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ACCPREt CERTIFICf 'E OF LIABILITY INSURA :E oPID GH L O7I29I1O E2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stahl Ross & Associates Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oldsmar FL 34677 Phone: 727- 784 -8554 Fax: 727- 789 -2823 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zenith Insurance Company INSURER B: Amerisure Companies 09088 Superior Electric Company Inc. INSURER C: -- — 803 W. Waters Avenue INSURER D: Tampa FL 33604 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSWEADDI- POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YYYY) DATE (MM /DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 - DAMAGE I LYRE MMERCIAL GENERAL LIABILITY GL20122820600010 08/01/10 08/01/11 PREMISES (Ea occurence) $ 50,000 CLAIMS MADE XI OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY 1 - -- 1 ' I LOC — - -- -- -_. __ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500 000 B X ANY AUTO CA10126522002 08/01/10 08/01/11 (Ea accident) r — - ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR I.. _ - 1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION C S rAl U- OTH- AND EMPLOYERS' LIABILITY Y / N X TORY LIMITS J_ER A ANYPROPRIETOR /PARTNER/EXECUTIVEn Z065395807 01/01/10 01/01/11 E.L. EACH ACCIDENT $ 1000 _ 00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under _ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYZE1 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Zephyrhills Building Department REPRESENTATIVES. 5335 8th Street AU D RE 'RESENTATIVE , *I I / Ze.h rhills FL 33542 /- 111111 i . did ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD