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AC OR e o�� ��vr�n <br /> CERTIFICATE OF LIABILITY INSURANCE 2�25�2011 <br /> THIS CERTIFICATE IS ISSUED AS A MA7TER OF INFORMA710N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS <br /> BELOWCTHIS OF IN US RA S CONSTITUTE A CONTRACT BE7WEEN THE�ISSUI G INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFlCATE HOLDER. <br /> IMPORTANT: If H�e certficate hofder is an ADDI710NAL INSURED, fhe policy(ies) must be endo�sed• If SUBROGA?tON IS WAIVED, subject bo <br /> the terms and condib�s of the PolicY, certain policies may require an endorseme�rt. A statement on this certificate does not cor�fer rights to the <br /> certi{cate holder in lieu of such endorsemer�t(s)• <br /> �� ���T RRISTINA GREGOIRE <br /> P�E , (941)889-7836 F � �,� <br /> Gregoire Family Insurance • <br /> E� <br /> 14818 Tamiami Trail � <br /> Unit A-107 sA0000219 <br /> North PO=t EZ 34287 INSU S) AFFORDING COVERAGE �C � <br /> INSURED INSURERA�RICPlN $'1'1�lTL'' IN$URANCR. 9�04 <br /> n+su�tt e:PHOENIX INSURANCE C�ANY 5623 <br /> STEVEN PAUL SOI.O�lDN �sur�RCFIARIDA RETAIL FEDERP,TION SELE' 0700 <br /> PO HOX 1603 iNSUr�R o: <br /> INSURER E : <br /> ONECO FL 34264 �N$URER F: <br /> CpyERpGES CERTIFICATE NUMBER�1121501711 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL� THE TERMS, <br /> EXCIUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> roucr �F Poucr ocv uwrs <br /> �� TYPE OF INSURANCE POLICY NU1�ER <br /> GENERAL LIABLiTY EACH OCCURRENCE S 1� OOO � OOO <br /> DAMAGE TO RENTED 2OO � OOO <br /> ]C COMMERCIAL GENERAL LIABILITY PREMISES Ea ocaxrence S <br /> A CWMS-MADE �X OCCUR 1Cl23582820 I22I2010 /22I2011 MED EXP (My one person) S 1 O, OOO <br /> �RSOr�nL & nov IruURY 5 1, OOO , OOO <br /> GENERAL AGGREGATE S 2� OOO � OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/0P AGG 5 2� OOO � OOO <br /> X POLICY jE � LOC S <br /> A ����� �� CAM&NED SII�LE LIMIT s SOO � OOO <br /> (Ea acciderH) <br /> X ANY AUTO BODILY INJURY (Per person) S <br /> $ ALL OwNED AUTOS 30t�271 1/25/2010 1/25/2011 <br /> BODILY INJURY (Per accident} S <br /> SCHEDULED AUTOS PROPERTY DAMAGE a <br /> HIRED AUTOS I (P � �" <br /> a <br /> NON-0WNED AUTOS <br /> S <br /> UMBRELLA W18 �CUR EACH OCCURRENCE S <br /> ��� WB CWMS-MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE <br /> RETENTION E $ <br /> C WORKERS COMPENSA110N WC STATU- OTH- <br /> ANDEAAPl.0YER51JABILfTY T� Y T R <br /> ��� Y/N NrA E.L.EACHACCIDENT S ZOO OOO <br /> OFFICERndEMBER EXCLUOEm N❑ 520-37747-0 /10/2010 /10/2011 <br /> (MarMat�wy in NH) E.L. DISEASE - EA EMPLOYE b �.00 OOO <br /> ffyes� �� � E.L. DISEASE - POLICY LIMIT S 5OO OOO <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Athch ACORD 701. AddMlonal Remarks Sd�edule. if more sP� � re9��1 <br /> CERTIFICATE HOLDER CANCELLATiON <br /> (813 ) 780 sHOU�o a�r oF TMe neove oescraee� �icies sE caNCeu� �r-oRe <br /> THE EXPIRATION DATE THEREOF, N0710E YYILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> CITY OF ZEPHYRHILLS <br /> BUILDING DEPAR7i�NT A � T � F p ���rnE <br /> 5335 8TH STREET <br /> ZEPHYRHILLS, FL 33542 <br /> R GRBGOIRE/1QtIS �"'` � �/ - <br /> ACORD 25 (2009/09) O 1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS025 �2oosos) The ACORD name and logo are registered marks of ACORD <br />