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10-10956
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10-10956
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Last modified
8/15/2011 11:32:57 AM
Creation date
8/15/2011 11:32:56 AM
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Building Department
Company Name
WEDGEWOOD MANOR
Building Department - Doc Type
Permit
Permit #
10-10956
Building Department - Name
MILLER,JOHN & EDYTHE, COCHRAN
Address
37443 BLUEBERRY CT LOT 29
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Sep. 22. 2010 9:46AM No. 1473 P. 3 <br /> AAOR CERTIFICATE OF LIABILITY INSURANCE OPID SH IU►TE(MMroD/YYYY) <br /> kn../ ' NEUMA -1 05/24/10 <br /> PROOUcER THIS CERTIFICATE IS ISSUED AS A MATTER OF 1NFORMATIOP <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Stahl Roes & Associates inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> Oldsmar FL 34677 <br /> Phone: 727 784 - 8554 Fax: 727 - 789 - 2823 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER SUA Insurance Company <br /> INSURERS: Asiorican Interstate Ins. Co. 31895 <br /> Neumann Roofing, Inc. INSURER <br /> P.O. Box 1207 INSURERD: <br /> San Antonio FL 33576 -- ,.- <br /> 1 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C��y� POUCY N�'l1 DATE MMIOD(YYYVI DA (B M DO /Yri ) <br /> LTR NB TYPE OF INSURANCE POUGY HUMBER UNITS <br /> GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILRY 1OAPRRF100674GL03 03/04/10 03/04/11 PRE OEa N 'o F ence) 6100,000 <br /> CLAIMS MADE © OCCUR MEO EXP (Any one person) $ 55, 000 <br /> PERSONAL BAOVINJURY 5 1, 000, 000 <br /> GENERALAGOREGATE 5 2, 000, 000 <br /> GEN'L AGGREGATE LIMIT APPUE S PER PRODUCTS - COMP /OPAGG S 2 , 000 , 000 <br /> POLICY n JECT I I LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO <br /> ss n i <br /> ALL OWNED AUTOS <br /> BODILY INJURY 3 <br /> SCHEDULED AUTOS (per person) <br /> HIRED AUTOS <br /> — ^ BODILY INJURY $ <br /> NON OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> (Peraoddent) <br /> GARAGEUABtLITY AUTO ONLY -EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR 11 CLAIMS MADE AGGREGATE <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION C STATII UTf1 <br /> AND EMPLOYERS' LIABILITY X Tr] RY LIMITS 1 1 L R <br /> Y <br /> $ ANY PROPRIETORIPARTNER/EXECUTNr AVWCFL1883832010 01/01/10 01/01/11 E.L.EACHACCIDENT 5100,000 <br /> OFF(CERIMEMBER EXCLUDED? l— 1 <br /> (MendMory In NN) EL. DISEASE - EA EMPLOYEE s 100,000 <br /> If ee, deeaibe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 5500,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS <br /> Jason Neumann - License CCC1326166 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> FORINFO DATE THEREOF, THE ISSUING INSURER WELL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 90 BNALL <br /> IMPOSE NO OBUOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> FOR INFORMATION ONLY )(EPREBENTATIVES. <br /> ALIT RE R68ENTATIVE <br /> ACORD 26 (2009/01) c 1 88-2009 ACORD CO � AI) rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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