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ACORE7 DATE (MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 06/02/2010 <br /> PRODUCER Phone: (321) 253-5865 Fax: (321) 253-5776 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> A & C INSURANCE INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 310 N BABCOCK STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> MELBOURNE FL 32935 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER k Old Dominion Insurance Company 40231 <br /> OLIVER PLUMBING LLC INSURER B: Florida Citrus Business & Industries Fund <br /> 10306 FAIRCHILD ROAD INSURER C: <br /> SPRING HILL FL 34608 INSURER D: <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 /> tern I ADM TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION <br /> DATE (MMIDOtYY) DATE (MMIDDIYY) <br /> GENERAL LIABILITY MPG3415A 03/16/10 03/16/11 EACH OCCURRENCE $ 1, 000,000 <br /> X COMMERCIAL GENERAL LIABILITY DARUU,PREMIS8ES S ( (Ea $ 500,000 <br /> (Ea o ccita nce) re <br /> I CLAIMS MADE © OCCUR MED. EXP (Arty ane person) $ 10,000 <br /> A 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 /> POLICY n PRO- n LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> _ ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> _ SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br /> — <br /> BODILY INJURY $ <br /> NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ , <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR n CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> I TOR <br /> ST ? COMPENSATION AND 106 -44867 04/01/10 04/01/11 TO STAv uMITs IT ( ' OTHER <br /> EMPLOYERS' LIABILITY r r N <br /> Fl CERIMEMBER EXCLUDED? Q E.L. EACH ACCIDENT $ 100,000 <br /> B OF <br /> (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 100,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Zephyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 5335 8th Street EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO <br /> Zephyrhills, FL 33542 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS <br /> 1- 813 - 780 -0021 AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE - <br /> � p� <br /> Attention: I ly Williams <br /> ACORD 25 (2009/01) Certificate # 952 © 1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />