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Mar, 22, 201' 2;�5PM No. 6486 P, 1/1 ACOR� CERTIFICATE OF LIABILITY INSURANCE °A� �MMfODlYYYY) 03/22/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S), AUTHORIZED REPRESENTATNE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerdficate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condkions of the policy, certain policfes may require an endorsemenL A statement on this certificate does not coMer rigMs to the certificate holtler in lieu of such endorsement(s). PROOUCER CONTACT Tracy TREVOR MCCARTHY PMONE (g13) 988-1234 � No .(813) 988-0989 ASSOCIATES AGENCY, INC. wc No EM PO BOX 16190 E �� trac p � associatesins.com ADDRESS yl% PRODUCER 7828 11470 N. 53RD ST. TEMPLE TERRACE FL 33687 CUSTOMER ID Agency Lic# R001766 INSURER(3� AFFORDING COVERAGE NAIC i INSURED INSURERA FCCI INSURANCE CO. 10178 BRENZO & TAYLOR AIR CONDITIONING, INC PO BOX 299 INSURER B OLDSMAR FL 34677 INSURERC INSURER O INSURER E iNSURER F COVERAGES CERTIFICATE NUMBER: 218601 RE1/ISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR 7ypE OF INSURANCE �o�� sueR pp��CY NUMBER POLICY EFF ►aucr exP LIMRS LTR INSR NND MM/DD/YYYY MMNO/YYYY A GENERAL uneiurr GL 0006821 3 03/19/11 03/19N2 EACH OCCURRENCE g 1,000,000 X COMMERCIAL GENERAL LIABILITY DnnucE 70 RENTEO 1 OO OOO PREMISES Ea occurence $ i CLAIMS-MP,DE I� OCCUR MED EXP (My one person) $ � 0�� PERSONAL & PDV INJURY g 'I �OOO�OOO GENER,41 AGGREGATE $ Y�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPlOP AGG $ Y�OOO�OOO POLICY PR � LOC $ A nuioMOai� uneLLrTV CA 0013202 2 03119h1 03/19l12 COMBINEO SINGLE LIMIT $ 300,000 X ANY AUTO (EaacadeM) BODILY INJURV (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per ecadent) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ UMBREUA une OCCUR EACH OCCURRENCE $ excesa w,a CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETEM'ION $ $ /+ WORHERS COMPENSATON 001-WC10A-55382 Q�J��4��0 05h4l11 X ORVLIMTS OTH $ AND EMPLOYERS• LIp81LfTY Y � N M+v PROPRIETOR/PARTNEWE%ECUTIVE E L EACH ACCIDENT $ 'I �OOO�OOO OFFICER/MEMBER E7ICLUDEDT n N/A (Mananory in NN) E L DISEASE-EA EMPLOYEE $ 1,000,000 tt yes, tles[nbe untler DESCRIPTION OF OPER4TION5 Delow E L DISEASE-FOLICY LIMIT $ 'I�OOO�OOO DESCRIPTION OF OPERATONS ! LOCATIONS 1 VEHICLES (Attach ACORD 101, AddRlonal Remarks Schedule, if more space Is roquired) CERTIFICATE HOLDER CANCELLATION Clty of Zephyrhllls SHOULD ANY OF THE ABOVE DEBCRIBED POLICIEB BE CANCELLED BEFORE 5335 8th St�98t THE EXPIRATION DATE THEREOF, NOTICE NALL BE DELIVERED IN ZephyrhlllS, FL 33542 ACCORDANCE WITH THE POLICY PROVISIONB. AUTHORIZED REPRESENTA7NE Attention: fx 813-780-0021 TREVO4�� ACORD 25 (2009J09) � 1988-2009 ACORD CORPORATION. All rigMs reserved. The ACORD name and logo are registered marks of ACORD