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From:Malinda Torres FaxID:407- 695 -0212 Page 2 of 3 Date:4/30/2010 01:18 PM Page:2 of 3 <br /> DATE (MM/DD/YYYY) <br /> co CERTIFICATE OF LIABILITY INSURANCE SUPER 6 04/30/10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Jean Arthur Associates , Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 5626 - Red Bug Lake Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Winter Springs FL 32708 <br /> Phone:407- 699 -9930 Fax:407- 699 -5626 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A. Granite State Insurance Compan 23809 <br /> INSURER B: The Phoenix Insurance Company 25623 <br /> Superior Fence & Rail. of <br /> Pinellas County, Inc. INSURER C St Paul Fire & Marine 24767 <br /> 1400 Stark Road INSURER D: Bridgefield Employers Ins co 10701 <br /> Margo FL 33771 <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 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 /> INSK NUU L POLICY EFFEC 1IVE - POLICY EXPIRATION <br /> LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/TYW) DATE (MMIDDM'YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> /VNFK <br /> A X COMMERCIAL GENERAL LIABILITY 02 -LX- 00183388 -0 07/01/09 06/25/10 P I U S (Ea Nt NItU occurence) $100,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 <br /> PERSONAL & ADV INJURY $ 1 , 000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> — 1 POLICY R7 jEC+ n LOC — — <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1000000 <br /> B X ANY AUTO BA7266NO2209SEL 06/25/09 06/25/10 (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> $ X HIRED AUTOS <br /> BODILY INJURY <br /> $ X NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY. AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $2,000,000 <br /> C OCCUR I CLAIMS MADE SP05521928 07/01/09 06/25/10 AGGREGATE $ 2,000,000 <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10 , 000 $ <br /> WORKERS COMPENSATION X ITO L IMITS X ER <br /> AND EMPLOYERS' LIABILITY <br /> D ANYIPROPRIETOREXCLNER /EXECUTIVE YIN 0830 -42425 06/25/09 06/25/10 E. L. EACH ACCIDENT $ 500000 <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500000 <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 <br /> OTHER <br /> A Property Section 02 -LX- 00183388 -0 07/01/09 06/25/10 BPP -Out 40,000 <br /> A Commercial Appli 02 -LX- 00183388 -0 07/01/09 06/25/10_ Contents 5000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> License holder Christopher Johnson # C- 10418. Fence Erection Specialty <br /> Contractor <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITYOFZ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Zephyrhills IMPOSE NO OBLIGATION OR LIABILfY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Building Dept. REPRESENTATIVES. <br /> Fax:813- 780 -0021 <br /> 5335 8th Street A D REPRESENTATIVE <br /> lZephyrhills FL 33542 <br /> ACORD 25 (2009/01) 1988 -20 9 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />