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FROM LGE INS FAX NO. : 3525679359 Apr. 16 2010 01:12PM P1 <br /> DATE (MMIDD/YYYY) <br /> c o CERTIFICATE OF LIABILITY INSURAN ODON - 1 C <br /> 04/16/10 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> FaooucER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> L. G. Edwards Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O. Box 1.548 <br /> Dade City FL 335261548 <br /> phone: 352-567-6751 Fax:352 -567-6766 INSURERS AFFORDING COVERAGE NAIC # _ <br /> INSURER A: Allstate insurance Co 09020 = <br /> RE <br /> INSURED 19305 <br /> INSURER B' Ma land Casualty C o <br /> O'Donovan's Air Conditioning & .,. � <br /> Heating Company INSURER C <br /> Timothy O'Donovan INSURER D: <br /> 4839 Allen Rd <br /> Zephyrhills FL 33541 INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE°. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 8V PAID CLAIMS. )R _.. <br /> I TR N ._• • POLICY NUMBER - DAVE MMID DATE(MMIDO UNITS <br /> /YYYYL <br /> LTR TIFF uMSURANCE EACH OCCURRENCE S 1,000,000 <br /> GENERAL LIABILITY UAMA T U I-4 h1.7 1 ED-- 5 100,000 <br /> A X COMMEaCIAL GENERAL LIABILITY 049851744 01/07/10 01/07/11 PREMIsss(Eaoccurence) <br /> CLAIMS MADE IITI OCCUR MED ExP (Any one person) S 5,000 <br /> PERSONAL 8 ADM INJURY 31,000,000 <br /> GENERAL AGGREGATE 31,000,000 <br /> PRODUCTS - COMRIOP AGO $ 1,000,000 <br /> GEN'L AGGREGATE LIMB APPLIES PER: <br /> X POLICY 7 jEC —^ LOC <br /> AUTOMOaDJ: LIABILITY COMBINED SINGLE LIMIT S 50,000 <br /> 10/15/09 10/15/10 ( E'a moe " <br /> A ANY AUTO 650419867 ALL OWNED AUTOS BODILY INJURY S <br /> (Per person) <br /> SCHEDULED AUTOS <br /> BODILY I S <br /> HIRED AUTOS (Per ILY INJURY NJ q <br /> © NON -OWNED AUTOS ^ <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT S <br /> GARAGE LIABILITY EA ACC S <br /> OTHER THAN –. <br /> ANY AUTO AUTO ONLY' AGG S <br /> r , EACH OCCURRENCE $ <br /> EXCESS / UMBRELLA LIABILITY <br /> AGGREGATE S <br /> OCCUR I� CLAIMS MADE - 3 – <br /> ■ DEDUCTIBLE $ <br /> RETENTION $ _ — WC STA iU- OTMF <br /> ' WORKERS COMPEM� N X (TORY LIMITS I ER <br /> AND EMPLOYERS'LUIBILITY Y/N 06/02/09 06/02/10 E.IEACHAGCIDENT $ IOOOOO <br /> B ANY PROPRIETORIPARTNERIEXECUTIV WCOZ984 E L DISEASE - EA EMPLOYEES 100000 _ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NN) I E.L. DISEASE - POLICY LIMIT $ 500000 <br /> 11 yyees, aalbe ur d& <br /> S Be <br /> $PECIA PROVISIONlow <br /> 7 OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROV(S1ONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITYOFZ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTWICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do SO SHALL <br /> CITY OF ZEPHYRHILLS IMPOSE NO 0BUGATION. OR LIA9ILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR <br /> (813) 780-0021 REPRESENTATIVES. <br /> 5335 8TH STREET A IREPREBBNTA ME <br /> ZEPHYP.HILLS FL 33541 1L'ii . / .c. .`.. <br /> 1 019$B -2009 ACORD CORPORATION. All rig" reserved. <br /> ACORD 25 (2009101) <br /> Tha ACORD name and logo are registered marks of ACORD <br />