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06/03/2010 09:21 FAX 4078559064 GRUNAU FLORIDA E 002 <br /> C OR CERTIFICATE OF LIABILITY INSURANCE OP ID gM DATEIMMIDDnerY) <br /> ! GRVNA .1 06/03/2010 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Alternative Risk Resources T.LC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 12660 W. North Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Brookfield WI 53005 <br /> Phone : 262-754-9100 Fax : 262-754-9114 INSURERS AFFORDING COVERAGE NAIC* <br /> INSURED INSURER Zurich - American Ins. Co. 16535 <br /> INSURER B: <br /> Grunau Company Inc. . <br /> Ted Angelo INSURER C: <br /> • 1100 West Anderson Court INSURER D: <br /> Oak Creek WI 53154 — <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 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 CON Orr IONS OF SUCH <br /> POLICIES. AGGREGATE LIM SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> • INWK 71,WU L - POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR N$RC 'TYPE OF INSURANCE POLICY NUMBER DATE (MMI00/YYYYI GATE (MM /DDIYYYYI UMITS <br /> GENERAL UABILITY EACH OCCURRENCE $ <br /> UAMAVC ItJRCNI <br /> COMMERCIAL GENERAL LIABILITY PREMISES (ED omimncn) $ <br /> CLAIMS MADE El OCCUR MED F.XP (My ova Perm') 1 — <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP A3 G $ <br /> POLICY n ,EC' n LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X ANYAUro BAP 8196144 -11 03/01/10 03/01/11 (Eaexloentl 51,00 0,000 <br /> ALL OWNFO AUTOS BODILY INJURY <br /> SCHEDULED AUTOS <br /> (Porpnr,.on) 1 <br /> A X HIREOAUTOS BODILY INJURY <br /> A X NON -OWNED AUTOS (Per accident) <br /> A X Comp 250 ded PROPERTY DAMAGE <br /> A X Coll 500 ded (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC 1 <br /> AUTO ONLY: AGG 1 <br /> EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE 6 <br /> OCCUR E CLAIMG MADE AGGREGATE 1 — <br /> S <br /> DEDUCIBLE 5 <br /> RETENTION 6 $ <br /> WORKERS COMPENSATION X TORY LIM U- I l <br /> AND EMPLOYERS' LIABIUTY <br /> A ANY PROPRIETORiPARTNERIECUTIVG /N WC 8196143 -11 03/01/10 03/01/11 E.L. EACH ACCIDENT 51,000,000 <br /> (Mandatory HR E XCLUDED9 I EL DISEASE` EA EMPLOYEE $ 1,000,000 <br /> I( �• dreAe under <br /> SPECIAL PROVI$IO NS below E.L. DISEASE - POLICY LIMIT 11,000,00 0 <br /> OTTER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> To cover work performed by Grunau Company, Inc. in the City ofZephyrhills, Florida. <br /> CERTIFICATE HOLDER • CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SMALL <br /> 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INeUREE, ITS AGSNTS OR <br /> Gephvrhills, F7., 33542 AUTO Z E e T p <br /> �C <br /> ACORD 25 (2009/01) ®1968.2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />