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10-10283
Zephyrhills
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2010
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10-10283
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Last modified
1/27/2011 3:46:28 PM
Creation date
1/27/2011 3:46:26 PM
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Building Department
Company Name
VILLAGE GROVE
Building Department - Doc Type
Permit
Permit #
10-10283
Building Department - Name
MCCALL,CAROL
Address
38724 VULCAN CIRCLE LOT 3
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Mar.24. 2010 3:28PM LEE REED INSURANCE No.1161 P. 1 <br /> DATE(MMIDD/YYYY) <br /> ACCili9 CERTIFICATE OF LIABILITY INSURANCE 3/24/2010 <br /> NKOOUC£R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> LEE REED INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE GOES NOT AMEND, EXTEND OR <br /> PO Box 908 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Zephyrhilla, FI. 33539 - 0908 <br /> (813)782-5502 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Better Built Construction, Inc . INSURER A: Auto- owners Insurance Company <br /> Mike Pike INSt1RER B: <br /> PO Box 1089 INSURER C; <br /> Zephyrhilla, FL 33539 -1089 INSURER D: ._ <br /> 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 CLAIMS. <br /> GSA • ''L . ~ POLICY NUMBER 1 • TF M EFFECTIVE DATE EXPIRATION t IMITS <br /> LTA GW TYPE.•FINSURAN _ <br /> GENERAL LABILITY EACH OCCURRENCE $ 1, 000, 000 <br /> _ DAMAGE 16RENTED <br /> A COMMERCIAL GENERAL L)ABILRY PREMISES (E,i geurence)_ . $ 50,000 <br /> .. I CLAIMSMAOE X OCCUR MED EXP (Any one person) $ 5,000 <br /> x _ 20451354 7/30/10 7/30/11 PERSONALEADVINJUR.Y $ 1,000,000 <br /> GENERAL AGGREGATE $ 1,000 p 000 <br /> GFNI. AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP/OP AGG $ 1, 0 0 0 , 0 0 0 <br /> `_., rouCY I II J I I LOC ' <br /> —' AUTOMOBILE LABILITY COMBINED SINGLE LIMIT $ <br /> - (Ea accident) <br /> — ANYAVTO — <br /> ALL OWNED AUTOS BODILY ( Per ) <br /> LY INJURY $ <br /> — SCHEDULED AUTOS r.•• <br /> HIRED AUTOS BODILY INJURY <br /> _ $ <br /> — NON-OWNEOAUTOS ( Perm t) <br /> PROPERTY DAMAGE $ <br /> (Perecdoent) <br /> GARAGtLIABIIITY AUTO ONLY - EA ACCIDENT $ ....... - <br /> __ ANVAUTO OTHERTHAN EA ACC $ <br /> AUTOONLY: AGG $ <br /> F.XCESSIUMBRELLA UABIUIY EACH OCCURRENCE $ <br /> OCCUR C CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WCSIAiU- UIH- <br /> WORKERSCOMPtNSATIONAND 70RY1 IMITS I F.R <br /> EMPLOYERS'UABILRY 20612304 3/1/2010 3/1/2011 E.LEA CHACGDENT $ 100,000 <br /> ^ FF E U xo m l' <br /> mew � F.L. DISEASE • CA EMPLOYEE $ 100,000 <br /> o�ICeIVINE41orx Fxa ,- <br /> IFyyeess PROVISIO descnbeunder NS below E.L DISEASE - POUCY LIMIT S 500,000 <br /> SPE <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhilla DATE THEREOF. THE ISSUING INSURER Wilt. ENDEAVOR TO MAIL 3 0 DAYS WR EN <br /> 7th St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Z ephyrhi 11 s , FL 33542 <br /> IMPOSE NO OBUGATION LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS ON <br /> RevRESENTATNBEL <br /> (Fax) 813 - 7 8 0 - 0 0 21 AUTF101tRE0 REPRESENTA VE ...•• <br /> ACORD25(2001108) CACORD CORPORATION 1988 <br />
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