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10-10756
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2010
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10-10756
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Last modified
2/7/2011 9:02:49 AM
Creation date
2/7/2011 9:02:47 AM
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Building Department
Company Name
ADVANCED AUTO PARTS
Building Department - Doc Type
Permit
Permit #
10-10756
Building Department - Name
ADVANCED AUTO PARTS
Address
5637 GALL BLVD
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• <br /> Certificate of Insurance <br /> This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend, or <br /> alter the coverage afforded by the policies described herein. <br /> Named Insured(s): <br /> TriNet HR Corporation Insurer Affording Coverage <br /> and all its affiliates and subsidiaries* Commerce & Industry Ins Company (A) <br /> A Excellent Service, Inc. (Endorsed as alternate employer) <br /> 9000 Town Center Parkway Illinois National Insurance Company (B) <br /> Bradenton, FL 34202 Ins Co of the State of Pennsylvania (C) <br /> Nat Union Fire Ins Co of Pittsburgh PA (D) <br /> New Hampshire Insurance Company (E) <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 the Certificate may be issued or may <br /> pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. <br /> Aggregate limits shown may have been reduced by paid claims. <br /> Type of Insurer Policy Number Effective Expiration Limits <br /> Insurance Date Date ® WC Statutory Limits <br /> Workers' Employers Liability <br /> A 057057094 (FL) 07/01/2010 07/01/2011 <br /> Bodily In <br /> Compensation <br /> y juryeyAccident <br /> $ 2,000,000 Each Accident <br /> Bodily Injury By Disease <br /> $ 2,000,000 Each Person <br /> Bodily Injury By Disease <br /> $ 2,000,000 Policy Limit <br /> Other: Client Number: 7G0, 8815 <br /> The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to <br /> the employees of any other employer. <br /> * TriNet HR V, Inc.; TriNet HR Corporation <br /> Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer affording <br /> coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose <br /> no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. <br /> Certificate Holder: <br /> AON Risk Services Northeast, Inc. <br /> AON Risk Services Northeast, Inc. <br /> City of Zephyrhills <br /> 5335 8th Street (866) 443 - 8489 7/22/2010 <br /> Zephyrhills, FL 33542 Phone Date Issued <br />
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