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10-10514
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10-10514
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Last modified
2/1/2011 2:35:48 PM
Creation date
2/1/2011 2:35:47 PM
Metadata
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Building Department
Company Name
MOORES FIRST ADDITION
Building Department - Doc Type
Permit
Permit #
10-10514
Building Department - Name
DREWRY,FRED & DORIS
Address
38716 SOUTH AVE
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c .......--231. vR CERTIFICATE OF LIABILITY INSURANCE OP ID KF DATE(MWOO/YYYY) <br /> EHRMA -1 04/14/10 <br /> NHODUCtN THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Brown & Brown of Florida, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P 0 Ao 548 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 273 North Broad Street ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW. <br /> Brooksville FL 34605 -0540 i <br /> Phone1352- 796 -8200 Faxr352 -799 -1399 INSURERS AFFORDING COVERAGE NAICN <br /> INSURED - - -- - --.. <br /> Carey A. Ehrman *ER0013583 & INSURERA FCCI Insurance Co 10178 <br /> CAC1914472 - -- - ' <br /> Ehrman Systems Enterprises Inc ..... INSURER B' DBA Environmepntal C- ontractors INSURER C: <br /> 10221 South Highway 301 <br /> INSURER D: <br /> Dada City FL 33525 <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 RI,OUIHI MEN I, II-14M ON CONDI rioN 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 14$411EIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS 01' SUCH <br /> PQCICIES ACORECATF LIMITS SHOWN MAY HAVE BEEN REDUCFM HY PAII) CIAIMS. <br /> INSRA0D'L: I • -'-' FOLK:YEFFECTIVE !POLICY XPIRATION <br /> LTR INSRO TYPE OP INSURANCE Power NUMBER i DAT! (MM/DD/YYYY} )DATE (MMIODM/YY) I LIMITS <br /> ' GENERAL UABILITY <br /> I CACII OCCURRENCE 1 S <br /> I C:OMM4NOIAI GFNFHA1. I IARA II'Y I i OAMAGETD RENTED "' i ' <br /> PRCMISCS (Ea oeewaua) j S <br /> I CLAIMS MADE I I OCCUR MED EXP (Any one person) S <br /> —•• - _PE.RSONAI. b AUV INJURY $ <br /> GENERAL AGGRCGATC $ <br /> C 1 'N'IAGGRGGAII: LIMIT APPLICEPCIF' <br /> PRODUCTS - COMP/OP AOG S <br /> - <br /> t'ouCy nR0 - - -' - --- ...._..._... <br /> JCCT LOC <br /> Au <br /> ANY AUTO COMBINED SINGLE LIMIT $ <br /> (Es/ Accidenq <br /> Al .l OWNED AUTOS - -- - --- -- BODILY INJURY $ <br /> Sf.HFUlII FU A 106 (Per Portion) <br /> I IIRED AUTOS <br /> I I BODILY INJURY <br /> Ni)N•OWN•I) AU 10S (par nrxaennl) S <br /> I PROPERTY OAMAGE • <br /> ! 1 (Per accidenl) 1 <br /> GARAGE LIABILITY ( I1 AUTO ONLY - EA ACCIDENT II_ <br /> ANYAU10 <br /> OTHER THAN <br /> CA ACC I $ <br /> ) AUTO ONLY: AGG, $ <br /> EXCESS' UMBRELLA LIABILITY I EACH OCCURRENCE i S <br /> .. <br /> 1 OCCUR I I CLAIMS MADE ACCHF.GATF. IS <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ ( $ <br /> I WORKERS COMPENSATION I <br /> (TOR WC Y STL IM S I I O /ER M- <br /> : AND EMPLOYERS' LIABILITY <br /> A , ANY PROPRIETOR/PARTNERIEXECUTIVEE 30860 , 04/ 04/01/11 E.L.EACIIACCIDENT I $ 100000 <br /> OrrICERMtEMBER EXCLUDED <br /> ( tinentnry In NH) <br /> �'y�e JPar:n1 >a „r I • C.L. DISEASE - EA EMPLOYEE 100000 <br /> E S I...... - - -- -.. <br /> 1--- , SPECIAL rnOVIS 0r'ow E L DISEASE • POLICY LIMITS 500 000 <br /> OTHER <br /> • <br /> UL• SCRIVTION OF OPERATIONS / LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION <br /> CITYOFZ OATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Z ephy>rhi 17 s IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Building Dept <br /> 5335 8th $t REPRESENTATIVES. <br /> Zephyrhills FL 33542 AUTNORDED R N T <br /> 1 <br /> ACORD 26 (2009/01) -�-- .-� <br /> ® - 0 Rii RP reserved. <br /> the ACORO OATS and logo are reglete d r of CORO <br /> 1 abed 65I'L L95(ZS£) 'ouI•41.1S swelsKS ueuugg 55 =6T OTOZ'SZ 2VW <br />
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