDUCTIBLE if <br /> ; RETENTION S j I S <br /> WORKERS COMPENSATION WC STATU• .OTH- <br /> i AND EMPLOYERS' UABILITY Y r N I TORY LIMITS I 1 ER i <br /> i ANY PROPRIETORIPARTNERIEXECUTIVE D E.L. EACH ACCIDENT 5 <br /> • OFFICER/MEMBER EXCLUDED <br /> (Mandatory In NH) E.L. DISEASE . EA EMPLOYEE 3 <br /> I1 yos, doscribo 1ln0er <br /> SPECIAL PROVISIONS OBIOw , , E.L. DISEASE - POLICY LIMIT I 3 <br /> OTHER <br /> _ • I I I <br /> DESCRIPTION OF OPERATIONS r LOCATIONS $ VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> 013)780-0021 SHOULD ANY OF TNE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 714E EXPIRATION <br /> City of Zephyrhills Building Department DATE THEREOF. THE ISSUING INSURER WILL ENOEAVOR TO MAIL 10 DAYS WRITTEN <br /> 5335 8th St NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Zephyrhills, FL 33542 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> REPRESENTATIVES, <br /> AUTHORIZED REPRESENTATIVE <br /> L <br /> ACORD 25(2009/01) C)1988-20 CORD CORPORATION. All rights reserved. <br /> INS025 (30090,) The ACORD name and logo are registered marks of A RD <br />