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ACORDTM . CERTIFICATE OF LIABILITY INSURANCE DATE <br /> D/YY) <br /> 08//26/2026/2010 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Lockton Risk Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P.O. Box 410679 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Kansas City, MO 64141 -0679 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: AIX Specialty Insurance Company <br /> Bahrs Propane Gas & Air Conditioning, Inc INSURER e: Nova Casualty Company <br /> 4441 Allen Road INSURER C: <br /> Zephyrhills, FL 33541 INSURER D: <br /> INSURER E: <br /> • <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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY ' POLICY <br /> EFFECTIVE EXPIRATION <br /> INSR ADDL DATE DATE <br /> LTR INSRD TYPE OF INSURANCE POLICY NUMBER (MM/DD/YY) (MM/DD/YY) LIMITS <br /> A GENERAL LIABILITY LGZ -CL-0020005-0 09/ 01/2010 09/01/2011 EACH OCCURRENCE <br /> $1,000,000 <br /> X <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES <br /> CLAIMS MADE I X OCCUR <br /> (Ea occurrence) 1x00,000 <br /> MED EXP (Any one person) $5,000 <br /> PERSONAL & ADV INJURY $1.000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG <br /> $2,000,000 <br /> PRO - <br /> X POLICY JECT LOC <br /> B AUTOMOBILE LIABILITY LGP- CL- 0010005 -0 09/01/2010 09/01 /2011 COMBINED SINGLE LIMIT (Each <br /> X ANY AUTO <br /> accident) $1000000 <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY <br /> (Per person) _ <br /> HIRED AUTOS _ <br /> , NON -OWNED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> — <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY <br /> AUTO ONLY - EA ACCIDENT <br /> — <br /> ANY AUTO <br /> OTHER THAN EA ACCT $ <br /> EXCESS/UMBRELLA LIABILITY AUTO ONLY AGG $ <br /> OCCUR ' I CLAIMS MADE EACH OCCURRENCE $ <br /> AGGREGATE _ $ <br /> DEDUCTIBLE $ __ <br /> RETENTION $ $ <br /> $ <br /> WORKERS COMPENSATION AND wesraru ER <br /> EMPLOYERS LIABILITY TORY LIMITS I I ER <br /> ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br /> If yes, describe under SPECIAL PROVISIONS <br /> below <br /> A OTHER E.L. EACH ACCIDENT $ <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> Proof of Coverage <br /> " CERTIFICATE SUPERSIEDS THE CERTIFICATE ISSUED ON 8/26/2010 *" <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK)N <br /> City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 19_ DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> V ,,,,-/ 0 ile - <br /> ACORD 25 (2001/08) <br /> ©ACORD CORPORATION 1988 <br />