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12/01/2010 12:59 7273276441 LARRY HOLLY ASSOC PAGE 01/02 <br /> ACORD"' CERTIFICATE OF LIABILITY INSURANCE <br /> �', bATE (MNUDDIYYYY) <br /> PRODUCER - .. 12/01 /2010 <br /> LARRY R HOLLY & ASSOCIATES, INC. ON <br /> nos IS ISSUED Y CONFERS NO RIGH S A MATTER OF UPON THE ( CERTIFICATE <br /> 2437 CENTRAL AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ST PETERSBURG, FL 33713 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> INSURERS AFFORDING COVERAGE NAiC <br /> INSURED <br /> TABAR CONSTRUCTION, INC. INSURER A: ATLANTIC CASUALTY INSURANCE COMPANY <br /> BRETT TABAR INSURER B: Rll SURETY - FLORIDA <br /> 2021 44TH AVENUE NORTH INSURER C ; <br /> ST PETERSBURG, FL 33714 INSURER D: <br /> I NSURER 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 MAY <br /> PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE UMn s SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CDR IBISRD AU _ Will y ' y <br /> LTR i TYPE OF INSURANCE POLICY NUMBER I DATE,D/YY P uATE (MMfDYNT► LIMITS <br /> GENERAL U&BIUTY <br /> EACH OCCURRENCE : 8100,000.00 <br /> A Z COMMERCIAL GENERAL UAINLITY #L030001563.6 12.08.2009 12.08.21 0 p <br /> '0 CLAIMS MADE n OCCUR $R 1113 3IEa De — I LF S 3100,000,00 <br /> MEO EXP (Any one person) $ *5,000.00 <br /> PERSONAL &ADV INJURY n o m = <br /> GENERAL AGGREGATE $ *300,000.00 <br /> GENT AOc3REGATE LIMIT APPLIES PER: PRODUCT$ - COMP /OP AGO $ *300,000.00 <br /> 7 POLICY 1 1 PROJECT n LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO (EaM LIMIT $ <br /> • ALL OWNED AUTOS <br /> ▪ SCHEDULED AUTOS { Pe r I. $ <br /> D HIRED AUTOS ./ <br /> NON-OWNED AUTOS BODILY INJURY $ <br /> (Per =OEM) <br /> — 1 <br /> PROPERTY DAMAGE $ <br /> (Per aceideM) <br /> GARAGE LIABILITY C AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER UTO ONLY: <br /> AGG $ ■ <br /> EXCEBSNMBRELLA LIABILITY <br /> EACH OCCURRENCE g <br /> OCCUR 0 CLAIMS MADE AGGREGATE <br /> DEDUCTIBLE s <br /> 7 RETENTION $ $ "--- <br /> EMPLOYRv4RC0 IIA P S N Uik TION AND 7 TORY LIMITS nu- <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERndEMeER EXCLUDED? <br /> If y deauibe under E.L DISEASE - EA EMPLOYEE $ <br /> SPECIAL PROVISIONS below <br /> E.L. DISEASE - POLICY LIMIT S <br /> OTHER <br /> B CONTRACTORS CODE #LSM0017091 08.01.2010 08.01.2011 $5,000.00 <br /> COMPLIANCE BOND <br /> eltSCIOPTIO"O OP <br /> RF ERAT1QNS7LOW1NOES ryeHIa s 1 EX CLUSIONS T i SPECIAL PROVISIONS v 411■■■■,. <br /> Please send any neccessary changes to Michele at: mthollyl @tampabay.rr,com OR FAX TO: 727.327.6441 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF ZEPHYRHILLS SHOULD ANY OF THE ABOVE DESCRIBED p0LKSQS BE CANCELLED BEFORE THE EXPIRATION <br /> 5335 8TH STREET DATE THEREOF, THE ISSutNo INSURER WILL ENDEAVOR TO MAIL 10 DAYS mum <br /> NOTICE TO THE CERTIFK:ATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 ENALL <br /> ZEPHYRHILLS, FL 33542 <br /> IMPOSE NO OBU WON OR UABIL[1Y OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTS. <br /> FX #: 813.780.0021 AUTN • • 4r r - NTATIVE <br /> �f2rf / • LARRY R HOLLY <br /> ACORD 25 (2001/08) / () ACORD CORPORATION 1988 <br />