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10-11341
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10-11341
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Last modified
10/14/2011 1:04:36 PM
Creation date
10/14/2011 1:04:34 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-11341
Building Department - Name
CNL INCOME FUND IV LTD
Address
7250 GALL BLVD
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= curDate > <curTime>Work Comp Associates Inc .Brian A Padgett <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br /> Work Comp Associates, Inc. RIGHTS UPON THE CERTIFICATE HOIDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND <br /> P OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O. Box 33297 <br /> Palm Beach Gardens, FL 33420 -3297 <br /> USA COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> A BusinessFirst Insurance Company <br /> INSURED COMPANY <br /> Weeks Electric, Inc. B <br /> 23250 Singer Lane COMPANY <br /> Brooksville, FL 34601 -7702 C <br /> COMPANY <br /> D <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FCR THE POLICY PERIOD INDICATED, <br /> NOTWITHSTANDING 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 POLICIES. LIMITS SHOWN <br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMITS <br /> LTR DATE (MM/DD/YY) DATE (MM/DD/TY) <br /> GENERAL UABILITY GENERAL AGGREGATE , <br /> COMMERCIAL GENERAL LIABIUTY PRODUCTS - COMP/OP AG e $ <br /> CLAIMS MADE D OCCUR PERSONAL & ADV INJURY •, <br /> OWNERS & CONTRACTORS PROT EACH OCCURRENCE $ <br /> FIRE DAMAGE (Any one fire) •, <br /> MED EXP (Any one person) $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per Person) <br /> HIRED AUTOS BODILY INJURY <br /> NON -OWNED AUTOS <br /> (Per Accident) $ <br /> PROPERTY DAMAGE $ <br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE $ <br /> EXCESS LIABIUTY EACH OCCURRENCE $ <br /> R UMBRELLA FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND XX I TU 1 o R <br /> A EMPLOYERS' UABIUTY <br /> 0521004310000 4/1/2010 4/1/2011 EL EACH ACCIDENT •, 1 00 000 <br /> THE PROPRIETOR/ INCL <br /> PARTNERS/ EXECUTIVE EL DISEASE - POLICY LIMIT 500 000 <br /> OFFICERS ARE: xp EXCL <br /> EL DISEASE -EA EMPLOYE: $ 100,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCAT1ONSNEHICLESISPECIAL ITEMS <br /> A 30 - day notice of cancellation applies for all reasons other than non - payment of premium. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> City of Zephyrhills Building Dept. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 <br /> 5335 Eighth Street DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY <br /> Zephyrhills, FL 33540 - 4312 KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE (, / i f <br /> ,i'r ; % • /— (BAP) <br />
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