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10-10058
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2010
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10-10058
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Last modified
1/27/2011 8:13:15 AM
Creation date
1/27/2011 8:13:14 AM
Metadata
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Building Department
Company Name
AMERICAN HEART INSTITUTE
Building Department - Doc Type
Permit
Permit #
10-10058
Building Department - Name
DAUGHTERY ROAD PROFESSIONAL CENTER
Address
37914 DAUGHTERY RD
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01/26/2010 Tue 06:49 Wells Fargo Insurance Services ID: #61876 Page 2 of 3 <br /> ACORM CERTIFICATE OF LIABILITY INSURANCE DATE `"""01NYYT" <br /> 1/26/2010 <br /> PRODUCER Commercial Lines - (727) 796-6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Wens Fargo Insurance Services USA, !Me. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE OOVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 311 Park Place Boulevard, Suite 400 <br /> Clearwater, FL 33759 -3923 INSURERS AFFORDING COVERAGE NAIL # <br /> W4SORED ASAP Automatic Sprinklers & Piping, Inc. INSuRER A Florida Retail Federation SIF 10700 <br /> P.O. Box 20968 INSURER B <br /> INU^URER c' <br /> INSURER D <br /> St. Petersburg FL 33742 INSUREP <br /> COVERAGES <br /> THE POLICIES Cr INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REOUIRENIENT, TERM -R 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 LDA1TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LR ADD TYPE S P I NSURANCE POLICY NUMER ' ROUEY M /DDITY, POUCY 1MADD/ y T10N <br /> LTA -NS LINE <br /> Rf� _ DATE IMWDt]tYY) <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> CTOMMERC:UL DENFRAI LIAPUJTY DAMAGE TO RENTED 5 PRF !SFS Ea ,�rurienca: <br /> CLAMS MADE j_J OCCUR MED EXP one •arse '... -. <br /> _ PERSONAL 8 ABV INJURY $ <br /> _GENE ^RE,GATE <br /> GEIN'L. ACRIREGATE LIMIT APPLIES PER' PRODUCTS - COMPIOPAGG $ <br /> POLICY n PRO• ( O „ <br /> AUTOMOBILE UABIUTY r^C SINCE LIMIT <br /> _ ANIYALITO (Eaweldet) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS <br /> (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON -OWNED AUTOS (Per accia°.-:t) <br /> PROPERTY DAMAGE <br /> (Per acddent) <br /> GARAGE LIABILITY AUTO P,. ! Y : EAAQCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC- $ -- - <br /> AUTO ONLY: AGO $ <br /> - <br /> EXCESS,UMBRELLA LIABILITY EACiOCC RRZN $ <br /> OCCUR El CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ .. - _. <br /> A COMP ENSATION AND 52035076 1/1/2010 1/1/2071 - _ x _ 1T q'i <br /> ACT; { �� FRk <br /> $` UABILfiY 1 E L EACH ACCIDENT $ 1 00, <br /> ANY PROPRIETOR:PARTNER/EXECJTiS(_ ,. <br /> O+FrERNIRMBER FXCI..UOFO? E1. DISEASE - EA EMPLOYE' $ 700,000 <br /> ye !lesait�e under <br /> GPE CIALPROVi61;46 below E. L. DISEASE- POLICY LIMIT $ 580,000 <br /> OTHER <br /> DESCRIPTION OP OirrruAeNS 1 L OtAYHjNe: VEHICLES/ E <br /> S+ XCLUSIONS ABBEB EY ENDORSEMENT! SPECIAL PRowSoNJ <br /> Proof of coverage <br /> CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non- Payment <br /> - , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED BEFORE THE EXPIRATION <br /> DATE THEREOC. THE IEBVMIO MEURER WILL ENDEAVOR TO MAIL 30 DATE WRITTEN <br /> Zettyrttllts Buffeting Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 1m SO SHALL <br /> 5335 ael Street IMPOSE NO OSLIGATfop1 OR UAIRUTY OF ANY KIND UPON THE INSURER, ITS AGENTS 011 <br /> Zephyrhilte FL 33540 REPRESENTATIVES. <br /> AVTMAAIMREPRFDEHTATIVB <br /> ACORD 26 (2001/08) 1 of 2 1149243 © ACORD CORPORATION 1988 <br />
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