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07/13/2010 15:48 8139350709 NEIGHBORHOOD INS PAGE 01/01 ACCORD AC DATE IMM /DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE -7/ 3/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 'THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). coNTACT H rs PRODUCER NAME_ .. , — , -_ - ... Neighborhood Insurance Services P (913) 935 -1 (Af , No 107.3)935 -0709 (AIC, No, EXq: ) E -MAIL Neighborhood Insurance Service ADDRESS: PRODUCER A0001127 14949 N Florida Ave CUSTOMER ID , Y_, ... . . ._ . .. T ampa FL . 33 613 INSURERIS) AFFOROINO COVERAGE I NAIL s • INSURED INSURER A:Granada Insurance CO INSURER B : Tampa Sign, Inc, DBA: Faustrum, Frank INSURER C1 ___ ... . 5616 N Hines Ave. INSURER D: INSURER E : Tampa FL 33614 INSURER F : 1 - COVERAGES CERTIFICATE NUMBER:CL1071302365 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, fris — — - POLICY EFF I POLICY EXP UNITS INSURANCE 'NMR I WVD POLICY NUMBER IMWDDIYYW MI ) (MODIYYYY) LTR 1 TYPE O F INS GENERAL LIASILtTY EACH OCCURRENCE $ 1,000,000 I ANCAME TO RENTED X I COMMERCIAL GENERAL LIABILITY PREMISES (Ea occuRpncn) 3 50,000 2010 /9/2011 A � CLAIMS -MADE. � X j OCCUR 01852FL00005933 1 /9/ MED EXP (Anyon9 parson) I $ 1,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 1 X I POLICY , 1 JECT I. LOC .... ..... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f (Es accident) ANY AUTO ' - - BODILY INJURY (Per person) $ ALL OINNED AUTOS BODILY INJURY (Per accident) 5 SCHEDULED AUTOS PROPERTY DAMAGE Is I HIRED AUTOS (Pnr OccIdenl) NON.OWNED AUTOS I $ I 1 UMBRELLA LIAR I I OCCUR ,_EACH OCCURRENCE $ EXCESS LIAe CLAIMS -MADE I AGGREGATE S I DEDUCTIBLE I 1 $ RETENTION S I I 5 woRKERS COMPENSATION 1 I WC. LIMITS I I O ER AND EM UABILRY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N EL EACH ACCIDENT 1 S OPPICER/MEMBER EXCLUDED' N 1A (Mandatory In NH) I i E.L. DISEASE - EA EMPLOYEE 5 Ir vns deearlbe under DESCRIPTION OF OPERATIONS below 1 i 1 _ E.L. DISEASE - POLICY LIMIT 1$ I , DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 vEHICLES (Atlecn ACORD 101, Additional Remarks Schedule, If Mon Apace Is required) CERTIFICATE HOLDER CANCELLATION (813) 780 - 0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Zephyrhills Building Department 5335 Bth St 2ephyrl FL 33542 AUTHORIZED REPRESENTATIVE D2_,(cFrLa GU ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD