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10-10750
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2010
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10-10750
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Last modified
3/23/2011 8:32:39 AM
Creation date
3/23/2011 8:30:30 AM
Metadata
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10750
Building Department - Name
PHILLIP MICHAEL INC
Address
6949 GALL BLVD
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Jul _22 2010 10:34RM HP LASERJET - FAX 727 674 0197 -p. - - : -- <br /> BD. CERTIFICATE OF LIABILITY INSURANCE xoo� 07 -72 2'010 <br /> pROCICER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> PAYCSEX INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 011 <br /> :210705 P I ( ) - Fs (888)443-6112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> BO BOX 33015 INSURERS AFFORDING COVERAGE <br /> SAN .ANTONIO TX 78265 <br /> IIY.1/N/ED IIIBURM A: Twin City Fire Ins Co <br /> NBURER BI <br /> SPARRY BROS, LLC INDURER c: <br /> 400 DOUGLAS AVE STE C MEURER Dc <br /> DUNEDI N FL 34698 _ IIIEUIER 6: <br /> COVERAGES <br /> TIE POLICIES OF INSURANCE LISTED BELQW HAVE BEEN IssUEUTO THE INSURED NAMED ABOVE FOR THE POUCV PERIOD INDICA rED NO TWITHSTANDING <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 POUCIEB DESCRIBED HEREIN IS SUBJECT TO ALL THE TEFSAS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TIIEOPMLLi1/ANCr mucr IM , ;1 � n , ' r J --„i'17-T".'; <br /> ' <br /> ( UN7i <br /> GAL LN�AY ? EICII OCCURRENCE 4 <br /> COMMERCIAL GENERAL UANUTy FIRE DAMAGE (Any •n• Do s <br /> CLAIMS MADE ED OCCUR ; MED EXP IAA! om pws:N 9 <br /> _ I, FERSONAL • AD4 Bourn • <br /> GENERA. AAORMIaATE • <br /> L13144•1. AGGREGATE OMIT AR4UE8 PER <br /> PRODUCTS- COMPMP 1 <br /> i I rout' r i z n LOC I <br /> 1 *IMMOBILE fIAYRIiP 1 i CO s BI $INOLE LMIr <br /> I--- ANY AUTO <br /> _ ALL OYrNED AUTOS i BODILY IMIIRY • <br /> SCNEDUIDD AUTO(' IPM panel ? <br /> _ WED AUTOS j BODILY IIIJUIIY <br /> • NON.OWNmAUTOS ' IPM JONBNKi • <br /> PROPERTY DAMAGE 1 • <br /> IPM maldR D <br /> • I <br /> ' II � R . A .�. RAGELOUNAY i AUTO ONLY - !A ACCIDENT 4 <br /> ANY AUTO I OTHER MAN . EA ACC 1 <br /> NJTOONLY: AGO • <br /> ' tK M <br /> SS LryT t EACH OCCURRENCE • <br /> Li °ems 7 CI. IMB MAO! AGGREGATE 1 <br /> • <br /> 1 <br /> — <br /> DEOLIC TOILE ) 4 <br /> I�� RETENTION • yy� 1 <br /> 1 NO ERD COPOSMA MEW MD ' X IAinuo1 IDiBTMt <br /> A i RI 12P1O1'ERS 01WTY 76 WEG TY7618 10/23/09 10/23/10 ? LL. EACHAccoEIIT •500, 000 <br /> E.4. ODE - EA Elmr1AYEc .5 0 0 , 0 0 0 <br /> E,L DORMS - FOUCYUNIT •500., 000 <br /> ■ <br /> O711Id1I <br /> DES CRIP7l ONOFOPERATIO NINOcATION$ VEiALYMMUIV AVMIARCEDBY141DUR&1tM 1IIIDNAD/E3 <br /> Those usual to the_Insured's Operations. <br /> CERTIFICATE HOLDER 1 1 AODrnaM4L &INS AER LE77FR: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> D(PIRATKIN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> SO DAYS WRITTEN NOTICE (10 DAYS FOR NON - PAYMENTI TO THE CERTIFICATE <br /> City of Zephyrhills Building Dept. D <br /> OBLIGATION 0R UABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OF <br /> 5335 8 TE ST REPRESENTATIVES. <br /> ZEPHYREILLS, FL 33542 <br /> A VRA7 <br /> ACORD 25-5 (74417) � d ��� J o <br /> ACORD CORPORATION 1868 <br />
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