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11-11365
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11-11365
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Last modified
10/17/2011 9:15:22 AM
Creation date
10/17/2011 9:15:18 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11365
Building Department - Name
BARTON,GLADYS
Address
5236 BELTRAM DR
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01/04/2011 14:02 FAX 7275338835 DURAMADE 10001 <br /> ACORD. C ERTIFICATE OF LIABILITY INSURANCE _ °"�""'""°°"'""' <br /> 12J7/2010 <br /> PRODUCAt Phone: 727- 96] -6049 Fax: 727 - 442 -7695 <br /> Brown & Brown Insurance - Clearwater <br /> P.O. Box 2456 <br /> Suite 660 <br /> Clearwater FL 33757 -2456 <br /> INSURED <br /> THIS CERTIFICATE IS ISSUE) AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATI DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFF ORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVEF WE NAIL i <br /> INSURERA:$OUth Qwn ers 7:ns. Co. 10190 <br /> Duramade Windows & Doors Inc & <br /> dba Southern I�nergy Systems <br /> 5733 Myerlake Circle <br /> INSURERS FCCT j IsuranC ;I 10178 <br /> IN$URERC :Natiprla T ry ;.rlsuraup- a CO. 20141 <br /> Clearwater FL 33760 INSURER D: • <br /> INSURER E: _ <br /> COVERAGES — <br /> TEE POLICIES OF I.r9 URANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR `HE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING AdY REQUIREMENT, TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WIII RESPECT TO WHICH THIS <br /> CERTIFICATE MAY EC ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIIn HEREIN I9 SUBJECT TO ALL THE <br /> TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> I — <br /> ,TR_.IY . rnJ? )FUISHRAN*.F roe= HUMP WP/P/amWossrvi — LAM <br /> A GENERAL LIAR 20715155 12/8/2010 12/8/2011 EJ%I'IOCCURRENCE 51.000.000 <br /> COMMERC IAL GENERAL LIABILITY PF eAMI E&E�oCC1IMICeJ $ 3Q0 I �Q -, <br /> CLAP 15 MADE ©OCCUR MI ) E'XP (Anyone person) $ 10.000 <br /> PE tEDNAL&ADV S 7 . 000. 00,0 + , <br /> • of 45194 AaoRSoATE 6 2, 0 0 0, 0 0 0 <br /> — <br /> GENLAGGREG4TE Lan APPLIES PER; PF mum - COMP/OPAGG 5 Q0 0 <br /> x Poucv I - 1 n Loc _ <br /> C AUTOMOBILE L ABILITY CA0017326 12/8/2010 12/8/2011 CC MINED SINGLE LIMIT <br /> ill ANY AUTO (Fr 409900 $1,000,000 <br /> AU- OWNS) AUTOS BC KY INJURY $ <br /> ■ SCHEDUU.0AUTOS (PI pew) <br /> ■ HIRED AU105 <br /> GC 7KYINJURV $ <br /> ■ NON-OWN :DAUTOS (PI a:cldest) <br /> ■ PR IP_RTYDAMAGE $ <br /> (1 wxAdent) <br /> GARAGE LABS TTY AU 0 ONLY- EA ACCIDENT S <br /> ■ ANY AUTO OT iERTHAN $ ,. <br /> AU 0 ONLY: AGG $ <br /> EXCESS/ MORI LLA UABEJTY EA H OCCURRENCE $ <br /> ■ OCCUR CLAIMS MADE AG :REGATE $ <br /> $ <br /> ■ DEDUCT'S .E _ _ s <br /> RETENTIOI J $ S <br /> B woRNERS COMPENS/,TIONAND 64934 12/8/2010 12/8/2011 X Arm' MRSI I oa <br /> EMPLOYERS' LJAEINJY, <br /> ANY PROPRIETORIPAF I'IERJEXECUTIYE <br /> E.L EACH ACCIDENT $ .500 . 000 <br /> OFFICERJMEMBEREX(LUDED7 EL DISEASE -EA EMPLOYEE S 500.000 <br /> nes. Mote MOM <br /> SPECIAL PROVISIONS below E.L DISEASE- POLICY LIMIT $ 500.000 <br /> OTHER <br /> — <br /> DESCRIPTION OF OPERATIO 4S/ LOCATIONS I VENICLE5l EXCLUSION:I ADDED BY EEDORSEMEITI SPECIAL PROVISIONS <br /> License Holders: John MacLeod CBC010111 (Duramade Windows & Doors, Inc <br /> Jeffrey Saitta CVC36780 (Duramade Windows & Doore Inc dba Fafco Solar of Tampa <br /> Ian Morrissey CVC55751 (Southern Energy Systems) <br /> CERTIFICATE NOLDI ER CANCELLATION _ <br /> SHOULD ANY OF 'CBE ABOVE DES RIESE) POLICIES 8E CANCELLED <br /> Lit of 2e h rhille BEFORE THE EXPIRATION :ATE ' HEREOF, THE ISSUING INSURER <br /> Y P Y WILL ENDEAVOR TO MAIL 30 DA 5 WRITTEN NOTICE TO THE <br /> 5335 Sth Street CERTIFICATE HOLDER swim TO Ti(E LEFT, BUT FAILURE TO DO SO <br /> Zephyr1.ills FL 33542 SHALL IMPOSE NO OBLIGATION .R LIABILITY OF ANY KIND UPON <br /> THE INSURER, xrs AGENTS OR EPRE$ENTATTVE$. <br /> AUTNORQED REPRESENTATIVE itg04 0 04444M." . <br /> • <br /> ACORD 25 (2001108) 03 ACORD CORPORATION 1988 <br /> I <br />
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