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. 10/0Q/2010 15:09 3526880339 ADVANTAGE INSURANCE PAGE 01/01 ,,rte OATE(MM /DOIYYYY) -Aa:� � CERTIFICATE OF LIABILITY INSURANCE 10 /06 /10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C ONFERS NO RIGHTS IGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - - -_ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, aubJect to the terms and conditions of the po11Cy, certain policies may require an endorsement. A statement on oils certificate does not confer rights to the eertlticnte holder In Ileu of such endorsemeht(s), PRODUCER _NAME: Advantage Insurance, Inc. pH C N N p t1• �N — _ _ • •• -- 13224 Spring HIII Drive • W AIL s _ - - — g rin H ill FL 34 609 PRODUCER P 9 _c.U3.T- OMER1AJr• - - -- -. Rhone (352)688-1518 Fax (352)686 -5339 INSYREJS) AFFORDING COVERAGE ..,,., NAIC r INSURE° INSURER A_ BANKER INSURANCE - VECTORS i Discount Screen Service, Inc., John Lane INSURER B_ __ 736 W. Fort Dade Avenue INSURER D : — Brooksville, FL 34601- INSURER D : - — ..... l (352) 754.9834 INSURER E; _. --- -. ......._.. - -,__ .._.._ — . _. INURER_F .. - .. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ ( THIS IS TO CERTIFY THAT 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, EXCLUSION; AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - -- — - _ INs - - -- mu OtBFF - - F OLTOV E 7ilr' _ - ' LTR TYPF OF INSURANCE ADU l WVO )-J POLICY NUMBER putrei isivvYYMMIODIYYYY) _ LIMITS GENERAL LIABILITY EACH OCCURRENCE -- 1 300,000 1 0AMAGCTD' RFATEf ICI COMMERCIAL rFNERAL LIABILITY PREMISES (Ea oceunencn) S •- _ 100,000 OCCUR 090005311445105 MED EXP (An 1 - 1 ' CLAIMS -MADE ..17 y one PereoM _ 3• _ 5,000 A ...__ 06/17(2010 0e/17/2011 - ' PERSONAL 6 AOV INJURY S 300,000 0ENERALACCREOATE s 600,000 GN'L A3•ItEAATE LIMIT APPI.IES PER: PRODUCTS • COMP/OP AGG $ INCLUDED 'd POLICY n PRE. I1 LOG f ..- - - .... .. AUTOMOBILE L14QILITY COMBINED SINGLE LIMIT $ (Ea aeeldent) ANY AUTO BODILY INJURY (Per person) F ALL OWNED AUTOS BODILY INJURY (Per accident) S 1 .1 SCNEDULED AUTOS PROPERTY DAMAGE S 1 HIRED AUTOS (Per accident) r i L .__ NON-OLVNED AUTOS l I I UMBRELLA LIAR i= OCCUR EACH OCCURRENCE. $ : GXCESS•LIAB ] CLnIMS•MADE AGGREGATE t ..,... . I 1 OCDIJCTIEI E 5 R ETENTION $ ... _. — ...... _•_ s WORKERS COMFKNSATION t_ rr-I T W OBy..LJ .Lr V.IiiiU• J.� E(^l 0TH• . MO EMPLOYERS' LIAaILITY _. ANY PROPRIETOR /PARTNER /EXECUTIVE Y f N N f A E.L. EA _ CH _ ACCIOENT _ S oi:ric R/MEME . EXCLUnEn? _ (Mnnuacory i11 NHI E.L. DISEASE • EA EMPLOYE S if vr., dree under E.L. DISEASE • POLICY LIMIT $ OSSCRIPTION or OPERATIONS below ._,. —_... .. _._ —,... • ---. —_., ...._ —._ .., —_.. • DESCRIPTION OF OPERATIONS I LOCATI - - -••• E.L. DNS! VEHICLES JAtisch ACORD 101. Additional Remora* Selledulo, It mere *pada 1* regliuedI SCREEN AND SOFFITS INSTALLATION SERVICE L ._..._ : _____ .. .._ CERTIFICATE HOLDER CANCELLATION sHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN CITY OF ZEPHYRHILLS ACCORDANCE WITH THE POLICY PROVISIONS. • 5335 8TH STREET • ZEPHYRHILLS, FL 33542 Avrt1OR REPRESENTATIV 4 FAM/813.7E10 -0021 1 . , im , I . _.. _._ . - ___....._ ._- . _ -.... -- - - - ... I ; r ,. "_ " -. . / „985 -2009 ACORD CORPORATION. All rights reserved. J ACORO 25 (2009/09) OF T ACORO name and logo are registered marks of ACORD