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07/23/2010 08:58 3526848296 ECONOMY INSURANCE PAGE 01/01 I - DATE (MM/DDMri* ... 4 CERTIFICATE fOF 'LIABILITY INSURANCE 07/23/10 PRODUCER Economy Insurance Men, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7377 Spring Hill Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, OR Spring Hill, FL 34606 . ALTER THE COVERAGE AFFORDED Sy POLICIES BELOW, . ,.. Phone (352) 688 Fax (352) 688 - 6050 INSURERS AFFORDING COVERAGE I NAIC INSURER a: NORTH POINTE INSURANCE CO. I -. -, INSURED RUSSELL JOHNSON L ICp CFC1427079 INSURER B: MERCURY INSURANCE GOLDEN RULE PLUMBING INC- INSURER.C: _ 23011 Bowman Road - INSURER p: .. . - Spring Hill, FL 34610- ' INS E: I COVERAGES THE POLICIE OF INSURANCE LISTED 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR • MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AI-LTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRT ADD'/. POLICY EFFECTIVE— FFECTIVE POLICY EXPIRATION I LIMITS TYPE OF INSURANCE POLICY NUMBER DRTE imwoorn DATE (MM/DOIYYYYI • _ . GENERAL LIABILITY EACH OCCURRENCE 300,0001 DAMAGE TO : TED 0 COMMERCIAL GENERAL LIABILITY 80900009018 03/12/2010 03/12/2011 PREMISES (Ea ocwRence) 100,0001 • ❑ ❑ CLAIMS MADE R OCCUR MED EXP (Any one person) 5,000 IA ❑ ❑ - _`__ -- PERSONAL 8 ADV INJURY _ 300,0_001 ❑ GENERAL AGGREGATE 600,0001 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG -- 600,000 • ❑ POLICY 0 PROJECT [] LOC AUTOMOBILE LABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO FLC 7015106 -2 06/02/2010 06/02/2011 (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY 100,000 B ❑ © SCHEDULED AUTOS . (Per person) ❑ HIRED AUTOS I BODILY INJURY ❑ NON OWNED AUTOS (Per accident) 300 i ❑ — PROPERTY DAMAGE 50,000+ 0 .. -- ---• .. - - -... _..._.... - ---- . . ..__..._.. ... -. -_.. ....._(Peraeddenll• GARAGE LABILITY AUTO ONLY • EA ACCIDENT ❑ ❑ ANY AUTO I OTHER THAN EA ACC, I ..... E L AVTO ONLY: AGG ' EXCESS 1 UMBRELLA LIABILITY _ I EACH OCCURRENCE ID • OCCUR 0 CLAIMS MADE ■ AGGREGATE • ❑ DEDUCTIBLE ' ❑ RETENTION $ WORKERS COMPENSATION AND • EMPLOYERS' LIABIUTY Y � I '.. T ORY LI M ITS- ❑ ERH ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT OFFICER / MEMBER EXCLUDED? - _! . . - -° (Mandatory In NH) El, DISEASE - EA EMPLOYEE — If yes describe under SPECIAL _ below _ -- E .L. DISEASE - POLICY LIMIT .. .. —�_ ... _. - ... - -._ - -- - -.. OTHER DESCRIPTION OF OPERATIONS 1 LO f VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ( PLUMBING 2006 FORD E150 VIN#1FTRE14W I 76DA32815 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL : CITY OF ZEPHYRHILLS BUILDING DEPT, 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 5335 8th ST. THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY ZEPHYRHILLS, FL. 33542 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I I ! (61 3) 780 - 0021 ;0.., , ...N.a,�.v�.. I ACORD 25 (21109 /01) QF 01988 -2009 ACORD CORPORATION. Alf rinks reserved. The ACORD name and logo are registered marks of ACORD