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Client#: 504547 17ANCHOSIG ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 2/08/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NaME: Anthony Redman BB8�T Boyle-Vaughan PHONE g03 748-0100 8774677214 1710 Gervais St. ac Lo ex� : ac, No : ADDRESS: P. O. Box 8628 17ANCHOSIG CUSTOMER ID #: Columbia, SC 29202 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA Liberty Mutual Insurance Compan 23043 Anchor Sign Inc PO Box 22737 INSURER B INSURER C Charleston, SC 29413 - INSURER D INSURER E INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN 7ypE OF INSURANCE � �B POLICY EFF POLICY EXP LIMITS LTR N R POLICY NUMBER MMIDDlYYYY MMIDD/YYYY A GENERAL LIABILITY TBKZ51290012 OsI2GI2O'I O OGIZGIZO�'I EACH OCCURRENCE $� �OOO�OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $3�0,0�0 CLAIMS-MADE � OCCUR MED EXP (Any one person) $�Q,O�� PERSONAL & ADV INJURY $� �OOO�OOO GENERAL AGGREGATE $Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: � PRODUCTS - COMP/OP AGG $Z�OOO�OOO POLICY X PR � LOC $ /.� AUTOMOBILE LIABILITY ASJZ51290012 06/26/2010 06/26/2011 COMBINED SINGLE LIMIT (Ea accident) $� Op0 Q�0 X ANY AUTO I BODILY INJURY (Per person) $ ALL OWNED AUTOS i BODILY INJURY (Per accidenQ $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS S X Drive Other Car $ A UMBRELLA LIAB X OCCUR THCZ51290012 OGIZF)JZO�O OGIZGIZO� � EACH OCCURRENCE $ OOO OOO EXCESS LIAB CLAIMS-MADE AGGREGATE $�J�OOO�OOO DEDUCTIBLE i $ X RETENTION �OOOO g A WORKERS COMPENSATION WCJZ51290012 6/26/2010 06/26/2011 X WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNER/EXECUTIVE Y � N � E.L. EACH ACCIDENT $SOO�OOO OFFICER/MEMBER EXCLUDED? ❑N N�A / (Mandatory in NH) 1 / E.L. DISEASE - EA EMPLOYEE $ DESCR PTION OF OPERATIONS below � E L. DISEASE - POLICY LIMIT $SOO,OOO DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 5335 8th Street AUTHORIZED REPRESENTATIVE Zephyrhills, FL 33543 �� � 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009l09) 1 of 1 The ACORD name and logo are registered marks of ACORD #56299429/M5736388 SAHI