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11-11584
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2011
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11-11584
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Last modified
10/31/2011 1:33:45 PM
Creation date
10/31/2011 1:33:44 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11584
Building Department - Name
BERTRAM,MARYANN
Address
38630 SOUTH AVE
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03/03/2011 21:51 FAX f� 0001/0001 <br /> A� � CERTIFICATE OF LIABILITY [NSURANCE °�'�''"""°°�""�' <br /> 3/3/2011 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOttMAT10N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFlRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANGE DOES NOT CONSTiTUTE A CONTRACT BEi'WEEN 1'HE ISSUING IN3URER(S►, AUTHORI�D <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: ff the c�rtificab� holder is � ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROCaAT10N IS WANED, subjeet to <br /> the terms and conditions ot tltie policy, certain policies may require an endorsemerrt. A statiemeat on this certlficabe does not cwrfer rights to the <br /> eertlficate hold� � lieu aF such endorsemeM(s). <br /> vrtoouc� Houae 8ouse <br /> � . (813)935-1561 F �` a � : ( 613 3 935-0709 <br /> Neighborhood Insurance Service �� • <br /> 149Q9 N F3.orida Ave � A0012356 <br /> T ET, 33613 iNSU n�rormu�c covew�c,e w►�c � <br /> ��� n�suReew:Bankers Ias Go <br /> iNSU� s : <br /> Wesley ChapeL Electric LLC ���; <br /> 25678 Inkwood Place �� ! <br /> IqSIIRER E : <br /> Wesley Chapel FI, 33544 w �� F , <br /> COVERAGES CEI2ilFICATE NUMBER.�+113303307 REVISION NUN�ER: <br /> THIS IS TO CERTIFY THAT 7HE POUCIES OF INSURANCE LiSTED BELOW HAVE BEEN ISSUED TO 7HE INSUREO NAMED ABOVE FOR THE POLICY PERIOD <br /> INOICATED. N0TIMTHSTANDING ANY REQt11REMENT, TERM OR COND{TION OF ANY CONTRACT OR OTHER DOCUMENT V1flTH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, 7HE INSURANCE AFFORDED BY TFiE POl.IC1ES DESCRIBED HEREW IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AtJD CONDITIONS OF SUCH POUCIES. LJMITS SHO1M� MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LT�R TYPE OF INSURANCE POLJCY NUYBER POIJCI' PO EXP Wlrt'8 <br /> ��� �►��TM enc►+ ocCUw�wce s 500 , 000 <br /> X� COMMERCIAt GENERAI UABILITY � E 100 � 000 <br /> A ctna�s�Anoe � occuR 90410003623900 /5/201i /s/2012 p�D Exv (nny a,e paraan a 5, 000 <br /> pEaspwu. a nov i�uur a 500 , 000 <br /> ' �wu.,�r�cn� S 1,000,000 <br /> i <br /> GENL AGGREGATE LJM1T APVL�3 PER: PRODUCTS - COMPlOF AGG i �l � OOO � 000 <br /> ' X POLICY � LOC s <br /> AUTONOBILE UA&U7Y COAABINED SlNGI.E LqdR <br /> ���� a <br /> � �� BODILY INJURY (Per persm) � S <br /> All ONMED AUTOS BODILY INJURY (Per accidxit) i <br /> SCI1EOUlED AU70S PROPERTY DAMAGE <br /> HIREO AUTOS �� 800 �) $ <br /> NON-0WNED AUTOS S <br /> S <br /> UNBRELLA LWB � OCCUR EACH OCCURRENCE S_ <br /> � � CIJ1aAS•MAOE AGGREGATE S <br /> oeoucrie� s <br /> �rna, s s <br /> YYORK6tS COMPENSA710N WC BTATU- OTIi- <br /> Af�IP EAIPLOYEftS LIABILIiY <br /> ������ Q N/ A E.L EACH ACCIDENT S <br /> OFflCERJMFJ�tBER E)CGLUDED9 — <br /> (Mandatery in NH� E.L DISEASE - EA EMPLO S � <br /> Ifyas dsa� undsr <br /> DESCRIPTION OF OPERATIONS helow EL DISEPSE - POI.ICY LMuIIT S <br /> pE8CPoP710N OF OPEttA710NS ! LOCATONS ! VEItlCLE3 (Afoach ACORD 107, Add4bral RaMrks 8c1�ie, N moro ipacs la raquireA} <br /> CER71FiCATE HOLDER CANCELLA7'ION <br /> (813) 780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES � CANCELLED BEFORE <br /> 7HE EXPIRATION DATE TNEREOF, N0T10E YYILL BE DELNERED IN <br /> CITY OF ZEPHYRHILLS ACCORDAMCE 1MTH Tt1E POUCY PROVISIONS. <br /> 5335 – 8th STREET <br /> 2EPHYRHILL3, ET, 33542–A312 �'� <br /> ACORD 25 (2009/09) � 7988-2009 D CORPORA710N. AII rights reserved. <br /> INS025 �zooeae� The ACORD name aod logo are registered marks of AC <br />
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