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06/17/2010 14:31 7272261084 STATE ALARM PAGE 03/05 <br /> , <br /> ' DATE(INGODIYYY1) <br /> coR;s� CERTIFICATE OF LIABILITY INSURANCE SP IIDD�P 8 06/16/10 <br /> PR DOU THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> The Fedali Group ONLY AND CONFERS O RIGHTS UPON THE CERTIFICATE <br /> P. O. Box 318003 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 5005 Rockside Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Independence OH 44131 -8003 <br /> Phone:216- 328 -8080 Fax:216 -328 -8081 INSURERS AFFORDING COVERAGE NAIC# • <br /> rINSURED INSURER A; Zvera+t National Z.eosinea co_ <br /> INSURER D <br /> INSURER_ C: I <br /> State Alarm Inc <br /> 5956 Market St. INSURER 0: <br /> Youngstown OH 44512 -2991 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 CERTIOIICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE ROUGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIEB, AGGREGATE LIMITS SMOVN'I MAY HAVE PEEN REDUCED BY PAID CLAIMS. <br /> HNLR • • , • TYPE OF POLICY NUMBER DATE • • DATE • • • I , UNITS <br /> LTR <br /> GENERAL UABIUTY I EACH OCCURRENCE S 1,000=1000 <br /> _ UAMAIah IUIr.NTtU s50 000 <br /> A X COMMERCIAL GENERALUARIUTI 51GL0 07/01/09 07/0./10 PREMISE8(Eoomuenc ) <br /> CLAIMS MADE C OCCUR 1 MED EXP (Any one person) $ 5,000 <br /> PERSONAL & ADV INJURY s 1,00o, 000 <br /> --^ i GENERAL AGGREGATE s 5, 000, 000 <br /> GEN L AGGREGATE UNIT APPLIES PEiL <br /> ! PRODUCTS- COMP/OP $ 5,000,000 <br /> POLICY JET . LOC <br /> AUTOMOBILE LIABILITY COMBINED SINOLE LIMIT s <br /> — <br /> ANY AUTO I (Ea accident) <br /> ALL OWNED AUTOS <br /> — BODILY INJURY s <br /> SCHEDLLEO AUTOS (Per person) <br /> — HIRED AUTOS BODILY INJVRY s <br /> (Per accident) <br /> NON -OWNED AUTOS _. .. <br /> PROPERTY DAMAGE s <br /> .._ (Pc' madam) <br /> • <br /> GARAGE UAWLITY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY. AGG 5 <br /> EXCESS I UMBRELLA LIABILITY <br /> EACH OCCURRENCE a 2,000,000 <br /> A E OCCUR n CLAIMS MADE 51E0000542091 07/01/09 07/011/10 AGGREGATE s 2,000,000 <br /> � s <br /> — <br /> DEDUCTIBLE S <br /> RETENnON a 1 - S. <br /> WORKERS COMPENSATION I I TORY u TU- 1 <br /> AIdD EMPLOYERS' uAeIUTY <br /> A ANY PROPRIETORMARTNERIExECUTIV I " 5300001321101 05/27/10 05/27/11 EL. EACH ACCIDENT x1,000,000. <br /> OFF LJ r <br /> SPECIAL PROVISIONS Mow E.LDISEASE - EA EMPLOYEE $ 1,000.000 <br /> If yes describe Wider E.L. DISEASE- POLICY LIMIT $ 1,000,000 . • t <br /> OTHER . <br /> DESCRIPTION OP OPERATIONS 1 LOCATKINS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> ! <br /> 1 <br /> 1 <br /> ( . <br /> CERTIFICATE HOLDER CANCELLATION <br /> S HOULD ANY OF THE A �DESCRIBED POUCHES BE CANCELLED BEFORE THE EXPIRATION <br /> • ZEPH -ZE DATE THEREOF. THE issuepe INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFIC4E HOLDER NAMED TO THE LEFT, BUT FAIW RE TO DO SO SWILL <br /> City of ZaphyrhiUs IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS URER TTS AGENTS OR <br /> . Building Department LK- EPAIENTATREPRESENTATIVES. REPRESENTATIVES. L� <br /> 5335 8th 9t R E REPRE$ENTAL <br /> Zephyrhills FL 33542 ( ��/1� <br /> ACORD 26 (2009/01) / elect Zwa )gRD CORPORA. Ad ( rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> i <br />