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11-11495
Zephyrhills
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Building Department
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2011
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11-11495
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Last modified
10/21/2011 11:01:45 AM
Creation date
10/21/2011 11:01:36 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11495
Building Department - Name
TOWNVIEW RETAIL LLC
Address
7326 GALL BLVD
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Mar B1 2811 EST FROM� F2M/47982245812 MSG� 746BZ598-987-1 PAGE 883 OF BB3 <br /> A ��� LSF <br /> CERTIFICATE OF LIABILITY INSURANCE R054 037EO1/DZO11 <br /> TFiIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ND RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CERTIFICATE DOES NOTAFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTEii THE COVERAGE AFFORDED BY TNE POLICIE5 <br /> BELOW. TMIS CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TNE ISSUING INSURER{S}, AUTNORI2ED <br /> REPRESENTATIVE OR PROdUCER, AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: If the cartificata holda� is an ADDITIONALINSURED, tha policy(ias) must ba endorsad, if SUBROGATIONIS WAIVEd, subject ta <br /> the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificete does not canfer rights to the <br /> ificate holder in lieu of such endorsement s. <br /> PAaDLCER <br /> NAME� <br /> PAYCHEX INSURANCE AGENCY INC a�NN ��; i"c,NO� (888) 443 -6112 <br /> 210705 P:()- F:(888}443-6112 <br /> PO BOX 3 3 015 ADDR SS: <br /> SAN ANTONI O TX 7$ 2 6 5 C S70MER ID 0: <br /> INSUREFS�9) APFORDINO COVERAGE NAIC il <br /> ' INSURER A: TWlIl Cit Fire Iri� Ca <br /> HAROLD J. FETT LLC IN9URER B ; <br /> 4346 HIDDEN RIVER RD IN9URERC <br /> SARASOTA FL 3 4 2 4 0 INSURER D: <br /> INSURER E : <br /> IN9URER F 7 <br /> COVERAGES CERTIFICATE NUMBER; REVISION NUMBER; <br /> TNIS IS TO CERTIFY TNAT TFIE POUCIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATEO. NOTWITHSTANDING ANY REDUIHEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE5PECT TO WHICH THIS <br /> CERTIfICATE MAY BE 155UED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCU1310NS AND CONDITIONS OF SUCN POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> lrn rv�r os evs�nrce w� rou+�r �e <br /> xwiw�nirvrn MrMia��►�vwi c�rs <br /> r�nrcaaa cueuurv <br /> EACH OCCUflRENCE 0 <br /> COMMERCIAL GENERAL LIABILI7V PREMISES (Ea 000urrenoe) � <br /> CLAIM9-MADE � OCCUR MED EXP �Any one Dxeon) 0 <br /> PER90NAL � ADV INJURY ! <br /> GENERAL AGGREGATE 9 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG ! <br /> POLICY JECT CI LOC o <br /> ���� �� COMBINFD SINGLE IIMIT <br /> ANV AUTO (EB ecddBm) � <br /> ALL OWNED AUTOS <br /> BODILY INJURY (Pa p61lOn) 0 <br /> 9CMEDULED AUT09 <br /> BODILY INJURY �PN eccltlent) 0 <br /> PROPER7V DAMAGE <br /> MIRED AVT09 IPa ecdtlortt) ' <br /> NON•04VNED AUTOS � <br /> a <br /> �� � OCCUR EACH OCCURRENCE 0 <br /> l ��� CLAIM9-MADE A��REGATE 0 <br /> DEDUC7IBLE <br /> ! <br /> RETENTION 9 <br /> 9 <br /> MIDEMROYEl48'L4{NLTV X WCSTA U• 07H- <br /> ANV PROPRIE70RrPARTNERlEXECUTIVE Y�N E�L, EACM ACCIDENT O Z O Q� O O O <br /> A OFFICFRpdEMBERFJ(CLUOEDi � N/A <br /> �'��� 76 WEG ZX8277 oe/zi/zoio oe/zi/zoii E.L. DISEASE • EA EMPLOVE , 100, 000 <br /> it yee, w�crlbe under <br /> DESCRIPTION OF OPERATIONS below E.L. DI9EA9E • POLICY LIMIT 0 5� O� O O O <br /> QlSCM/T/ON QF OPMAfIONS / LOCA7IQAlS / 1�IG�CIlS fAtb� ACORD f 07, AddMeni/ RrNdri Sa4�duw, Mma�;ose� 6 nquM�d) <br /> Tho�e usual to the Insured's Operations. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO <br /> BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br /> CITY OF ZEPHYRHILL$ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br /> 5 3:3 5 8 TH S T AI/1flOp�?!D R!/plSdN►Af/12 <br /> ZEPHYRHILLS, FL 33542 ��� "��/__, _ <br /> c.e-•tr� <br /> � 1988-2009 ACORO CORPORATION, All rights reserved, <br /> ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />
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