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10-10243
Zephyrhills
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Building Department
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2010
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10-10243
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Last modified
1/27/2011 2:16:47 PM
Creation date
1/27/2011 2:16:43 PM
Metadata
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Building Department
Company Name
ZEPHYR COMMONS
Building Department - Doc Type
Permit
Permit #
10-10243
Building Department - Name
ZEPHYR COMMONS LLC
Address
7928 GALL BLVD
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03/01/2010 10:02 FAX 8139495583 COML INS SPECIALISTS a001/001 <br /> �BQn. CERTIFICATE OF LIABILITY INSURANCE 3/1/20 o <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Commercial Ins . Specialists , Inc - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O. Box 17738 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Tampa, Fl. 33682 <br /> 813 - 949 - 0481 INSURERS AFFORDING COVERAGE NAIC# W <br /> INSUREO JOHN LINER & INSURER A• AUTO- OWNERS INSURANCE CO. <br /> F.M. LINER CONSTRUCTION, INC. INSURERS <br /> 24160 STATE RD . 54 , Unit #1 INSURER C. I <br /> LUTZ, FL. 33559 INSURERO — <br /> I 813 949 -0428 _ 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 /> Gt P OLICY N UMBER POLICY EFFECTIVE POLICY EXPIRATION L <br /> LTR NSRD TYPFOFINSURANCE DATE(MM /OD/YY1 DATEIMM/DDIYY <br /> GENERAL LIABILITY EACH OCCURRENCE L S 1 r 000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREE SES Eb eccurence) ` S 300,000 <br /> 1 CLAIMSMADE CI OCCUR MEDEXP (Any one person) _ S 10,000 <br /> A 20689453 01 -01 -10 01-01 -11 PERSONALIADVINJURY - $ 1, 000,000 <br /> GENERAL AGGREGATE $ 1,000,000 <br /> GE AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG S 1,000,000 <br /> I POLICY 7 JEC — LOC , <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Esesucke) s 500,000 <br /> X I ANYAUTO <br /> _ ALL OWNED AUTOS BOOILYINJURY S <br /> _ SCHEDULED AUTOS (Per person) <br /> A X MIRED AUTOS 46- 422 - 028 -00 01 -0110 01 -01 -11 B004YINJIIRY <br /> X NON -OWNED AUTOS (PereCcleare) 3 <br /> PROPERTY DAMAGE S <br /> (ParaccideM) <br /> GARAGE LIABILITY AUTO ONLY -EA ACCIDENT 3 <br /> ANY AUTO OTHER THAN <br /> EA ACC $ <br /> AUTO ONLY AGG S <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S <br /> _I OCCUR Li CLAIMS MADE AGGREGATE 3 <br /> $ <br /> DEDUCTIBLE 3 <br /> RETENTION 3 __ $ — <br /> I wcsTATU- MI <br /> WORKERS COMPENSATION AND X TORYIIMITS I I EI <br /> EMPLOYERS'LIABILrry 20690788 01 -01 -10 01 -01 -11 I EL EACH ACCIDENT S 5 500,000 <br /> ANY PROPRIETORIPARTNERAXECUTIVE <br /> A OFFICER/MEMBER EXCLUDED/ E L. DISEASE - EA EMPLOYEE S S00,000 <br /> I(yyaa desaibbunder <br /> SPE CIALPROVISIONS below E L DISEASE - POLICY LIMIT I $ 500,000 <br /> OTHER 1 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES / EXCLUSIONS AUUEO BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> JOAN LINER LIC #TBD <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF 1)4E AOOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> THE CITY OF ZEPHYRHILLS DATE THEREOF, IHE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN <br /> 5335 8TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> ZEPHYRHILLS , FL. 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES <br /> AUTHORIZED REPRESENTATIVE <br /> 'FAX: 780 -0021 ` <br /> .301108) ® ACORD CORPORATION 1988 <br />
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