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10-10794
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10-10794
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Last modified
3/23/2011 9:05:08 AM
Creation date
3/23/2011 9:03:08 AM
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Building Department
Company Name
PHILLIP MICHAEL INC
Building Department - Doc Type
Permit
Permit #
10-10794
Building Department - Name
PHILLIP MICHAEL INC
Address
6943 GALL BLVD
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• <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID PS DATE IOM DD YYYY) <br /> RYMACO2 01/28/10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Greg Roe Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 9851 State Road 54 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> New Port Richey FL 34655 <br /> Phone: 727- 376 -0030 Fax: 727- 376 -2262 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A Naxos Avondale Speciality <br /> INSURERS: Southern Genera Insurance Co. 10190 <br /> Ryman Construction of F1. Inc <br /> Bobby /Commercial Div INSURER C: <br /> 36413 SR 54 INSURERD: <br /> Zephyrhills FL 33541 <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 15 SUBJECT TO AU. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PART CLAIMS. <br /> INSR ADM POLICY EFFECTIVE POLICY EXPMTION <br /> LTR IMO TYPE OF INSURANCE POLICY NUMBER DATE DDIYY) DATE (NWpDryY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> DAMAGE TO RENTED S SO, OOO <br /> A X X COMMERCIAL GENERAL LIABILITY NAXO00034 /1000 01 /30/10 01/30/11 PREMISES (Ea oxuran* <br /> CLAIMS MADE X OCCUR MW EXP (My one parson) f EXCLUDED <br /> PERSONAL S ADV INJURY S 1,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG f 2,000,000 <br /> - <br /> PRO- <br /> - 7 POLICY EC LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY f <br /> NON -OWNED AUTOS (Per accident/ <br /> PROPERTY DAMAGE <br /> (PM accident) <br /> GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S <br /> ANY AUTO EA ACC f <br /> OTHER THAN <br /> AUTO ONLY: AGG f <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE f <br /> OCCUR CLAIMS MADE AGGREGATE f <br /> DEDUCTIBLE f <br /> RETENTION S f <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION AND <br /> TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT f <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? <br /> E.L. DISEASE - EA EMPLOYEE f <br /> If yes, describe under <br /> SPECIAL PROVISIONS bebx E.L. DISEASE - POLICY LIMIT S <br /> OTHER <br /> B Equipment Floater 20711951 08/22/09 08/22/10 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> *30 DAYS NOTICE OF CANCELLATION EXCEPT 10 DAYS NOTICE OF CANCELLATION FOR <br /> NON - PAYMENT OF PREMIUM. <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN <br /> CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br /> FAX #813- 780 -0021 <br /> 5335 8TH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> ZEPHYRHILLS FL 33540 REPRESENTATIVES. <br /> AWN EPRESENT vE V <br /> ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />
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