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09-9389
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2009
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09-9389
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Last modified
3/22/2011 8:45:41 AM
Creation date
3/22/2011 8:40:43 AM
Metadata
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Building Department
Company Name
ZEPHYR COMMONS LLC
Building Department - Doc Type
Permit
Permit #
09-9389
Building Department - Name
CHINESE RESTAURANT
Address
7940 GALL BLVD
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OP ID Pte. <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE s ML DATE IMMIDDITYYYI o7 /2e /o9 <br /> PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Real :usurers, Elmo. HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 5005 W. Laurel Street, Ste 209 ALTER THE COVERAGEAFFORDEDBY THE POUCIESBELOW. <br /> Tampa PL 33607-,3436 <br /> Phou4s : 83.37288-3.000 Pax: 813- 283.-2433. INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED • INSURER /0. Mite— Ouraarz XnGUra. co CO. 18988 <br /> 11122.02S Ar S INSURER e: <br /> Devo3.oaa t PA IN:URCRC: <br /> • Tarpea Spr F L 34689 INSURER DI <br /> INSURER E: <br /> COVERAGES <br /> TH6 POLICIES OF INSURANCE LISTED MOW MAIM SEEN ISSUED TO THE INSURED NAACO ADOVC FOR TIC POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY RCOUIRCMCNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT RC9PECT TO WHICH THIS CERTIFICATE MAY as IBUU60 OR <br /> MAY PERTAIN, TIC INOURANCC ArroRDCO SY THe POLICIES DESCRIBE° MERSIN IS SUBJECT TO ALL TMC TERM".., EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AOORIOATI LIMITS SHOWN MAY MAIM DCCN REDUCED Or PAID CLAIMS. <br /> I LTRINSR TTPEOFIN0URANCI POLIGYNUMNIIR I'OwriIM�1 pO 0AT01MWDOM'I tr Lin <br /> MURAL LIAUIIJTY EACH OCCURRCNCe s 1000000 <br /> A X COMMERCIAL GENERAL LIABILITY 20530574 02/26/09 02/26/10 PNEMI I 360000 <br /> CLAIMS MA06 Ei OCCUR MCD OP (Any an, wow s 5000 <br /> P6R ONALLACVIN,wRY s 100000 <br /> o6N6RAI. AM ACMATC s 1000000 <br /> GEN'LAWRCGATC LIMIT APPLIC9PCR: PRODUCTS. COMP/OP AGO $1000000 <br /> POLICY n n LOC <br /> AUTOMOBILE LIAIIUTY COMBINED SINOLC LIMIT <br /> ANY AUTO IE$ rcdpoml <br /> ALL OWNED AUTOS BODILY INJURY <br /> sCMeDULeD AUTOS (Per Pwwpnl : <br /> NII 0 AUTOS �_ <br /> NONAWNCDAUTOS graci INJURY <br /> M s <br /> IPxaCgganq <br /> PROPeRTY OAMAOE ; <br /> IP.r w ciasno <br /> GARAGE LIAWILTTY AUTO ONLY • CA ACCIMNT >t <br /> ANY AUTO OTHER THAN CAACC $ <br /> AUTO ONLY. AGO s <br /> OICI301UM0RIId.ALABILITY EACH OCCURRENCE s 3.000000 <br /> A E OCCUR E CI.AIMGMAOC 4626496000 02/26/09 02/26/3.0 AOOREOATR _ 3.000000 <br /> s <br /> DCDUCTIOLC <br /> + <br /> RETENTION $ $ <br /> WORIUI SI COMMNSATION AND (TOM L411 1 J HA <br /> IIMrLOwM' LIABILITY NOT PROVIDED C.L. CACH ACCIDENT s <br /> ANY PROPMETORMARTNERAXECUTIVC <br /> OFFICCR/MCM0 R EXCLUDED? 6.1.OISCA$C • CA CMPLOTee 1 <br /> :Mt Ir ��n,, a. .am. wlw <br /> . PROW/110 below E.L. DISCAS6 • POLICY LIMIT $ <br /> OTHER <br /> 'DESCRIPTION Or DPIRATIONI/ LOCATIONS ( VEHICLES 1 INCLUSION° ADDED WYINOORSIMINT I SPECIAL PROVIEIONO <br /> P780 -0023. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OFTNEASON DIBCRIUIO POLICIES 11 cANCELLE» Mon THE IXPINATIO <br /> OATS TN/RI0P. ISSUING INSURER WS.L INOWVORTO MAIL 10 0AY3 WRITTEN <br /> City of Zepbyrka 115 NOTICE TO WIC CERTIFICATE HOLDER NAM60 TO THE LIFT, OUT FAILUN TO DO SO SHALL <br /> Building Dept IMPOSE NO OILIOATION OR UAIILITY OP ANY KIND UPON TN/ INSURER ITSAOINTS OR <br /> 5335 8th Street <br /> Zephyr-hi-13.n E5 33542 MPRISSNTATIVEL <br /> ALTNONJa= NEFRrsINTATwI <br /> Maxe3s M Lewis >. •/.4e) <br /> ACORD 25 (2001108) CO ACORD CORPORATION 1988 <br /> 200 /100'd 01 :90 (3111)6002- 92 -111r <br />
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