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11-11380
Zephyrhills
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2011
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11-11380
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Last modified
10/17/2011 9:38:43 AM
Creation date
10/17/2011 9:38:42 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11380
Building Department - Name
LUNA,MANUEL
Address
38151 6TH AVE
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~ - <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE(1MMleDfYYYY) <br /> 0110912011 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Smith > Thomas Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR <br /> P.O. Box 3544 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Lakeland FL 33802 INSURERS AFFORDING COVERAGE NAIL 8 <br /> INSURED Powerhouse Electric, Inc. , - .,-, A: Bankers Insurance Com..., <br /> 6448 Frontler Drive INSURER E: <br /> INS . • <br /> Zephyrhllls FL 83540.7604 , - 0 : <br /> INSURER!: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE USTED BELOW MAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO1WITHSTANDWG <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 13 SUBJECT TO ALL THE TERMS, !XCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br /> IMSR'ADD'L I " - T I NZ f�iINl�ii N YM1f <br /> LTR ygMtI Twin AN MYMIRiypA <br /> Feuer/ NIEEI�1 e� " ...• <br /> imp MAL LIABILITY « $ 1100.000 <br /> A X COMMERCIALOENEIWOMBIury 090006344085 11/19/2010 11/1012011 PR.. pt $ 100.000 <br /> CLAIM, WOE 1.3j OCCUR MD tit „Any ono mem i 6.000 <br /> PERIIDNAL a AOV INJURY 1 1.000,000 _ <br /> —” GENERALAQQREGATE $ P001000 <br /> L A GREGAT um' APPU 8 PERI PRODUCTS • CDM AD <br /> PUCP S $ 1.000,000 <br /> IPOLCY • LOC <br /> TOLE MINIM COMBINED SINGLE LIMB $ <br /> ANY Auto (s amItI G <br /> • <br /> ALL OWNED AUTOS BODILY NJURY S <br /> SCHEDULED AUTOS <br /> HIRED AUTOS IOOILY E7 URY • <br /> NON -OWNED AUTOS (PM ECM) <br /> . PROPERTY t) MAO! B <br /> (per <br /> GARAGE LIABILITY AUTO ONLY • EtitiCIDENT 1 _ <br /> -1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO S <br /> 1 CLMMS MADE EACH OCCURRENCE 3 <br /> OCCUR AGGREGATE 5 <br /> $ <br /> DEDUCTIME I <br /> RETENTION 3 1 <br /> WORNSRS COMPENSATION AND 1 •M ve leii) I • <br /> EMPLOYER, MINIM EL EACH ACCIDENT I <br /> ANY PROPRIETOWPARTNERAIXECuTIVE <br /> OPFICERMEMEER EXCWDE07 LL MAIM • EA EMPLOY,, M <br /> I • e under ! L DISEASE- POLICY LIMB 1 <br /> OTHER <br /> DESCRIPTION CO OPERATION, I •ACATIONS 7 WOOL= l EXOW$IONS ADDEO BY INDORINE ENT I' SPECIAL PROVISIONS <br /> • <br /> • <br /> CERTIFICATE HOLDER CANCELLATION <br /> EMOULDANYOPTIMABOVE MOM IliD MUCUS IICANCELLEDSEPORETHEEXPIRATION <br /> CIty of Zephyrhllls DATE THIRIOR TIE ISSUING INSURER WIN. ENDEAVOR TO NAIL DAYS some <br /> Attn: Buliding Dept NOTICE TO TIE OEITMICATE HMO NAMED TO THE LIFT. EMUT PAIWRE TO 00 SO SHALL <br /> 9338 Sth Street MOB! NO OBLIGATION OR UAILITY or ANY KIND UPON THI EISUIIER. ITS AGENTS OR <br /> Zephyrhille, FL 33542 <br /> AUTHORIZED REP <br /> ACORD 29 (2001101) O ACO ■• CORPORATION 1593 <br /> T • d 6006 LB9 198 33Wd21f1SW I S1 WOH1 1 Hl I WS Wd20 : 4 T T O2 90 uer <br />
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