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AC:CARL) CERTIFICATE OF LIABILITY INSURANCE DATE (MM)DDIVYYY) <br /> 9/1/2010 <br /> Pw (941)366 Fax (941) 365 - 3143 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Ben Br Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> own Insurance Agency <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 3731 S Tuttle Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Sarasota FL 342396410 INSURERS AFFORDING COVERAGE NAIC # <br /> rvskinFD <br /> Southern Owners Insurance Co <br /> & 0 Garage Doors, Inc p, Auto-Owners Insurance Co <br /> 1177 Cattlemen Road <br /> Sarasota FL 34232 <br /> COVERAGES <br /> Po! inEs orINsunAt REEN iSSAD TOT! A:3(2,VE ri.)R THE: PO. ICY PE FilCL1'..;j1:::A D NoTwrii-i <br /> Ar,r, QUIREMF.Nr TLF-0.1 COND LTh OF Ar-iv CONTRACT OR HFR DOCUMLIN ; qP:EIC; .16 ',1,'113A -[ ‘ BE ISSUED OR <br /> 3 IIAIN , ',ill.. INSURANCE. 0.^ BY i'OLICES DESCRIFLP HEHE. IN IS ::;;UP: i'ETC TC) TERMS, ANL' CC)NIDIIRDNS OF SUCH <br /> AC,',GREGAIE :Mn3 SHOWN MAY HAVLIALLN REDUCED BY PAID CI AIMF-: <br /> INSR ADCYL <br /> . POLICY EFFEC IIVE POLICY EXPIRATION <br /> B 114Srip, TYPE QF INSURAIX0). POLICY NUMBER 4_12AILIMNIPP YYYL_ °ATI IMmq00;sirco_ LIM IS <br /> GENERAL LIABILITY 2072:3127 01/01/2010 01/01/2011 C I, 000, 000 <br /> X COMMEPCIAL k : <br /> 100,000 <br /> A - Aits*.; r.1AHA X <br /> 5, 000 <br /> X Contractual I,Lab <br /> O)ll 1, 000, 000 <br /> X XCU Included <br /> s 2, 000, 000 <br /> 114 14' I 1 ,91!1 <br /> ' 2, 000, 000 <br /> 34,4 . X X <br /> AUTOMOBILE LIABILITY 4'7927940 01/31/2010 07/01/2010 <br /> X ANY AUT-u <br /> 07/01/2010 01/01/2011 1, 000, 000 <br /> 13 3 ( AU <br /> BC; <br /> AL) r;;.; , <br /> X HIPfli <br /> • <br /> X NON alt A <br /> . _ <br /> GARAGE LIABILITY <br /> „.. „ <br /> EXCESS UMBRELLA LIABiLIT <br /> IENHON <br /> WORKERS <br /> AND EMPLOYERS' LIABILITY I oRT <br /> PPL)PRIE Tor.) RARTNBR F:xfl i N , <br /> , SER - MEMBER Fxr)LuE),o <br /> . <br /> 1,11andator in NH) <br /> 05. desore <br /> SPECIAL PROVISIONS SRA, <br /> OMER <br /> DESCIlieTION OF OPERATIONS LOCATIONS - VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> Garage door installation and maintenance .10 days notice of can for non-payment of premium Qualifier - <br /> Dallas Miller State License 0801258205 <br /> CERTIFICATE HOLDER CANCELLATION <br /> (813) 780-0021 <br /> I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhills <br /> DATE 1HEREOE 1411 ISSUING' INSURER WILL ENDEAVOR 10 MAIL 10 DAYS WRITTEN <br /> Building Department <br /> 340130110 THE CERTIFICATE HOLDER NAMED TO THE LEFT. RUT FAILURE TO 00 50 SHALL <br /> 5335 8th Street <br /> Zephyrhills, FL 33542 I IMPOSE NO OBLIGATION OR 0430134 ,301 4141 41140 UPON THE INSURER. ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTROFBZED REPRESENTATIVE _ <br /> • <br /> ACORD 25(2009-301) <br /> 1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS025 <br /> The ACORD name and logo are registered marks of ACORD <br />