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,�� CERTIFICATE OF LIABILITY INSURANCE OZIZSI��DDfYYYY) ��.�� 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 REPRESENTATNE 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 CONTACT NAME: Patriot Insurance Network PHONE Fa,x A/C No : 10946 N 56th St. E-MAIL ADDRESS: Temple Terrace, FL 33617 PRODUCER Phone (813)985-3536 F3X (813)980-6551 INSURER�S) AFFORDING COVERAGE NAIC # INSURED iNSUrteR,a. NORTHPOINTE INSURANCE CO COLE DURR AC AND HEAT, INC- KEVIN RICHARDSON INSURER B. 8524 N Mulberry St INSURER C. Tampa, FL 33604 INSURER D. (813) 727-7534 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 INSR ADDL SUB POLICY EFF P LICY XP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM1DD/YYYY MM/DDlYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 'I OO,OOO DAMAGE RENTED � COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S � OO,OOO �� CLAIMS-MADE �� OCCUR AUO2252011 C MED EXP (Any one person) $ 5,�� A 02/25/2011 02/25/2012 ❑ PERSONAL & ADV INJURY $ ZOO,OOO ❑ GENERALAGGREGATE $ ZOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER� PRODUCTS - COMPlOP AGG $ ZOO,OOO ❑ POLICY ❑ �E� ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) � ANY AUTO � BODILY INJURY (Per person) S ALL OWNED AUTOS ❑ SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ ❑ HIRED AUTOS (Per acadent) � NON-OWNED AUTOS $ ❑ $ � UMBRELLA LIAB � OCCUR EACH OCCURRENCE $ � EXCESS LIAB � CLAIMS-MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY y � N ❑ TORY LIMITS ❑ ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED� � N 1 A E.L. EACH ACCIDENT $ (Mandatory in NH) E L DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schetlule, if more space is required) HEATING AND AIR CONDITIONING # 91111 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AB DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAT EREOF, NOTICE WILL BE DELIVERED IN CITY OF ZEPHYRHILLS ACCORDANCE WIT POLICY PROVISIONS. 5335 8TH ST ZEPHYRHILLS, FL. 33542 AUTHORIZEDR R EN ATIVE � O 1988-2009 ACORD RATION. AU rights reserved. ACORD 25 (2009/09) QF The ACORD name and logo are registered marks of ACORD