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10-11026
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2010
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10-11026
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Last modified
8/15/2011 3:02:44 PM
Creation date
8/15/2011 3:02:41 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-11026
Building Department - Name
ZEPHYR COMMONS LLC
Address
7800 GALL BLVD
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OCT 26-2010 TUE 0 4 : 0 0 PM TALLEY M E FAX No. 8136439556 P. 002 <br /> ACOR'D, CERTIFICATE OF :LIABILITY INSURANCE DATE(MMIDD/YYTY) <br /> 10/26/2010 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Charles D Talley, Jr. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1335 Oa k f D. <br /> e 1 d Dr. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Brandon, FL 33511 <br /> PH: (813) 685 --9393 F: (813) 643 -9556 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED MGM ELECTRIC, INC. INSURERA: NATIONWIDE PROPERTY INS <br /> INSURER B: NATIONWIDE PROPERTY INS <br /> 13805 GOOD LIFE RD INSURER C: <br /> TAMPA, FL 33618 INSURER 0: <br /> 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. <br /> mm mm - POLICY EFFECTIVE PO <br /> 1111 WSW TYPF OFINSURANCE POLICY NUMBER DA EIMMIDDTM DATE( MMIDDIYY► LIMITS <br /> GENERAL UABIUTY EACH OCCURRENCE $ 2, 0 0 0, 0 0 0 <br /> X COMMERCMLGENERAL LIABILTY DAMAGE O RENTED <br /> PREMISES HEe Oc Menoel $ 10 0 x 0 0 0 <br /> CLAIMSMADE © OCCUR MED EXPIAnycl.pereon) 35, 0 0 0 <br /> A X ACP 5909600826 10/18/10 10/18/11 PERSONALEAOVI,IJURY _ .2,000,000 <br /> GENERAL AGGREGATE 32, 000, 000 1 <br /> GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG 32,000,000 <br /> policy n jOT 1 LOC <br /> AUTOMOBILEUABILITY <br /> ANYAUTO CO SINGLE LIMIT $ <br /> ALL OVINE() AUTOS <br /> BOINLYINJURY S <br /> _ SCHEDULED AUTOS (Pape/son) <br /> HIRED AUTOS BODR.YINJURY <br /> — NON- OWMEOAUTOS (Perooddenp <br /> PROPERTY DAMAGE 3 <br /> (Pereooedenl) <br /> GARAGEUABIUIY AUTOONLY.EAACCIDENT $ <br /> ANYAUTO — <br /> OTHER THAN EAACC S <br /> AUTOONLY: AGO $ <br /> EXCESSNMBRFILA LIABILITY EACH OCCURRENCE $ 3, 0 0 0, 0 0 0 <br /> OCCUR CLAIMSMAOE AGGREGATE . <br /> 77CU8627933001 05/26/10 05/26/11 $ <br /> B X R DEDUCTIBLE <br /> RETENTION 3 ( $ <br /> EMPLOYER UAB EN ATTIONAND I TORVLNNIYS 1 ID a <br /> ANY PROPR'ETORPARTNER.EXEGUTNE E.L. EACH ACCIDENT 3 <br /> OFPICERMEMIER EXCLUDED/ <br /> nee, dI C lbeunder E.L. DISEASE - EA EMPLOYEE 5 <br /> SPECIAL PROVISIONS below E.L. OISEASE - POLICY LINT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ 3XCLUSIONSADDED BY ENDORSEMENT /SPECIAL PROVSIONS <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP IRATION <br /> CITY OF ZEPHYRHILLS - BUILDING DEPT DATE THEREOF, THE 188UING INSURER WILL ENDEAVOR TOMAIL DAyS wRITTEN <br /> 5335 $ TH ST NOTICE TO THE CERTIFI HOLDER NAMED TO THE , UT FAILURE TO DO SO SHALL <br /> Z E P H Y RH I L L S , FL 33542 IMPOSE NO OBLIGA • NOR , 9IUT / OF ANY KIND , pO/L E INSURER, ITO AGENTS OR <br /> REPRESENTA IVES. <br /> AUTH • ihihs R • NE I <br /> ACORDZS(2001l08) ®ACORD CORPORATION 1988 <br />
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