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06/24/2010 10:39 FAX 8634942842 RUPERT SMITH INS AGENCY 1001 ACOREF � CERTIFICATE OF LIABILITY INSURANCE DATEE DDD Y PRODUCER (863) 494 -1613, Fax (863) 494 -2842 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rupert Smith Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND EXTEND OR P.O. Box 150 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Arcadia FL 34265 INSURERS AFFORDING COVERAGE NAIC # IN$URQD .._ .........._ A: Owners Insurance Company Futuristic Construction, Inc. INSURERS: & American Custom Cabinets INSURER C: Futuristic Exteriors, LLC, 23 N. Magnolia INSURER Arcadia I FL 34266 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 AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11 ,TR I -- TYPE OF INSURANCE — - POLICY NUMBER f BATE ( Mer DATE YII A OMITS GENERAL LIABILITY 20524157 11/27/2009 11/27/2010 EACH OCCURRENCE i *Sae Below IsmiNGFrawssist COMMERCIAL GENERAL LIABILITY PREMISES-IEE ac urrence) 3 300,000 A 1 I CLAIMS MADE X MED EXP (Any ma Pdr?erl) .... $ 1Ot0 0 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE $ * SHY Below GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ *See aglow POLICY r LOC — - - -- AUTOMOBILE LJA &CITY COMBINED SINGLE LIMIT ANY AUTO (Es occident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per /lemon) HIRED AUTOS BODILY INJURY NOM- DVrNED AUTOS (Par occident) ._— PROPERTY DAMAGE S (Par occident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ — 1 ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE 5 DEDUCTIBLE --- -- -- - - -- S _ RETENTION S 8 WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TO YIJMIIS_ ANY PROPRIETOR/PARTNER /EXECUTIVE ❑ EL, EACH ACCIDENT 5 OFFICER/MEMBER EXCLUDED? — (managing In NH) EL DIBEA6E - EA EMPLOYEE $ It yes, aibe under SPECIAL PROVISIONS bebw E,L DISEASE - POLICY LIMIT .5 OTHER DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLESI EXCLUSIONS ADDED BY ENDORSEMENT r SPEC AL PROWLIONS General Contr*Otar+ +Split Limits aVpiy :HI Agg Limit $2,000,000 /Occ Limit $1,000,000/ Products Com/ OpaAgg Limit$2,000,000 /PD Agg Limit$2,000,000 /OCC Limit $1,000,000.Producte Com/Ops AggLimit$2,000,000 Futuristic Construction, Inc. Timothy L_Paul, GC 23 Most magnolia St, Arcadia, Fl. 34266 GC #048643 T CERTIFICATE HOLDER CANCELLATION - - SHOULD ANY OF THE ABOVE moment POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRRTEEN $l2i1 Department NOTICE TO THE Citi2TFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th Street Zephyrhills, FL 33542 IMPOSE NO OBUOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENT s � ASTRO RFP ATIVE / ACORD 25(2009/01) 0 1988 -2009 ACORD CORPORATION. Alt rights reserved. INS025 (2oosol) The ACORD name and logo are registered marks of ACORD