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ACORD DATE (MM/DDIVYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 08/12/2010 <br /> PRODUCER (813)933 -6691 FAX (813)932 -6287 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Adcock & Adcock Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 315 W. Fletcher Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Tampa, FL 33612 -3414 <br /> Denise DeRemigio INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Next Generation Homes Inc. INSURER A: Mid Continent Insuranc Co. <br /> 26516 Green Willow Run INSURER B: Travelers Insurance Co <br /> Wesley Chapel, FL 33544 INSURER C: _ <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <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 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 /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POUCY EXPIRATION LIMITS <br /> LTR INSRD DATE (MMIDD/YYYY) DATE (MM IY <br /> IDOYYY) <br /> GENERAL L64&UTY 04G1000776561 12/13/2009 12/13/2010 EACH OCCURRENCE $ 1,000, 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES (Ea rrence) $ 100,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) _ $ Excl uded <br /> A PERSONALS, ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> I POLICY JECT LOC <br /> AUTOMOBILE UABIUTY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE _ $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS <br /> AND EMPL.O M PEN A SATION Y / N 6FR13UB2831C87108 12/03/2009 12/03/2010 X OR Y LIMITS ER <br /> B OFFICER/MEMBER E EXCLUDED? ECUTIVE1 1 E.L. EACH ACCIDENT $ 100,000 <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 <br /> B yes, de scribe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR. 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Zephryhi 11 s Building Dept IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 5335 8th Street REPRESENTATIVES. <br /> Zephryhil1s, FL 33542 AUTHORIZED REPRESENTATIVE i a <br /> Denise DeRemigio /CGA <br /> ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />