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AC RO � <br /> CERTIFICATE OF LIAB ,,,IT( INSURANCE DATE(MM/DD/YYYY) <br /> THIS CERTIFICATE 1$ ISSUED AS A MATTER .' ;INFORMA "o. F . FERB N O RIGHTS CERTIFICATE HOLDER. ER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR :NEGATIVELY AM 4 • . <br /> 0R ALTER THE , COVERAGE THE CERTIFICATE <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN ISSUING AFF ( S ) , CONTRACT <br /> AU : RZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, ETVYEEN THE 3SUlNG t AUTHORIZED <br /> IMPORTANT: K the certificate holder is an A •INSURED, ` <br /> the OR : conditions is the o certain policies ma re er cy(les it. A e c <br /> pa y(ly) must a t endorond• s If i <br /> cUBRO Ti Io WANED, subject to <br /> certificate holder in lieu of such endorsemen . s ; statement on this certificate does <br /> es not confer rights to the <br /> Plchard Insurance Agency • <br /> 216 Office Plaza Drive PH ONE <br /> 850.877.8029 Fax .850.877.8103 <br /> Pichardin - mast net <br /> Tallahassee FL 32301 ' � _ <br /> INSURED <br /> Hernando Fire & Safety Equipment Company, Inc. <br /> 1109 Ponce De Leon Boulevard - <br /> Brooksville FL 34601 <br /> COVERAGES CERTIFICATE NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOTW(THSTAt>iQINCagNY REl2(,lIREMENi; TERM OR REVISION NUMBER: <br /> D I C TED NOT BE IS AND R NY QUIRE THE TERM, T ION CF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> ' <br /> EXCLUSIONS AND CONDITIONS OF SUCH POUCI S; . iMI'rs SH©Wp, MAY HAVE BEEN THE POLICIES DESCRIBED LIM EREIN IS SUBJECT TO ALL THE TERMS, <br /> Mg PI a- 7- <br /> TYPE of INSURANCE l� REDUCED BY PAID CLAIMS. <br /> rf !t+`7 it ktt <br /> GENERAL <br /> "LIABILITY ' ' <br /> • ..h POLICY EXP <br /> ®® © oMMERCULL OEN LIABattY GL3292587 •, • 1000 000 <br /> 05/1112010 05111120116 Tr) RENTED 50 000 <br /> CLAIMS -MgpE OCCUR <br /> mai 1 000 <br /> PE - -• &ADVI RY 1 000 000 <br /> ® EN 'L AGGRE TE -LIMIT APPLIES PER. • •��- M P • P G 2 000 000 <br /> ® PO ICY PRO- Ill • C PR • D O • P G 1 000 OOO <br /> AUTOMOBILE LIABILITY <br /> $ <br /> ® ANY AUTO SINGLE LIMIT f <br /> ■ <br /> I <br /> ALL OWNED AUTOS BODILY INJURY (Per person $ <br /> II III <br /> III <br /> (Ea accident) <br /> SCHEDULED AUTOS ) <br /> III <br /> BODILY INJURY (Per accident) $ <br /> HIRED AUTOS PROPERTY DAMAGE <br /> NON.OWNED AUTOS (Per accident) <br /> $ <br /> $ <br /> ■ UMBRELLA UAB 1.1 OCCUR —� E <br /> ■ <br /> I <br /> EXCESS LIAB ■ CLA(, S -MAD <br /> • a - <br /> ■ DEDUCTIBLE • . <br /> ■:q1 .11•x <br /> II WORKERS COAAPENSATION <br /> AND EMPLOYERS' LIABILITY ®■ <br /> ANY PROPRIETOR/PARTNEWEXECUTrVB -1 <br /> OFFICER/MEMBER EXCLUDED? U <br /> (Mandatory In NH) • $ <br /> It .describe under <br /> II : a • , • • • :: / • E.L. DISEASE - EA PLOYEE <br /> .. E.L. DISEAS - PO ICY LIMIT �. <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks - Schedule, it more space Is required) <br /> FAX: 813- 780.0021 <br /> CERTIFICATE HOLDER <br /> CANCEL TION <br /> City of Zephyr Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 5335 8th St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Zephyr Hills, FL 33542 <br /> Phone: AUTHORIZED REPRESENTATIVE ifr <C1NVIl> <br /> • <br /> Fax: RT�A. ✓�...._... <br /> ACORD 25 (2009109) ®1988.2009 ACQRD CORPORATION. All rights reserved. <br /> The ACORD name and logo alwi regisfer+sd marks of ACORD <br />