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DAl'E(IM60N1MIY1fI <br /> OP ID CH I <br /> AC 9 CERTIFICATE OF LIABILITY INSURANCE Cnxul -5 . f . 06/03/10 • <br /> PRODUCER THIS CERTIFICATE B ISSUED AS A MATTER.OPWFORMATION <br /> Hyde Park Insurance Services ONLY AND CONFERS NO RIGHTS UPON THECERTIFICAT'E <br /> Inc . HOLDER,TNIS•CERTIFICATE DOES NOT AMEND,.EXTE4D OR <br /> 4904 W . Cypress St ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> Tampa FL 33607 <br /> Phone: 813- 288 -0210 Fax :813 -288 -0367 INSURERS AFFORDING COVERAGE NAC I <br /> 'mow INSURER A. FCBI - <br /> Cardillo Enterprises LLC INSURER B, <br /> dba .. Coast to Coast IwSUHCR C; <br /> Mart .111 Steele <br /> 3.616. 5 . Manhattan INSURER 0: f <br /> Tampa PL 33629 I INSUR£A E. M <br /> , <br /> THE FoljOINS OF INSURANOE UBTI35 BELOW HAVE BEEN 1ED TO THE INSURED RAMEO ABOVE FOR THE POLCY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY sesiREME4T. TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OA <br /> MAY INOTTAK The INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUIMECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> • <br /> LTR `''; TAPE OPNBURANCE POUCYNUMBER ,. 1 " I ' , W�ii.' .YL -5'! i ;., LOWE <br /> EACH OCCURRENCE 3 <br /> OEINERAL LJAB6 ITY C TO TILNI tU <br /> I COMMERCIAL GENERAL u* IUTY PREMISES (EsoasReel S <br /> CLAIMS MADE PI OCCUR I m MED EXP Wry ane *sore 5 <br /> II <br /> 1 PERSONAL 6 ADV INJURY $ <br /> ■ GENERAL AGGREGATE __.. w _ _. <br /> GEM AGGREGATE AT I UMIT APPUES PER. PRODUCTS - COMP/OP AGG 5 <br /> Ell II� ) CTT n Lac <br /> -E, WIT i 1 SINGLE UMIT s <br /> ANY AUTO — . <br /> AU. OWNED AUTOS Iwoo. N Y $ <br /> . 111111 SCNEDUtED AUTOS 1 <br /> --- ." -'•._ <br /> ■ HIRED AUTOS i s BODILY RY $ <br /> NON OWNED AUTOS <br /> III PROPERTY DAMAGE S. <br /> (Per occident) <br /> ' <br /> (1 LMYLNTY <br /> AUTO ONLY , EA ACCIDENT S <br /> ' <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGO 6 <br /> EXCESMAXIIIIRELLA MINIM EACH OCCURRENCE S . <br /> OCCUR El CLAIMS MADE ' AGGREGATE 3 <br /> . 6 <br /> OE•DUCTIeIU <br /> RETENTION S ) y $ <br /> women CONBI IBATIONANO x (TOpyg.414S ► 1 a , <br /> EMPLOYS* � 106 -44409 04/01/10 04/01/11 E.L EACH ACCIDENT :100,000 <br /> A ' � DED? I EL DISEASE • EA EMPLOYEE 5 100, 000 <br /> MAE OVISIONS t.. E.L. DISEASE • POUCY UM(T _ 5 500,000 <br /> • <br /> OTHER <br /> OESCA PTIDN OF OPERATIONS / LOCATIONS 1 YENR:L= EXCLUSIONS ADOND BY ENDOII>1>EI T! *PROW. PNOVII6ION$ <br /> Licit CFCO56766 <br /> Loployee, Martin Steele, is covered under this workers' Compensation pola.cy. <br /> • <br /> CERTIFICATE MOLDER CANCELLATION • <br /> R SHOULD ANY OF THE DROVE EVOICHIOCe POLICIES SE CJNCELLSO DEFORM TN{ SNRINA <br /> DATE Try. THE (REARM 6151MO LULL F.NBEMOR TO MME 30 nos wRNTTEII <br /> City of Zephyrhills Building NOTICE TO THE CERTIFICATE. HOLDER NAMFATO THE WT. BUT MARE TOOOSOSMALL <br /> Dept . 'WOW PIO OBULIATION OR LIABILITY OF ANY IBNO UPON TWE RIIUHEH. ITS AGENTS OR <br /> 5335 8th Street <br /> Sep6yrhill8 FL 33542 INIMINSINTATINE . ) <br /> Matthew Hoerger • e <br /> 0 «4 - 1998 <br /> ACORD 25 (2981108) <br />