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11/1212010 09:16 Page 2/3 <br /> CERTIFICATE OF LIABILITY INSURANCE D A 11 /1 2/ <br /> rac.'►�rr.�'° 1 <br /> PRODUCER Varcas Insurance Agency, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 2901 B West Hillsborough Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Tampa, FL 33614 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone (813) 319 -1940 Fax (813) 319 -1944 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A: WESTERN WORLD INSURANCE CO <br /> INSURED Martin Air Conditioning & Refrigeration Corp INSURER B: <br /> 3117 W. Braddock Street <br /> Tampa, FL 33607 INSURER C: <br /> INSURER D: <br /> 1(813) 877 -8896 INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED 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 /> INSR ADDt T OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSR MI <br /> D DATE 1MDD1YYYY DATE (MMIDDIWYY) <br /> GENERAL LIABILITY EACH OCCURRENCE 500,000 <br /> 0 COMMERCIAL GENERAL LIABILITY FKUPJ -O 08/10/2010 08/10/2011 PREMISES SES (Ea occurrence) 50,000 <br /> CID CLAIMS MADE 0 OCCUR MED EXP (Any one person) 5,000 <br /> A ❑ ❑ PERSONAL &ADVINJURY 500,000 <br /> ❑ GENERAL AGGREGATE 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 500,000 <br /> 0 POLICY ❑ PROJECT ❑ LOC <br /> AUTOMOBILE UABILITY COMBINED SINGLE LIMIT <br /> ❑ ANY AUTO (Ea accident) <br /> ❑ ALL OWNED AUTOS <br /> BODILY INJURY <br /> ❑ ❑ SCHEDULED AUTOS (Per person) <br /> ❑ HIRED AUTOS <br /> ❑ NON OWNED AUTOS BODILY INJURY <br /> (Per accident) <br /> ❑ PROPERTY DAMAGE <br /> n (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ❑ ❑ ANY AUTO OTHER THAN EA ACC <br /> ❑ AUTO ONLY: AGG <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE <br /> ❑ OCCUR ❑ CLAIMS MADE AGGREGATE <br /> ❑ DEDUCTIBLE <br /> ❑ RETENTION $ <br /> WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- <br /> EMPLOYERS' LIABILITY YM TORY LIMITS ER <br /> ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER /MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS ! LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> HV /AC and Plumbing Services <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> CITY OF ZEPHYRHILLS xx DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br /> 5335 8TH STREET THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABIUTY <br /> ZEPHYRHILLS, FLORIDA 33542 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> FAX: 813- 780 -0021 AUTHORIZED REPRESENTATIVE <br /> f x^'...,.. K'. ^.�... .. <br /> ACORD 25 (2009/01) QF ®1988 -2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />