My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
10-10294
Zephyrhills
>
Building Department
>
Permits
>
2010
>
10-10294
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/28/2011 8:20:14 AM
Creation date
1/28/2011 8:20:11 AM
Metadata
Fields
Template:
Building Department
Building Department - Doc Type
Permit
Permit #
10-10294
Building Department - Name
TODES,PATRICIA
Address
39109 7TH AVE
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
28
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
V a r . ; , 2, ":13AM 3 , 19 , <br /> r -.. DA TE ( Y <br /> ACORD I� CERTIFICATE OF LIABILITY INSURANCE ; 03/1912010 <br /> PRODUCER Pbc, (8 1 3) 96S-12'.:4 Fax 613- 988 -0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ASSOCIATES AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> PO BOX 16190 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 11470 N. 53RD ST. Al TER THE COVFRArF AFFORDFO BY THE POLICIES RF1 OW <br /> TEMPLE TERRACE FL 33687 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> Agenay 'sic #. R00 00 <br /> INSURED INSURER A: FLORIDA HOMEBUILDERS SIF I <br /> MORGAN EXTERIORS INC. I INSURER B: I <br /> 16011 N. NEBRASKA AVE., #107 INSURER C. I <br /> LUTZ FL 33549 1 INSURER D. 1 <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 01 <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 /> MSC I ADD'LI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTP I I DATE INEN/DD/YYI DATE IMMYDDIYYI <br /> GENERAL LIABILITY 04-GL- 000756998 I 05/23/09 05/23110 EACH OCCURRENCE $ 500,000 <br /> DAkAAGE TO RENTED $ 1 oo <br /> , COMMERCIAL GENERAL LIABIL pRENtISE9 (Ea acarence) <br /> ` - � OLAIMb' MADE � 1 1 OCCUR, E,XP (Any one parson) • $ <br /> � <br /> A PERSONAL & ADV INJURY 1 500,000 <br /> [ i � GENERALAGGREGATE 1 1,000,000 <br /> GENII. AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP /OP AGG 11 1,000,000 <br /> -- 1 r PRO- I — 1 <br /> I POLICY I I JECT J11 LOC I <br /> AUTOMOBILE LIABILITY ' <br /> COMBINED SINGLE LIMIT I <br /> ___ ' (Ea accIdenti 1$ <br /> I ANY AUTO <br /> - 1ALOV'JIIED I BODILY INJURY <br /> I <br /> II,Per person) 1 $ <br /> • SCHEDULED AUTOS ' . <br /> HIRED AUTOS BODILY INJURY <br /> NON- OWNED AUTOS II (Per accident) 1 <br /> _.� -- <br /> { -- <br /> I <br /> - <br /> I � PROPERTY DAMAGE S <br /> i <br /> (Per acc,derr) I <br /> GARAGE LIABIL?Y AUTO ONLY - Er ACCIDENT 1$ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> 1--- AUTO ONLY <br /> I µCG I$ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE 1$ <br /> i OCCUR I 1 CLAIMS MADE AGGREGATE _ I$ <br /> $ <br /> r --- 1 DEDUCTIBLE $ - -- <br /> RETENTION $ $ <br /> I WC STAT'U <br /> WORKERS COMPSh'SATION AND pORY LIMITS 1 I SORER <br /> EMPLOYERS' LIABILITY — <br /> EL. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNERAXECUTIYE <br /> OFFICER/MHaBER EXCLUDED? i Et DISEASE -EA EMPLOYEE _0 <br /> Nges, describe urdsr E.L DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER: 1 <br /> 0 SCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> City otZephyrhl8s SHOULD ANY OF THE ABOVE DESCRIBED POUC100 BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> 5335 8th Street WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br /> Zephyr Fl 33540 DO 30 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY 000 UPON THE INSURER. ITT <br /> AGENTS OR REPRETENTATIVES. <br /> AUTHORIZED REPRESENTATIVE - <br /> Attention: Barr Ryan - <br /> ACORD 25 (2001108) Certificate # 194767 ©ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.