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10-11098
Zephyrhills
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2010
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10-11098
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Last modified
8/16/2011 8:38:00 AM
Creation date
8/16/2011 8:37:59 AM
Metadata
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Building Department
Company Name
BRENTWOOD FIRST ADDITION
Building Department - Doc Type
Permit
Permit #
10-11098
Building Department - Name
BRADLEY HW & VM LIVIN TRST
Address
6510 BRENTWOOD DR
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ACORD CERTIFICATE OF LIABILITY INSURANCE o9rz7rzo1 o "''" <br /> PR0euc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Swofford Insurance Services, Inc. ONLY AND CONFERS 110 RIGHTS UPON THE CERTIFICATE <br /> W Ave HOLDER. THIS CERTIFICATE DOES NOT EXTEND OR <br /> Tampa, FL 33618 <br /> ALTER THE COVERAGE AFFORDED BY THE PO ES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIL # <br /> INSURED INSURER A: The Hartford insurance Group <br /> Ron lamas Heating & Cooling, Inc. INSURER It <br /> 19121 US HWY 41 N INSURER c <br /> Lutz, FL 33549 <br /> License # CACI 613676 D' <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE PCRTHE POLICY PERIOD INDICATED, NOTTMTHSTANDING4 <br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO 1MdCH THIS CERTIFICATE MAY TIE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIOIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COMMONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID pp <br /> CLAIMS. pL <br /> LTV J TYPE OP INEM wMCE POUCV NOON oN110M�NM p d1T[ � <br /> LIMITS <br /> CONIERAL LIAIN EACH OCCURRENCE $ 1.000,000 <br /> x c:aMMeN:w,r�Erem.uASlurr 01 SBM AK8044 <br /> 09/16/2010 09/16/2011 m L s 300,000 <br /> A I CLAIMS MADE 13 OCCUR MED ExP (Any ow Im o s 10,000 _ <br /> PERSONAL S ADYINJURY $ 1 =000,000 <br /> Ge1eIALAGGREGATE = 2 <br /> — <br /> OENt AGGREGATE LIMIT APPLIES PER PRODUCTS - CCMPIOP ADG $ 2000.000 <br /> 7 POLICY n IR.% Floc <br /> AIRWOMEN UASIUTY <br /> COMBINED _— ANY AUTO 11GlEl LIMIT <br /> — <br /> ALL OPINED AUTOS <br /> BODILY INJURY <br /> _ BCHEDuLED pio Pm* <br /> HIRED AUTOS <br /> BODILY INJURY <br /> r- NOW -MANED AUTOS (Par W <br /> PROPERTY DAMN <br /> (Pm welded) <br /> GARAGE LMMUTY AUTO ONLY. ISA ACCDBIT S _ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGO $ <br /> ALA UANLITY EACH accuRRBMF s <br /> OCCUR a CLAIMS MADE AGGREGATE <br /> R DEDUCTIBLE _ $ - <br /> RETENTION <br /> IRONER, COMPENSATION AND HNC $ TA X1 1 <br /> EMPLOYERS' LIANUTY <br /> ANY PROPRI El EACH ACCIDENT S _ <br /> OPnC I IMIMSER OCCLUDED? EL DISEASE - EA EMPLOYEE S <br /> ttyo r b nndn <br /> SAL PIRDMISIONSIw10w EL DISEASE- POLICY OMIT S <br /> OflER <br /> • <br /> DUSCRPTON Or DiERA110Ne/ LOCATIONS l VIRRCLas ►ENCLNNDNS ADOW KBNDOSI IT/ SPECIAL MIONBQNE <br /> Thos pertaining to the usual operations of the insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> IN01NDANYOPTNEANOVEOwgROOD POEMS wd1MCIRLIDfo 011[n1EEXPIRATON <br /> 5 �y 33 p yrhilis - Building Dept. DATE TNERITEIJF. THE M$I$$G INSURER MELL UIE VOR 70 MAO_ 30 DAYS MMRIrTIN <br /> Zephyrhills, FL 33542 NOTICE TO THE MTIPICATE HOLDER NAMED 10 THE L@T, BUT PALINE 10 DO SO SWILL <br /> IMPOSE NO OSLOATION OR UAELJTY OF ANY MIND UPON 71E POURER, RS AMTS OR <br /> RORESORATP1d. <br /> /WTIIDRI>lSP RIPROATNE <br /> w Linen ,Ant 41e1111k <br />
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