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10-10753
Zephyrhills
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2010
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10-10753
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Last modified
2/7/2011 8:59:03 AM
Creation date
2/7/2011 8:59:01 AM
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Building Department
Company Name
DRIFTWOOD
Building Department - Doc Type
Permit
Permit #
10-10753
Building Department - Name
PARKER,JAMES JR
Address
38407 COTTONWOOD PL
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e -Bode Systems - Policy Send Form Preview Page .1 .of 1 <br /> .ACORDTM CERTIFICATE OF LIABILITY INSURANCE ° ATE(M 02/244/10 /10 ) ` ` <br /> � -- <br /> PRODUCER <br /> ECONOMY INS MART OF HERNANDO THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND - <br /> 7377 SPRING HILL DR CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE <br /> SPRING HILL, FL 34606 POLICIES BELOW. <br /> Phone: (352)684-5353 <br /> Fax: (352) 684 -8296 INSURERS AFFORDING COVERAGE <br /> INSURED <br /> GOLDEN RULE PLUMBING INC. INSURER A: North Pointe Insurance Company <br /> 23011 BOWMAN ROAD INSURER B: <br /> INSURER C: <br /> SPRING HILL, FL 34610 INSURER D: <br /> INSURER E: <br /> COVERAGE <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT <br /> WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ <br /> INSR I POLICY EFFECTIVE • POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MM /DDIYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURENCE $ 300,000 <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000 <br /> - 1 — )CLAIMS MADE ❑x OCCUR MED EXP(Any one person) $ 5,000 <br /> A 8090009018 _ 03/12/2010. 03/.12/2 ,. - . PERSONALANO $ - 300,000 <br /> GENERAL AGGREGATE $ 600,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 600,000 <br /> E POLICY ❑ PROJECT ❑ LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> _ ANY AUTO Sea accident) $ <br /> _ ALL OWNED AUTOS BODILY INJURY • <br /> SCHEDULED AUTOS (Per person) $ _ <br /> HIRED AUTOS BODILY INJURY $ <br /> _ NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> E ANY'AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURANCE $ <br /> OCCUR ❑CLAIMS MADE AGGREGATE $ <br /> RDEDUCTIBLE $ <br /> RETENTION $ <br /> 8 <br /> WORKERS COMPENSATION AND DWC STATUTORY <br /> EMPLOYERS LIABILITY <br /> LIMITS ❑OTHER <br /> E.L. EACH ACCIDENT $ <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> E.L.DISEASE - POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> PLUMBER <br /> • <br /> • <br /> • <br /> • <br /> CERTIFICATE HOLDER I ADDITIONAL INSURED:INSURED LETTER: 1 CANCELLATION <br /> - (SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE <br /> TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> DUNEDIN RESTORATION SERVICE, INC. AUTHORIZED REPRESENTATIVE <br /> 1271 SAN CHRISTOPHER DR. <br /> DUNEDIN, FL 34698 <br /> Faxed to: (727) '733 -3917 <br /> ACORD 26 -S (7/97) ACORD CORPORATION 1988 <br /> http: / /amelia.e- bode. com/ innovare /g1 /SendFormPreviewAndSend.cfm 2/24/2010 <br />
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