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• ACORDe CERTIFICATE OF LIABILITY INSURANCE 1 L` ' ormyr <br /> 7/9/2010 <br /> Fleouucw: <br /> 1 THIS CERTIFICATE IS ISSUED AS A RATTER OF INFORMATION <br /> ASSURE LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 2511 >!1a>natss alvrnoe _ ' 140LDER. Ties CLRT$ICATE DOES NOT AMEND, EXTEND OR <br /> Bradenton, PL 34200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> : (9 -5121 <br /> INS 4 INSURERS AFFORDING COVERAGE NAIL% <br /> Dun -Rite Concrete 2 I essAIReR,k Act surancs Company " -------- s <br /> Dun -Rite Construction ( ,N a, 2 st�Cetatusy Insurance <br /> 26524 Pheasant Run INSURER C: Un itild 8 p eC tyy Insnranco Co <br /> Wesley Chapel , FL 33544 ; INSURER D: irr '• ° • •Ar• • Co <br /> ,813- 345 -6666 F I INSURER E 1 <br /> COVERAGES <br /> THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO'7VVITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MTh 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 NAVE BEEN REDUCED SY PAIO CLAIMS. IC E <br /> � * O i TYPE Of INNI IRANC.P� I POLICY NUMBER �[�?A7' .1 p ( 1 s <br /> G ENERAL Loftin I I EACH OCCURRENCE 1t I 11000,000 E 0 <br /> coMMERCIAI. GENERAL LIABILITY VAN >u Hl:llntD <br /> � PRENNEe(Eroccw«w► S 100 000: <br /> CLAIMSMADE I b l OCCUR , MEDEXPIAnrwle MOB _ r ^ 5 , _ , 0000 <br /> A, X PD Ded: $1000 AGL84749 09/03/09 09/03/10 PERSONALSADVINJURY I s 1, 000, 000 • <br /> GENERAL AciGREGATE 1 a 2 , 000,000 { <br /> LIMIT AGGREGATE LT APPLIES PER , I PRODUCTS • COMPIOPAOG 1 i 2,000, 000 , <br /> . . POLICY rx 12CT LOC I 1 7 <br /> : I AUTOMOBILE LIASILITY <br /> 1 <br /> X 'vn A"'° cOM G OON sINGL u"ar s 1,000,000 <br /> I ALL OWNED AUTOS <br /> III SCHEDULED AUTOS BODILY INJURY f <br /> F -i Ow Perron, <br /> a I X ` HIRED AUTOS I A1G1071720 09/02/09: 09/02/10 1 <br /> I 1 (s <br /> ' X NON -OWNEDAUTOB I <br /> 1 <br /> j <br /> PROPERTY GARAGE I$ <br /> fPrecaor111 <br /> i GARAGE LIABILITY AUTO ONLY. EA ACCIDENT f <br /> I _ <br /> : ! j ANYAUTO <br /> cnmeR EA ACC 6 — <br /> 1 OONLY AGO 3 <br /> ExC I i ! EACN OCCURRENCE !, 11000400 <br /> O00 <br /> X . occuR cI. aeINADL� r oGCIREGATS i $ 1,000,000 <br /> DEP000017 09/03/09 109/03/10 s i <br /> C; . DEDuCTI$LE <br /> ' RETENTION s <br /> 5 <br /> S <br /> ' W0RRERISCOMPENSATIONAND , X 1 WCSTATU- I D R.I <br /> • GMPLOYER9' LIABILITY <br /> dI.Y pHoPARroimurrNER•Exmonye ! 1 E.L. EACH ACCIDENT , II 1,000,000 ■ <br /> D , 1 °" `"Otl °' 830 -42687 09/02/09 09/02/10 E.L DISEASE • E„E re <br /> MPloi s 1, 000, 000 <br /> SPECIAL PAOVIBIOIVB EL DISEASE- POLICY LIMIT 1 s 1,000,000 <br /> oTH <br /> • <br /> . <br /> C•ESCRIP•TION OF OPERATIONS J LOCATIONS I veacus/ EX ,CLU ADDED 611/ ENDORSEMENT /SPECIAL PROVISIONS I <br /> I <br /> 1 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOUL AN <br /> D Y OF THE DESCRIBED POLICIES OE CANCELLED BEFORE THE EXPIRATION <br /> City of Eophyrhilla - Building Dept <br /> 5335 81;h St OATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO mAn.30 DAYS WRITTEN 1 <br /> NOTICE To THE CERTIFICATE HOLDER N <br /> Zephyrhillal , PL 33542 <br /> TO THE LEFT. Out FAALRE TO 00 a0 SHALL <br /> RX 813 -780 -0021 WOW NO OBLIGATION OR Lu8WTY OP ANY (ND UPON THE INSURER, as AGENT6 OR I <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE inteip <br /> A 3ORDaS12,0 uss) <br /> ORD CORPORATION 1001 <br /> V0 39tid 31I8- Nna. VLL1788L LT:E0 OTOZ /60/L0 <br />