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From Sherry Mclver FaxID.863-967-7592 Page ' of 1 Date 02/02/11 12:18 PM Page.1 of 1 <br /> OP ID SM <br /> ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOIYYYY) <br /> 02/02/11 <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 8Y THE POLIpES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CON571TUTE A CONTRACT BETWEEN THE ISSUING INSURER(5), AUTHORIZED <br /> REPRE3ENTATIVE OR PROOUCER, AND THE CERIIFICATE HOIDER. <br /> IMPORTANT. If the certificate holder fe an ADdTIONAL INSURED, the policy(fea) muet be e�doraed. Ii SUBROGATION IS WAIVED, subject to <br /> the terms and conditfons of the policy, ceRain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> ce�tificate holder in lieu of auch endo►aement a. <br /> CONTACT <br /> PRODUCER 863-967�454 MAME: fAI( <br /> Mulling Insurance Agency, Inc 863-967-7592 P /C No Ert : (AfC No): <br /> P O Box 308 208 E Park Street E�"^�� <br /> Auburndale, FL 33823-0308 �ooaEes. <br /> Dennis C. Hollingsworth r ,�. VALU-01 <br /> INSURER�S) AFFOROING COVERAGE NAIC • <br /> IN9URED Valuepro Remodeling 8 iNSUn�R�.Southern Owners Insurance Co �0�90 <br /> Maintenance LLC IN9URERB <br /> P O Box 5196 iNSU�R c <br /> Lakeland, FL 33907-5186 INBURERD <br /> INSURER E . <br /> INSURER F . <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATEO NOTWITHSTANDINO 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 OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TypE OF INSURANCE POLICV NUMBER MMAD� MMAD� LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 'I�OOO�OO <br /> A X COMMERCIAL GENERAL LIABI�ITY 72TZ69OO D���v� � 011 y� PREMISES Ea occurrance $ 60,00 <br /> CLAIMS�v1ADE � OCCUR MED EXP (My one person) $ S,OO <br /> PERSONAL 6 ADV INJURY $ ��OOO�OO <br /> GENERALAGGREGATE $ Z,OOO�OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/OP AGG $ Z�OOO�OO <br /> POLICY PRO- LOC $ <br /> AUTOMOBIIE IIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea acadent) <br /> ANY AUTO BODILY IN,AJRY (Per person) $ <br /> ALL OWNED AuTO� BODILY IN.IJRY (Per acaden[) $ <br /> SCHEDULED AUTOS PROPERTY DAMAGE $ <br /> H IR ED AUTO S ( Per e cci de nt ) <br /> $ <br /> NON-OWNED Al1TOS <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> E%CE�9 LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE � <br /> RETENTION $ � <br /> WOPo(ER8 COMPENBATIpJ WC STATU- OTH- <br /> AND EMPLOV ERB' LIABILI7V V/ N <br /> AM' PROPRIETOR/PARTNER/EXECUIIVE ❑ N � A E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED� <br /> (M�ndttory in NH) E L DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS beloW E L DISEASE - POLICY LIMff $ <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEV#CLES (Altteh ACORD 101, AdditionN Remarkt Sehtdule, if mon sp�c� i� r�quind) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ZEPHBDE <br /> SHOULD ANY OF TFIE ABOVE DESCRIBED POIICIES BE CANCELLED BEFORE <br /> TNE EXPIRATION DATE THEREOF, N0710E WILI BE DEIIVERED IN <br /> ACCORDANCE WITH lF1E POIICY PRaNISIONS. <br /> zephyrhills Building Dept <br /> 3333 6th Street AUTFiORIZED REPRESENTATIVE <br /> ZephyrF1111s, FL 33540 ^ - <br /> . �i� <br /> � 1988-2009 ACORD CORPORATION All rights reserved. <br /> ACORD 2b (2009/09) The ACORD name and logo are registered marke of ACORO <br />