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11-11388
Zephyrhills
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Building Department
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2011
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11-11388
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Last modified
10/17/2011 9:44:21 AM
Creation date
10/17/2011 9:44:20 AM
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Building Department
Company Name
EDGEWOOD
Building Department - Doc Type
Permit
Permit #
11-11388
Building Department - Name
BARTON FAMILY
Address
4623 CHARTER ST
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r4 Win_ 10, 201' 4; 03PM NOVAK AGENCY No, 2520 P. 1/1 <br /> t+ERTiri4H i C OF LIABILITY INSURANCE DATE(MMIDDn'YYY) <br /> PRODUCER 01/10/2071 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> NovaltAgency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 11590 Seminole Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Largo FL 33778 <br /> 727- 393 -0640 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED JUDITH A NICITA INSURE- A: WESTERN HERITAGE <br /> SOLAR INDEPENDENCE LLC INSURER <br /> 3055 ELKRIDGE DR <br /> INSURER C; <br /> ' HOLIDAY, FL 34691 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTEDBELO WHAVEBEENISSUEDTOTHEINSUREONAMEDABOVEFORTHEPOLICYPERIODINbICATED .NOTWITHSTANDING <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 INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREI IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> I TR ` r D L POLICY EPFEECrnie POLICYF�(PIRATION <br /> SBIk rvoF OF INSIIR�rF PQLK:Y NUMBER n,YF n11NW111 PO i i I ATIO LIMITS <br /> GENERAL LIA8ILITY EACH OCCURRE E $ 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY GL10190 06/17/10 06/17/11 P aF , , °, .9 $ 100,000 <br /> CLAIM$MIADE 113 OCCUR MEDEXP !Any ere Person) S 5,000 <br /> PERSONAL $ 1,000.000 <br /> GENERAL AGGREGATE $ 1 1 000,000 <br /> GEN'L AGGRE TE LIMIT APPLIES PER: PRODUCTS - COMPIOP AS,G $ 1,000,000 <br /> POLICY LOC <br /> AUTOMOBILE LABILITY <br /> ANY AUTO COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> _ ALL OWNED AUTOS <br /> — SCHEDULED AUTOS BODILY INJURY (Per (Per person) <br /> — HIRED AUTOS <br /> NON -OWNED AUTOS BODILY INJURY $ <br /> (P'er accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS! UMBRELLA 41ABILITY EACH OCCURRENCE $ <br /> OCCUR El CLAIMS MADE AGGREGATE $ <br /> $ <br /> _ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION wC STAT OTHL <br /> AND EMPLOYERS' LUIBILITY Y 1 Tno i wi 1 I RR <br /> ANY PROPRIETOR/PARTNER/EXECUTIV� <br /> OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br /> (Mandalay In NH) <br /> IyN deaori6a under E .L DISEASE - EA EMPLOYEE S <br /> SPECAAI. PRAVISKlNS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> DESORIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br /> LOCATION: 3055 ELKRIDGE DR, HOLIDAY, FL 34691 <br /> ELECTRICAL/SOLAR CONTRACTOR <br /> CERTIFICATE HOLDER CANCELLATION <br /> SNOULO ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITY OF ZEPHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES, <br /> AUTHORIZED REPRESENTATIVJ K111,ry7 <br /> 1813- 780 -0021 <br /> ACORD 25 (2009101) &h 19118 -2009 ACORD CO e .mrehts reserved. <br /> The ACORD name and logo are registered:marks Of ACORD <br />
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