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10-11198
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10-11198
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Last modified
8/16/2011 1:14:31 PM
Creation date
8/16/2011 1:14:28 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-11198
Building Department - Name
PHILLIP MICHAEL INC
Address
6951 GALL BLVD
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ACORo CEF TIFIC qTE OF LIABILITY IN URANCE sR DATE ( /DD / Y Y) <br /> APPLE 2:: 03/17/ <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Oakes & Associates Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 4111 Land 0' Lakes Blvd. #108 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Land 0' Lakes FL 34639 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> Phone No 813 - 996 -4111 Fax No. A Auto Owners Insurance Co <br /> INSURED - - <br /> COMPANY <br /> B <br /> COMPANY <br /> Apple Sign & Awning, LLC C <br /> 1635 N. Dale Mabry Hwy # 7 COMPANY <br /> • Lutz FL 33548 D <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO • TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR DATE (MM /DD/YY) DATE (MM /DD/YY) LIMITS <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 <br /> A j X j COMMERCIAL GENERAL LIABILITY 062312 - 20680616 -10 03/08/10 03/08/11 PRODUCTS - COMP /OPAGG $1000000 <br /> CLAIMS MADE L XJ OCCUR PERSONAL &ADV INJURY $ 1000000 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 <br /> X Per Project FIRE DAMAGE (Any one fire) $ 50000 <br /> I X waiver of subrog. MED EXP (Any one person) $ 5000 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1000000 <br /> A X ANY AUTO 46- 717 - 472 -00 03/08/10 03/08/11 <br /> ALL OWNED AUTOS BODILY INJURY <br /> ' SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS <br /> X NON -OWNED AUTOS BODILY INJURY <br /> (Per accident) <br /> • <br /> PROPERTY DAMAGE I $ <br /> ' ._ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ! ANY AUTO OTHER THAN AUTO ONLY: I •:':': <br /> • <br /> EACH ACCIDENT $ <br /> AGGREGATE 1 $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM — - _ -- _ - -- - - -- - -- <br /> AGGREGATE <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND ' WC STATU OTH <br /> EMPLOYERS' LIABILITY I TORY LIMITS ER .. <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT $ <br /> PARTNERS /EXECUTIVE - <br /> OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ <br /> OTHER <br /> i I j <br /> DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS <br /> CERTIFICATE HOLDER <br /> CANE�LLATI Oil <br /> ZEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> City of Zephyrhills <br /> 5335 8th Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> Zephyrhills FL 33540 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENT WE <br /> . .10:"' <br /> / ,x <br /> )- <br /> AGORD25- 5.:(1/95} <br /> ACORD CORPTJRATI ©N 1988::: <br />
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