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ACGi W CERTIFICATE OF L[AB[L.[TY [NSURANCE DATE (MM/ODl1'YYY) <br /> 01/13/2011 <br /> d.._C— <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY Professional insurance Services <br /> HOLDER. O O <br /> THIS DOES NOT AMEND, EXTEND OR <br /> 3836 W. Humphrey St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Tampa FL 33614 _ INSURERS AFFORDING COVERAGE NAIC # _ <br /> INSURED Dixie Neon Co. Inc I.URER A. TECHNOLOGY INSURANCE _ <br /> 1)BA: Creative Signs <br /> INSURERS: <br /> INSURER C: <br /> ` St. <br /> -"-` <br /> 3001 W. Granada 1't. INSURERO: <br /> 1 anipa. 1'1 33629 INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> + <br /> POLICY EFFECTIVE POLICY EXPIRA ON UNITS <br /> INSR • • 1 POLICY NUMBER i +.•••• - ' •••• � _ - <br /> GENERAL LIABILITY • • <br /> DAMAGE TO RENTED , S <br /> S <br /> ■ COMMERCIAL. GENERAL LIABILITY ' . ., <br /> . ■ CLAIMS MADE n OCCUR MED EXP An one son <br /> IMMININIMI <br /> PER <br /> • AGG GAT LIMO III • . • - <br /> POUCY 1 PRO- 1 APPLIEl LPG <br /> AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> III AUTO <br /> . ALL OWNED AUTOS BODILY INJURY t' <br /> ■ SCHEDULED AUTOS (Per person) <br /> IN HIRED AUTOS BODILY INJURY <br /> ■ NON -OWNED AUTOS (Pei accident) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE UABIUTY AUTO ONLY - EA ACCIDENT <br /> ■ ANY AUTO OTHER THAN <br /> EA ACC <br /> III AUTO ONLY: AGG <br /> EXCESS I UMBRELLA LIABILITY H • CURRENCE <br /> III OCCUR [ I CLAIMS E AG REGATE <br /> 111 DEDUC <br /> E <br /> $ <br /> III <br /> IIII <br /> WORKERS COMPENSATION W C STATU- OTM• <br /> Tl1RY 1 IWTC FR <br /> AND EMPLOYERS' LIABILITY <br /> ANY PRO PRIETORIPARTNERIEXECU7Ng I i TWC3230983 01 /13/2011 01/13/2012 E.L. EACH ACCIDENT $ 100,000 <br /> OFFICER/MEMBER EXCLUDED? t_.1 <br /> (Mandatory In NH) E.L. DISEASE - EA EM - OYE = S 100 000 <br /> H as, describe antler E.L. DISEASE - POLICY UNIT 500,000 - .�.. PR 9lt>! <br /> OTHER <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEINCLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION , <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Ci of Zephyrhilis i DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> 5335 8 Street ,. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br /> Zephyrhills, Fl 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> REPRESENTATIVES. �{^ <br /> AUTHORIZED REPRESENTATIVE <br /> cZe ms ' .- <JS> <br /> ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> g00/£00'd lbl# LC:CZ 11.OZ /5Z/1.0 :woad <br />