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ACORD,, CERTIFICATE OF LIABILITY INSURANCE MCNEA -1 1 OPID p � DATE(MMWDD/YYYY) <br /> 01/15/10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Capital Partners Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 298 3 . Nova Road, Suite F ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Ormond Beach FL 32174 <br /> Phone: 386 -672 -2827 Fax: 386 -672 -5156 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Mid- Continent Casualty Co <br /> INSURER B: Travelers 27 998 <br /> McNeal & White Contractors Inc INSURER C: Bridgefield Employers Insursnc <br /> 420 N Boundary Ave INSURERD: M id- Continent Casualty Co <br /> Deland FL 32720 y <br /> INSURER E: old Dominion Insurance company 40231 <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 /> MK RUM PO EFFECTIVE PO LICY R <br /> LTR INSRC TYPE OF INSURANCE POLICY NUMBER GATE (MMIDD/YY) D ATE (M IDDIY`f} LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1000000 <br /> A X COMMERCIAL GENERAL LIABILITY 04GL000751398 03/29/09 03/29/10 P MI 8500000 <br /> I CLAIMS MADE I X I OCCUR MED EXP (My one person) $ 1000 0 <br /> A X Contractual Liab PERSONAL BADVINJURY $ 1000000 <br /> GENERAL AGGREGATE $ 2000000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO 8 2000000 <br /> — 1 POLICY JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1000000 <br /> B ANY AUTO BA6505M505 09/17/09 09/17/10 (Ea accident) <br /> X ALL OWNED AUTOS <br /> BODILY INJURY <br /> X SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> X NON -OWNED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ <br /> ANY AUTO <br /> EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: qGG S <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> —) OCCUR I I CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> S <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC 81 A FU- fH- <br /> EMPLOYER$'UA9ILITY X (TORY LIMITS �ER <br /> C AN fETOIT/PAATNERIEXECUTIVE 830 -29309 05/29/09 05/29/10 E.L. EACH ACCIDENT $ 1000000 <br /> OFFICER/MEMBER EXCLUDED? <br /> If yyssa, desaibe under = -� E.L. DISEASE - FA EMPLOYEE $ 1000000 <br /> 8 ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 <br /> OTHER <br /> D Inland Marine 04IM32860 03/29/09 03/29/10 Loc. /Dis. 100,000 <br /> A Pollution CPL13766144 11/17/09 11/17/10 Pollution 1,000,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br /> Carpentry/Masonry/GC: Residential/Commercial <br /> CERTIFICATE HOLDER CANCELLATION <br /> C I TYZE P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br /> BUILDING DEPT <br /> 5335 8TH ST IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> ZEPHYRHILLS FL 33542 REPRESENTA ES. <br /> AUTHORIZE <br /> ACORD 25 (2001!08) ® ACORD CORPORATION 1988 <br />