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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 06/08 <br /> Client#: 6725 TOTAELE <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATERAINDO/YY"Y) <br /> 11/0212010 <br /> PRODUCER THIS CERTIFICATE I8 ISSUED AS A MATTER OF INFORMATION <br /> Lanier Upshaw, Inc. ONLY R AND THICONFERS TIFICATE DOES UPON AMEND ,EEXTEN OR <br /> 1115 US Hwy 98 South ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> __ ,'.O. Box 468 <br /> Lakeland, FL 33802 INSURERS AFFORDING COVERAGE NAIC 0 <br /> INSURED INSURER A: Westfield Insurance Company 24112 <br /> Total Electric Service of Tampa, Inc. INSURER B: <br /> 8929 Maislin Drive INSURERC: <br /> Tampa, FL 33637 INSURER D. <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 /> POUCY EFFECTIVE POLICY EIOIMATION <br /> LTR arm TYPE OF INSURANCE POLICY NUMBER DATE fMMIODM'YYI DATE aallDD(YYYY1 UNITS <br /> A GENERAL uABLrrY T RA5544989 11/01/2010 11/01 /2011 E ACH OCCURRENCE 51.0 00,000 <br /> X COMMERCIAL GENERAL LIABILITY MA LIR FFIEN7 g„ 6100.000 <br /> CLAIMS MADE © OCCUR WED EXP (My one parson) 55.000 <br /> X PD Ded:1,000 PERSONAL a ADV INJURY 51.000.000 <br /> GENERAL AGGREGATE 82.000.000 <br /> GENL AGGREGATE UNIT APPLES PER PRODUCTS - COMP/OP AGG 82,000,000 <br /> - POLICY n JEST n LOC <br /> A AUTOMOBILE LIABILITY TRA5544989 11/01/2010 11/01/2011 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Es accident) $1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> _ SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON -OWNED AUTOS (Peracddenl) <br /> "— PROPERTY DAMAGE $ <br /> (Per acoldent) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ <br /> H ANY AUTO - <br /> OTHER TITAN EA ACC = <br /> AUTO ONLY: AGG $ <br /> A EXCESS I UMBRELLA LIABILITY TRA5544989 11/01/2010 11/01/2011 EACH OCCURRENCE 62.000.000 _ <br /> OCCUR 0 CLAIMS MADE AGGREGATE 52,000,000 <br /> I DEDUCTIBLE <br /> RETENTION $ 1 6 <br /> $ <br /> WORKERS COIAPATIDN AND I T 9 - I I FR <br /> � <br /> EMPLOYERS' LIAIILITY <br /> ANY <br /> ( � in EL EACH ACCIDENT $ <br /> In EXCLUDED? <br /> If yyeess� ducd under <br /> E.L. DISEASE - EA EMPLOYEE $ <br /> S PR OVISIONS below EL. DISEASE - POUCY LINT 6 <br /> A 074 Rented & TRA5544989 11/01/2010 11/0112011 650,000 w/$500 Ded. <br /> Leased Equipment <br /> DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> RE: License for John Madison #EC0001439 & Roy W. Baker EC13001371 <br /> CERTIFICATE HOLDER CANCELLATION 10 Days for Non•Payment <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION City Of 2 ephyrhnla- sYilding DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AR DAYS WRITTEN <br /> Dept. NOTICE TO THE CERTIFICATE HOLDER NAND TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Zephyrhills, FL 33542 REPRESENTArwla, <br /> AUTHORIZED RB IMTATNE <br /> i+S.at".•� 5. ' �.e. <br /> ACORD 25 (2009/01) 1 of 2 #8153259/M152961 0 1988 -2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD FRANC <br />
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