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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID SG DATE(MM/DD/YYYY) PRODUCER MIKEC -1 03/22/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Stahl & Associates Ins. , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 939 Tampa Road • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ismer FL 34677 .none : 813 -818 -5300 Fax :813- 818 -5396 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Trust Insurance Co. INSURER B: FCCI Commercial Ins . Co . Mike Currie Electric, Inc. INSURER C: 4311 Port 34652 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSH - RDD"L LTR INSRC TYPE OF INSURANCE POLICY NUMBER PO EFFECTIVE - POLI E DATE (MMUD DATE CY (MMID D XPIRATION /YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY GL0006922 03/25/10 03/25/11 P R R EEMMISES ( Ea t oc cure nce) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5 , 0 0 0 4 • PERSONAL & ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $ 2 , 000 , 000 • GEN'L AGGREGATE LIMIT APPLIES PER: AGG n CT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 - AUTOMOBILE LIABILITY A X ANY AUTO CAOO 0287 (EaMaBINED SINGLE LIMIT $ 1,000,000 )� 03/25/10 03/25/11 ALL OWNED AUTOS , SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON OWNED AUTOS BODILY INJURY $ (Per accident) (Per PRO PERTY DAMAGE $ • GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 B X I OCCUR CLAIMS MADE t1M60006385 03/25/10 03/25/11 AGGREGATE 5 1,000,000 • $ DEDUCTIBLE $ X RETENTION $10,000 — $ WORKERS COMPENSATION AND (TORY 4/Wag— i I ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Byes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Mike Currie - State License # EC13003201 CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Building Department Fax#: 813-780-0005 IMPOSE NO OBLIGATION-OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th Street REPRESENTATNES. Zephyrhills FL 33542 AUTH E N ACORD 25 (2001/08) © ACORD CORPORATION 1988