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11-11420
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2011
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11-11420
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Last modified
10/18/2011 2:35:05 PM
Creation date
10/18/2011 2:35:03 PM
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Building Department
Company Name
SUNTRUST BANK
Building Department - Doc Type
Permit
Permit #
11-11420
Building Department - Name
SUNTRUST BANK
Address
5435 GALL BLVD
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FrOm:Michele Mason FaxID:Sihle Insurance Grou Date:1 /20/2011 09:12 AM Page: 2 of 2 <br /> ACORO "" OP ID: MM <br /> 4.,......---- CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDONYYY) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER 407-869 -0962 CONTACT <br /> NAME: <br /> SIHLE INSURANCE GROUP, INC. 407 - 774 -0936 PHONE f pax <br /> P. O. BOX 160398 (A/C. No. Exag (A/C, No): <br /> ALTAMONTE SPRINGS, FL 32716 ADIAIL <br /> ADDRESS: <br /> PROD - _ - <br /> PRODUCER <br /> CUSTOMER ID*: LINUS-1 <br /> INSURED Li INSURER(S) AFFORDING COVERAGE NAIC :F <br /> Lin us Alarm Corporation INSURER A : Sentinel Insurance Company <br /> P. O. Box 5159 R B P _ — Y 11000 <br /> INSURE Hartf Casualty _._ — - - -- <br /> Spring Hill, FL 34611 ty 299424 <br /> INSURER C : echnology Insurance Company - - - <br /> INSURER D: --- -- I - -- - -- ---- - -- <br /> INSURER E : <br /> COVERAGES CERTIFICATE NUMBER: INSURER F <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N D ABOV OR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> INSR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ADDL 3UBR <br /> LTR TYPE OF INSURANCE POLICY EFF POLICY EXP ' -- -- _-- - _- --- -- -- <br /> SR I MD POLICY NUMBER (MMfDDNYYY) (MMfDD/YYYY) LIMITS <br /> GENERAL LIABILITY I <br /> EACH OCCUPRENE $ 1,000,000 <br /> B X COMMr1 :IA 11 - PAL uABI1 IrY 21 UENQD6681 07/14/10 07114/11 r g A , �TF') r TED <br /> PHEMI F�Fac cueice) $ 300,000 <br /> I/` IM9 MADE 1X1 - - <br /> U7.IR <br /> MED EXP (Any one pars, - o) $ 10,000 <br /> PER ICINAL 8 ADV INJURY $ 1,000,000 <br /> CEFER $ 2,000,000 <br /> GL N'I A(CIFGAI F I. IMII APPL EC PLR - -- - - -. <br /> F R,� _ l pi; r.Ll ICI .. <br /> X POLICY ,IF-I-1 _coMFOrA�.,r_ $ 2,000,000 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SING! E LIMIT <br /> (Fa accident) $ 500,000 <br /> A X ANY AU it 21 UENQD6681 07/14/10 07/14/11 <br /> ALL OWN ED AUTOo BODIL'I INJJEI' per ) <br /> SCHEDULED AUTOo F ^DIE f Rd.A1R. __- <br /> Y (R r a iLELT) $ <br /> HIRED AU D) S 1'ROF ER r Y DAMA_ E <br /> ' (Per a , ItlFnt) <br /> NON OMINFUAUTO <br /> $ <br /> UMBRELLA LIAB $ <br /> C CIIR - <br /> EXCESS LIAB I j EACH CICCJI ?HENCE <br /> ROOD _ II <br /> AIM: - tv1.4DF __.. __ -. <br /> CELL I�' H _. Af.C.,PEGATF $ <br /> EL <br /> 1 .1LFLNT I $ ' _ $ <br /> WORKERS COMPENSATION r. <br /> C A LIABILITY <br /> ERIE. <EC'Ji�,yc TWC3230922 03/0 <br /> Y/N X �T iPi 1 11 I I'_'l11 <br /> 1 /10 03/01/11 F <br /> ii (Mandatory tER FXCL IDFG% <br /> (M N/A L L FP t AC (-ADEN T 100,000 <br /> andatry in NH) - - <br /> Iv_. desc IPTI Le unae F I EI FA; E FA FMPL 0YFF x 100,000 <br /> T F C N OE e ; PFPATIONS holovr <br /> E o1 EA_:E POLCYLIMIT $ 500,000 <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VENCLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ZEPHYRH <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Zephyrhills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Fax: 813 788 3293 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 5335 8th Street <br /> Zephyrhills, FL 33540-4312 AUTHORIZED REPRESENTATIVE <br /> 2 <br /> ACORD 25 (2009/09) The ACORD name and logo are registered mar sof D CORPORATION. All rights reserved. <br /> ACORD <br />
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