My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
10-10600
Zephyrhills
>
Building Department
>
Permits
>
2010
>
10-10600
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/3/2011 8:38:02 AM
Creation date
2/3/2011 8:37:59 AM
Metadata
Fields
Template:
Building Department
Company Name
ZEPHYR HEIGHTS
Building Department - Doc Type
Permit
Permit #
10-10600
Building Department - Name
COOPER,MICHAEL & DAROLYN
Address
39239 3RD AVE
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
23
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYTY) <br /> PRODUCER 03/15/2010 <br /> Phone: (727)796 -8566 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> LaPlante Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2715 State Rd. 580 ALTER THE COVERAGE AFFORDED NOT THE POLICIES END OR <br /> BELOW. <br /> Clearwater, FL 33761 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER Mid - Continent Casualty Group <br /> Athco Partners Inc <br /> DBA Home -Pro INSURER e: Mercury insurance Group <br /> 3390 Gandy Blvd N I c: <br /> Saint Petersburg, FL 33702 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 /> INSR ADD'L <br /> TAY IV Y EFFECTVE POL ATE N <br /> ICY EXPIRATION <br /> LI <br /> LTR PN - TY POLICY NUMBER DATE nMUDD/ D a11 P IRATI <br /> A <br /> UNITS <br /> GENERAL LIABILITY 04GL000791684 02/17/2010 02/17 /2011 EACH OCCURRENCE $ 1,000.000 <br /> X COMMERCIAL GENERAL LIABILITY P DAMAGE SG ES (E oocure ENTED Ce1 $ 100,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one Paton) $ Excluded <br /> PERSONAL &ADVINJURY $ 1.000.000 <br /> GENERAL AGGREGATE $ 2.000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br /> POLICY I 781 I LOC <br /> PRODUCTS - COMP/OP AGG $ 2.000.000 <br /> B AUTOMOBILE LIABILITY FLC7016091 02/17/2010 02/17/2011 <br /> ANY AUTO COMBINED; INGLELIMIT <br /> (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS <br /> X SCHEDULED AUTOS �PDIL)URY $ <br /> X HIRED AUTOS _ <br /> X NON -OWNED AUTOS BODILY INJURY <br /> (Per acddent) $ <br /> PRPERTY O DAMAGE <br /> (Per acddent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> A EXCESS/UMBRELLA LIABILITY 04XS166943 02/17/2010 02/17 /2011 EACH OCCURRENCE <br /> OCCUR X I CLAIMS MADE $ 2.000000 <br /> AGGREGATE $ 2.000. <br /> $ <br /> DEDUCTIBLE <br /> X RETENTION $ 10.000 _ <br /> WORKERS COMPENSATION AND I TORY LIMBS I I ER <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICEWMEMBER EXCLUDED? <br /> K describe under E.L DISEASE - EA EMPLOYEE $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> E.L DISEASE - POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> Contractor: Davld Houpt <br /> License # CBC1257613 <br /> *Except For 10 Days Notice For Non - Payment <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br /> City of Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 5335 8th St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, FL 33542 RER rraAGENTSOR <br /> REPRESENTATIVES. <br /> AUTHORED REPRCUNTATIVE <br /> ACORD 25 (2001/08) (JLV) <br /> ® ACORD CORPORATION 1988 <br /> Printed by JLV on March 15, 2010 at 03:39PM <br />
The URL can be used to link to this page
Your browser does not support the video tag.