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09- 20 -'10 15:45 FROM- T -550 P0003/0006 F -745 <br /> 05/01/2010 05:06 3524650666 VAUt WJ. /0i <br /> C ERTIFICATE OF LIABILITY INSURANCE DATc(MMYOBrfWY) <br /> ,q,— O ® 09/16/2010 <br /> This CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOSS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(5), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If uto certificate holder Is an ADDITIONAL INSURED, the policy(tas) must be endorsed. N SUBROGATION 15 WAIVED, subject to <br /> the terns And conditions of the polky, certain policies may Require an endorsement, A Statement on this certificate does not confer rights, to Etta <br /> certificate holder in lieu of such endo,oementts). OONTAI%T <br /> PRODUCER NAME: <br /> ALL BUSINESS UNDERWRITERS E „n.727- 403.9470 & 352 - 871 -5990 M ,64 352- 465-0666 <br /> THE POINT AGENCY ADDREZS:. ........ --- <br /> BOX 3075 g$i <br /> NI or <br /> DUNNELLON, FL 34430 voURBRIS) AFFORDING COVERAGE war_ <br /> RIBUR U Room A, ACCIDENT INSURANCE COMPANY <br /> INSURER a: <br /> ROLLSHIELD, LLC IRa1RtERC: <br /> GREG MOORE, OWNER mmults. 0 <br /> 2040 WEAVER PARK DRIVE INSI na E I <br /> CLEARWATER, FL 33705 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS LS TO INDICATED. ANY TERM OR CONDITION N HAVE OF CONTRACT OR OTHER DOCC EN WIIYH FOR TTOOLWHICH�THI <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> R ^ '.. �� 4NMT8 <br /> TR TYPGOPINSURAN ylruo POW/NUMMI tr <br /> A CPi1L'RALUARILJTY AGL -87954 03 03/12/11 EAOM OCCURRENCE s 1,000.000 <br /> X COMMERCIAL. GENERAL LABILITY PREMISES RNImeYRRRRII 1 100.000 - <br /> 1 CLAIMS - MADE © OCCUR MEDEXP(M,� i 5.0 <br /> PERSONAL aADVINJURY 1 1000,000 <br /> — GENERAL AGGREGATE $ 210001 <br /> GEN T AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OR AGG $ 2,000,000 <br /> Xil POUOY n PA rl LoC _ 3 <br /> AUTOIWRILEUABIUTY l COMBINED SINGLEUMIT 1 <br /> 00 <br /> (Ee ec.110 <br /> ANY AUTO BODILY INJURY (Par Parson) $ • <br /> �^ ALL OWNED AUTOS BODILY INJURY (P.r.ddn+0 i <br /> — SCH @DULEOAUTQS PROPERTY DAMAGE s <br /> NIREOAUTOS . <br /> -- s <br /> NoN.OWNdD AUTOS <br /> •-- $ <br /> UMBRRMAUAR _ OCCUR EACH OCCURRENCE E <br /> — <br /> EXCESS UM CLAIMS•MADF AGGREGATE 1 <br /> DEDUCTIBLE 1 <br /> RETENTION 1 1 <br /> A1IO <br /> WORICSRECOMP M0N T r I AT I . <br /> AND WIPWYBR9' LMBILNT <br /> ANYPRCPRIETORNARTNE� ECIITIVE 0 N)A E.L, EACH ACCIDENT $ <br /> OFFICER ME EXCW G.L. =ACC • LA 0MPtOV!E�$ <br /> (MaAe1110tY R NN <br /> N yyO$� I E.L. DISEASE • POLICY LIMIT 0 <br /> r ` ESCRIPTION OF OPERATIONp b - ' <br /> oaCRIPnON OP OPENATONS I LODA10NS� (MMCh ACU110101, Ad4lbeat Reemme Seemme, R INO1e spouoriwoms <br /> GENERAL CONTRACTOR SPECIALIZING IN THE SALES AND INSTALLATION OF STORM SHUTTERING <br /> LICENSED AGENT : GREGORY V. MOORE, ROLLSHIELD, LLC; STATE LICENSE # CGC 1513024 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE AJ3OVE DESCRIBED POLMIBIS BE CANCELLED BEFORR <br /> CITY OF ZEPHYRHILLS - BLDG. DEPT. 1140 EXPIRATION DATE THEREOF, NOTICE WELL BE DELIVERED IN <br /> 5335 EIGHTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ZEPHYRHILLS, FL, 33542 <br /> AVTMONlEOREPRESEIfTATRIE <br /> FAX TO: 813 -780 -0021 <br /> 01988 - 2009 ACORD CORPORATION. All tights ,mewed. <br /> • ACORO 20 (2009109) The ACORD name and lope are mastered marks of ACORD <br /> c` 72ra " ic69 -4,10 <br /> • <br />