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• e-Bode Systems - Policy Send Form Preview Page 1 of 2 <br /> - A�ORD CERTIFICATE OF LIABILITY INSURANCE �oziio�ii' <br /> PRODUCER <br /> JOV ITA INSURANCE AGENCY THIS CERTIFICATE IS iSSUED AS A MATTER OF INFORMATtON <br /> P O BOX 18 9 ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> SAN ANTONIO, FL 3357 6 COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone: (352)588-3671 INSURERSAFFORDINGCOVERAGE <br /> Fax:(352)588-2885 <br /> INSURED <br /> A-1 B COOL HEAT AND AIR LLC INSURERA: NOr'th Pointe Insurance Company <br /> 15873 LAKE IOLA RD INSURERB: <br /> INSURER C: <br /> DADE CITY, FL 33525 INSURERD: <br /> INSURER E: <br /> COVERAGE <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br /> RESPECT TO WFiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE iNSURANCE AFFORDED BY THE POLICiES. <br /> AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMlDD/YY) DATE (MM/DD/YY) LIMITS <br /> ENERALLIABILITY CHOCCURENCE S 1, OOO� 000 <br /> X COMMEF2CIAL GENERAL IRE DAMAGE(My mie <br /> ire) S 100, 000 <br /> ineiulv <br /> LAIMS MADE Q OCCUR ED EXP(My one person) f 5, O O O <br /> A 8090009322 04/21/2010 04/21/2011 INJUROY�ANDADV s 1, 000, 000 <br /> ENERAL AGGREGATE s Z, O O O, O O O <br /> EN'L AGGREGATE LIMIT APPLIES RODUCTS - COMPlOP <br /> ER. GG S 2,000,000 <br /> X ppLICY ❑ PROJECT Q LOC <br /> UTOMOBILE LIABILITY OMBINED SINGLE LI,IdFT = <br /> ANY AUTO ea accideM <br /> ALL OWNED AUTOS ODILY INJURY s <br /> SCHEDULED AUTOS Per person) <br /> HIRED AUTOS ODILY INJURY <br /> NON-0WNED AUTOS Per accident) s <br /> ROPERTY DAMAGE s <br /> Per accident) <br /> ARAGE LIA&LITY UTO ONLY - EA s <br /> CCIDENT <br /> ANY AUTO THER THAN EA AC S <br /> UTO ONLY AG ; <br /> XCESS LIABILITY CH OCCURANCE S <br /> CCUR ❑CLAIMS MADE GGREGATE S <br /> S <br /> EDUCTIBLE S <br /> ETENTION E <br /> ORKERS COMPENSATION AND STATUTORY <br /> MPLOYERS LIABILITY <br /> IMITS ❑OTHER <br /> L. EACH ACCIDENT i <br /> L.DISEASE-EA <br /> MPLOYEE i <br /> .L.DISEASE - POLICY <br /> iMIT j <br /> THER <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> Works on heat and air units <br /> CERTIFICATE HOLDER ADDI710NAL INSURED:INSURED LETTER: CANCELLATION <br /> HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TME <br /> PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAYOR TO MAIL 10 <br /> AYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THf LEFT. BUT <br /> AILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br /> PON TNf INSURER ITS AGENTS OR REPRESENTATIVES. <br /> UTHORIZED REPRESENTATNE <br /> CITY OF ZEPHYRHILLS BUILDING DEPARTMENT <br /> 5335 8TH STREET <br /> ZEPHYRHILLS, FL 33542 <br /> http://amelia.e-bode.com/innovare/GL/SendFormPreviewAndSend.cfm 2/10/2011 <br />