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10-11103
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2010
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10-11103
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Last modified
8/16/2011 9:38:29 AM
Creation date
8/16/2011 9:38:24 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-11103
Building Department - Name
TOWNVIEW RETAIL LLC
Address
7320 GALL BLVD
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11/03/2010 10:38 8138992968 TOTAL ELEC PAGE 05/08 <br /> ACORDTM. CERTIFICATE OF LIABILITY INSURANCE ��`' <br /> 1 1/o1 /Solo <br /> PRODUCER , 1 -877 -266 -6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Psyche: Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 150 sa <br /> wgrasa Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Rochester, NY 14620 INSURERS AFFORDING COVERAGE <br /> INEURED <br /> INBURERA: ILLINOIS NATIONAL INSURANCE COMPANY <br /> Psyches Business Solutions, Inc, <br /> TOTAL ELECTRIC SERVICE OF TAMPA, INC. INSURER se <br /> TOTAL ELECTRIC SERVICE OF TAMPA INC INSURER C: <br /> 911 Panorama Trail South <br /> Roohaster, NY 14625 <br /> 877 - 266 -6830 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 ANY <br /> REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br /> INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS <br /> SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INBR POLCY INFECTIVE POUCYI7RETATNNI <br /> LM ME OF INSURANCE POLICY NURSER OATS BIMEIDAM) DATE (MADE VY) WAITS <br /> GENERAL LAALITY EACH OCCURRENCE 1 <br /> COMMERCIAL GENERAL LIABILITY <br /> 1 <br /> I CLAIMS MADE D OCCUR FIRE DAAUOE (MTsM M) <br /> LIED EIP (Aryans PMOI) S <br /> ,_, PE A. RSON I AOV INJURY S <br /> _ GENERAL AGGREGATE S <br /> GENT. AGGREGATE LIMIT APPLIES PER PRODUCTS – COMPICP AGO S <br /> POLICY n JECI' 11 LOC — — <br /> • <br /> AUTOMOBILE LIABILITY <br /> � • ANY AUTO COMBINED SINGLE UNIT <br /> aooMAN) -- 3 <br /> _ ALL OWNED AUTOS ' BODILY IILRIRY <br /> SCHEDULED AUTOS IPM parson) S <br /> HIRED AUTOS <br /> BOOILYINJURY <br /> NON -OWNED AUTOS (PM Oe00N10 S <br /> — <br /> PROPERTY DAMAGE <br /> (PM aeDDNq S <br /> ._ - . GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> R ANYAUTO <br /> 1 OTHER THAN AUTO EA ACC $ <br /> ONLY: AGO 1 <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE ' <br /> RETENTION $ , $ <br /> WORKERS A ~ TI EMPLOYERS' 012007139 06/01/10 06/01/11 X I maim 1 I oTH <br /> TORY UNITS ER <br /> E.L. EACH ACCIDENT 1 1,000.000 <br /> E,L DISEASE–EA EMPLOYEE 1 1, 000, 000 <br /> E.L DISEASE – POLICY LIMIT 1 1,000,000 <br /> OTHER <br /> E <br /> 8 <br /> $ <br /> DESCRIPTION OF OPERATIONWLOCATIONEANWISLESEDICLUSIONS ADDED BY AIDORAlMENDSPECYLL PROWNOIR{ <br /> WORKERS COMPENSATION COVERAGE 28 PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSURED <br /> RCOVERAGE igl MADISON IN O 000143 E 9 A & E ROY BC13001371 TOTAL ELECTRIC SERVICES OF TAMPA INC. 8929 MAISLIN DRIVE TAMPA <br /> CERTIFICATE MOLDER 1 1 ADDITIONAL NUUREa INSURER LETTER: _ CANCELLATION <br /> SHOULD ANY OF TNI ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> CITY OF ZBPEYRBILLB TNERROF, TN■ ISSUING INSURER WILL ENDEAVOR TO MAIL is_ DAYS WRITTEN NOTICE TO THE <br /> BUILDING DEPARTMENT <br /> CERTIFICATE HOLOOR NAMED TO THE LEFT, OUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION <br /> 5335 8TH STREET OR UAWUTY OP ANY HIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> j :EPIHYRB IIO M j <br /> ILLS, FL 33542 USA AITRIMRENDEINTAT , <br /> 1 1C c <br /> ACORD 23-5 (7197) 18158478 II ACORD CORPORATION 1988 <br />
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