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:m:Brandon Leske - Hybrid Construction To:Building Department - Zephryhills 15:33 09107110GMT -04 Pg 03-04 <br /> A • DATE crwoD,YYYYI <br /> CERTIFICATE OF LIABILITY INSURANCE 8/27/2010 <br /> PRODUCER (727) 521 -2100 VAX: (727) 528 -0626 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Comegys Insurance Corner ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Florida Contractor Insurance I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> IOne Beach Drive S. E. Ste. 230 I <br /> Saint Petersburg FL 33701 ;INSURERS AFFORDING COVERAGE { NAIC # <br /> INSURED .. — ... _ <br /> _INSURER A. Bankers Insurance Company i .._.. —_. ...__._., <br /> Hybrid Construction, LLC. ; INSURER B: <br /> (Brandon Leske <br /> j P 0 Box 20851 1 INSURER 0: <br /> • I Tampa 1 FL 33622 -0851 1 INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO1WITHSTAN DING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 HAVE BEEN REDUCED BY PAID CLAIMS. <br /> _ � _.. _ ..__.. _ <br /> Wilk ADM' 1 POLICY NUMBER POLICY EFFECTIJE POLICY EXPIRATION - _ -_ <br /> LLB SURD TYPE CF_IdBUBANC 'DATE (MWDOt YYY T I I DATE IMMIOOIWYYI LIMITS <br /> GENERAL LABILITY I , EACH OCCURRENCE f — 1 r 00 L 900 <br /> X COMMERCIAL GENERAL 'Amur( II t _ )• i1 100, <br /> A <br /> CLAIMS MADE j <br /> OCCUR 1090420000544901 17/3/2010 7/3/2011 MED ESP (Fay ons pera,� •- f 10,000 <br /> ; .. .. -.._.. ____........- - --- _ -.... 1 PERSONAL a ADV INJURY f 1, 00_0„ 000 <br /> I i ! GENERAL AGGREGATE 18 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: ' LPRODUCTS - COMP/0P AGG t f 2 000, <br /> °RO r^ i i __. <br /> POLICY I_ jFCT • . LOC <br /> I AUTOMOBILE LIABILITY : ' I C I <br /> : � Ste) SINGLE Low S <br /> 1 ANY AUTO <br /> _ _ ALL OWNED AUTOS <br /> I ! : BODILY INJURY : S <br /> I • SCHEDULED AUTOS . (Pst P i ______ <br /> _. <br /> I L._._.. HIRED AUTOS i • BODILY INJURY <br /> , NON -OWNED AUTOS (Psi aocidenl) f <br /> PROPERTY DAMAGE <br /> i .... - -- - -- --- -------- 1Pa accidaccidenaccident) S <br /> i GARAGE LIABIUTY ' AUTO ONLY - FA ACCIDENT S <br /> 1 ANY AUTO OT THAN <br /> 7 EA ACC E _, <br /> L 1 — j AUTO ONLY: AGG :1 <br /> I I EXCESS/ U MBRELLA LIABILITY <br /> - _ -. EA CH OCCURRENCE • 8 <br /> OCCUR ! CLAIMS MADE AGGREGATE f S . - - —.. __....... <br /> 1 • <br /> i i DEDUCTIBLE - -- "._.-- -'- -._ f <br /> j RETENTION S • 1 is <br /> WORKERS COMPENSATION WC STATU OTF — <br /> • ANDEMPLOYE/O' LABILITY Y I N ; .___ I TQRY IJfa1TS . ...Tit . . ___________ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ( 1 I I E.L. EACH ACCBIENT f <br /> 1 Y EMBBEER EXCLUDED? Li - -- — -- in NH) E.L DISEASE - EA EMPLOYEE S <br /> 1 { nye IAL s aibe wrier ( - - <br /> J1 SPEC PROVISIONS Wbw ! i E.L. DISEASE - POLICY LIMIT ' S <br /> IOTHER I <br /> 1 I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> • <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OFT EABOVEDESCRIBEDPOLICI ESBECANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhills DATE THEREOF, THE ISSUING BISueER WILL ENDEAVOR TO MAIL L . DAYS WRITTEN <br /> 5 335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Zephyrhills, FL 33542 <br /> IMPOSE NO OBLIGATION OR LABILTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> REPRESENTATIVE& <br /> AUTHORIZED <br /> Mcrcurjo/ ESSIC .tJf -AA <br /> M Mercurio /JESSIC <br /> ACORD 26 (2009/01) ®1988 -2009 ACORD CORPORATION. All rights reserved. <br />