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9/2/2009 3:19 PM Odiorne Insurance 97800021 002 <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DDlYYYY) <br /> 09/02/2009 <br /> PRODUCER (813)685-7731 FAX (813)685 -1823 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Odiorne Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> PO Box 830 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Brandon, FL 33509 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED F & L Electric Co Inc INSURER A: Old Dominion Ins. Co. 40231 <br /> P 0 Box 1957 INSURER AMERICAN FIRE & CASUALTY 24066 <br /> Ruskin, FL 33575 INSURER C' <br /> 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. 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 CLAIMS. <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD DATE (MMIDDIYY) DATE (MMIDO(YYI LIMITS <br /> GENERAL LIABILITY MPG46667 06/19/2009 06/19/2010 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> PRFMISFS (FA on mem $ 500, 000 <br /> CLAIMS MADE I X OCCUR MED EXP (Any one person) $ 10 , 000 <br /> A X PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> 7 POLICY n P E ^ LOC — <br /> AUTOMOBILE LIABILITY BAA53518610 06/19/2009 06/19/2010 COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> 500,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> B X SCHEDULED AUTOS (Per person) <br /> — <br /> X HIRED AUTOS — <br /> BODILY INJURY $ <br /> X NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ <br /> 7 ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY AGG $ — <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> - 7 OCCUR n CLAIMS MADE AGGREGATE $ <br /> -$ <br /> DEDUCTIBLE — $ <br /> RETENTION $ $ — <br /> WORKERS COMPENSATION AND I TORY LIM ( IT I OE <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> H s. describe under <br /> Et. DISEASE - EA EMPLOYEE $ <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER - <br /> DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> City of Zephryhills is named as Additional Insured regarding General Liability. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> City of Zeph ryh i 11 s BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 5335 8th st reet OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Zephrhills, FL 33542 AUTHORIZED REPRESENTATIVE <br /> George Odiorne, Ext 3702/R: 15 <br /> ACORD 25 (2001/08) FAX : (813) 780 -0021 © ACORD CORPORATION 1988 <br /> • <br />