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11-11369
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2011
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11-11369
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Last modified
10/17/2011 9:17:08 AM
Creation date
10/17/2011 9:17:06 AM
Metadata
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Building Department
Company Name
ARBY'S
Building Department - Doc Type
Permit
Permit #
11-11369
Building Department - Name
SYBEA,INC (ARBY'S)
Address
7446 GALL BLVD
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FIRE PREVENTION SYSTEMS <br /> - Insured: DWIGHT R. TEATER, JR. DBA <br /> icy Number: GL3679182 <br /> SCHEDULE OF FORMS AND ENDORSEMENTS <br /> Forms and Endorsements applying to and made part of this policy at the time of issuance: <br /> NUMBER TITLE <br /> FORMS APPLICABLE - POLICY COMMON FORMS <br /> PJCG (09 -09) COMMON POLICY JACKET <br /> PJCIC FL(09 -09) COMMON POLICY JACKET <br /> DCJ6550 (07 -05) COMMON POLICY DECLARATIONS <br /> U001 (10 -04) SCHEDULE OF FORMS AND ENDORSEMENTS <br /> U002 (09 -04) MINIMUM POLICY PREMIUM <br /> U094 (07-02) SERVICE OF SUIT <br /> UCG2175 (01 -08) EXCL -CERT. ACTS OF TERRORISM AND OTHER A2TS OF TERRORISM <br /> IL0017 (11 -98) COMMON POLICY CONDITIONS <br /> IL0021 (04-98) NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT <br /> FORMS APPLICABLE - COMMERCIAL GENERAL LIABILITY <br /> DCJ6553 (07 -02) COMMERCIAL GENERAL LIABILITY COVERAGE PAT DECLARATIONS <br /> U003 07 -02 HAZARDOUS MATERIALS EXCLUSION <br /> U004 (07-07) MISCELLANEOUS EXCLUSIONS ENDORSEMENT <br /> U008R (07 -07) CONTRACTORS COVERAGE LIMITATIONS <br /> U015 10 -07 DEMOLITION EXCLUSION <br /> U048 09 -04 EMPLOYMENT- RELATED PRACTICES EXCLUSION <br /> U070 03 -08 DEDUCTIBLE LIABILITY INSURANCE <br /> U076 08 -07 WORK HEIGHT EXCLUSION <br /> U089 09 -04 SUBSIDENCE EXCLUSION <br /> U122B (05 -04) EXCLUSION - DESIGNATED WORK - RESIDENTIA_, NEW CONSTRUCTI <br /> U155 07 -08 ABSOLUTE AUTO, AIRCRAFT AND WATERCRAFT EXCLUSION <br /> U156 08 -07 ADDITIONAL INSURED - OWNERS LESSEES OR "ONTRATORS -SCHED <br /> U159 07 -02 LIMITATION OF COVERAGE TO BUSINESS DESCRCPTION <br /> U180 07 -02 OVER SPRAY PROPERTY DAMAGE EXCLUSION <br /> U612 05 -09 EXCLUSION - ASBESTOS LEAD OR SILICA <br /> CG0001 12 -04 COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br /> CG0067 03 -05 EXCLUSION - VIOLATION OF STATUTES THAT GOVERN E- MAILS, F <br /> CG2139 10 -93 CONTRACTUAL LIABILITY LIMITATION <br /> CG2167 12 -04 FUNGI OR BACTERIA EXCLUSION <br /> CG2186 12 -04 EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS <br /> FORMS APPLICABLE - STATE SPECIFIC <br /> UIL0255 (07 -02) FLORIDA CHANGES - CANCELLATION AND NONREAEWAL <br /> Important notice: See the actual policy forms attached for the full title, terms and conditions. <br /> 0001 (10/04) Page 1 of 1 <br /> Insured <br />
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