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10-10525
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10-10525
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Last modified
2/1/2011 2:54:44 PM
Creation date
2/1/2011 2:54:43 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10525
Building Department - Name
JOHN-MARY ENTERPRISES LTD
Address
5935 GALL BLVD
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OR» DATE (MMIDWYYYI) <br /> AC CERTIFICATE OF LIABILITY INSURANCE 4/15/10 <br /> Pn m cm Allied Specialty Insurance, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 10451 Gulf Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Treasure Island, FL 33706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 800/237 -3355 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Universe Novelty & Fireworks INBURERkT . N . E . Insurance Company <br /> Company, Inc. INSURER B: <br /> P.O. Box 1862 INSURER C: <br /> Riverview FL 33568 INSURER D: <br /> I INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7107\ <br /> LTR TYPEg INSURANCE POUCY NUMIER DA fI D° T�[� LIMITS <br /> GENERAI LIABILITY <br /> OCCURRENCE $ 1,000.000 <br /> A X COMMERCIAL GENERAL LIABILITY CPP 010 0 3 2 5- 0 0 02/14/10 0 2/ 17 / 11 P ISM w1 1 10 0.0 0 0 <br /> CLAIMS MADE 11,LI OCCUR /` E><P (My a n . pafO") 1 <br /> PERSONAL&ADV S 1.000.000 <br /> — - <br /> GENERAL AGGREGATE $ 2. 0 0 0. 0 0 0 <br /> OEN'L AGGREGATE LIMIT AP � '( PJES PER PRODUCTS - COMPIOP.AGO 1 <br /> 7 POLICY n 12,9-r I LOC , <br /> AUTOIICIILE LIABILITY COMBINED SINGLE LIMIT $ <br /> — ANY AUTO (E• "I) — <br /> ALL OWNED AT BODILY INJURY <br /> S <br /> (Par pavan} <br /> SCHEDULED AUTOS .— — <br /> HIRED AUTOS BODILY INJURY <br /> (Par ant) f <br /> =Want) <br /> NON -OWNED AUTOS - <br /> _ <br /> PROPERTY DAMAGE . <br /> (Par waking <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCISE UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR E CLAIMS MADE AGGREGATE 1 <br /> S <br /> _ DEDUCTIBLE 1 <br /> — RETENTION $ 1 <br /> WORKERS COMPENSATION I T 1 - <br /> AND EMPLOYERS' LIABILITY a <br /> EL EACH ACCIDENT 1 <br /> OFFICER/I EMBER EXCLUDED? <br /> (Mandatory in NH) EL DISEASE - EA EMPLOYEE 1 <br /> SPELL PROVISIONS below EL DISEASE - POUCY UNIT 1 <br /> _ SPEC <br /> DESCRIPTION of OPERATIONS 1 LOCATIONS 1 VENCLIS I EXCLUSIONS ADDED BY INDORSEMENT I SPEGLAL PROVISIONS <br /> THE CITY OF ZEPHYRHILLS, FL IS NAMED ADDITIONAL INSURED AS RESPECTS TO THE <br /> OPERATION OF THE NAND INSURED ONT..Y. <br /> RE: CLASS "C" FIREWORKS STANDS SITUATED AT VARIOUS LOCATIONS IN ZEPHYRHILLS, <br /> FL FROM 6 /10 /10 THROUGH 7/05/10. SEE THE ATTACHED ADDENDUM <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF ZEPHYRHILLS SHOULD ANY OFTNEABOVE DESCRIBED POLICIES BECANCELLEDaf .FgRETHEECPIRATI0N <br /> 5335 8TH ST <br /> ZEPHYRHILLS FL 33542 DATE THEREOF, THE BMruiNG INSURER WILL ENDEAVOR TO MAIL l U DAYS <br /> NOTICE TO THE CERTIFICATE HOLDER MAMED TO THE LEFT, BUT FAILURE TO DO oO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> ATIVEIL <br /> 4 <br /> ATlt _- <br /> ACORD 25 (2009/01) m 1955-2009 A RD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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