Laserfiche WebLink
�`` °RO� � 'CERTIFICATE OF LIABILITY INSURANCE ° ��' M � °° """"' <br /> 2/11/2011 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTiFICATE HOLDER. THIS <br /> CER7IFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUtNG INSURER(S), AUTHORIZED <br /> REPRESENTA7IVE OR PRODUCER, AND THE CER7IFICATE HOLDER. <br /> IMPORTANT: If the certificabe holder is an ADDITIONAL INSURED, tlie policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsemerrt. A stabemerrt on th� certificabe does not co�er rights to the <br /> certificate holder in lieu of such sndorsemerK(s). <br /> PRODUCER �� Rebecca Sengaroun <br /> Comegys Insurance Corner � . (727) 521-2100 � �: (727)528 <br /> Florida Contractor Insurance A��,rebeccas@co�egys.com <br /> One Beach Drive S. E. Ste. 230 � D0028624 <br /> 3aint Petersbur FL 33701 INSURER�S AfFORqNG COVERAGE NAIC # <br /> INSURED INSURERA�`TO=tYl Pointe C3311a1. <br /> INSURERB�SSe]C Insurance CO <br /> Dockside Roofing Inc INSURERC: <br /> 8916 Maislin Drive INSURERD: <br /> INSURER E : <br /> Tampa FL 33637 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:10/li GL/Dl+� 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 NOIlMTHSTANDING 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> � TYPE OF INSURANCE POLICY EFF POLICY EXP U � S <br /> LTR IN POLICY NUMBER <br /> GENERAL LIA&LITY EACH OCCURRENCE S 1� OOO � OOO <br /> X COMMERCIAL GENERAL LIABILITY PR MISES Ea ocwrtence 5 lOO � OOO <br /> A CLAIMS-MADE � OCCUR 094119817 0/14/2010 0/14/2011 MED EXP (My one person) $ 5� 000 <br /> a�RSOru� a Aov INJURY S 1, OOO , OOO <br /> GENERAL AGGREGATE $ Z� OOO � OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Z� OOO � OOO <br /> X POLICY PR a LOC E <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a <br /> (Ea xatleM) <br /> ANY AUTO BODILY INJURY (Per person) S <br /> AlL OUVNED AUTOS <br /> BODILY INJURY (Per acadent) 3 <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE a <br /> HIRED AUTOS �P� ��) <br /> NON-0WNED AUT0.S $ <br /> $ <br /> X UMBRELLA LIAB p�CUR EACH OCCURRENCE S 1� OOO � OOO <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S 1� OOO � OOO <br /> DEDUCTIBLE 3 <br /> B RETENTION E OM1/A312510 0/14/2010 0/14/2011 E <br /> WORKERS COMPENSATION VYC STATU- OTH- <br /> AND EMPLOYERS' UA&LJTY Y � N R <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 3 <br /> OFFlCER/MEMBER EXCIUDED? � NfA <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYE E <br /> I( yes describe urWer <br /> DES�RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS I LOCATIONS ! VEHICLES (Atlach ACORD 101, Addkb�al RemaAca Schedule, H more space is rnquired) <br /> CERTIFICATE HOLDER CANCELLATION <br /> ( 813 ) 780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN <br /> ACCORDANCE WI7H THE POLICY PROVISIONS. <br /> City of Zephyrhills - Building Department <br /> 5335 8th Street <br /> Zephryhills, E'L 33542 AUTHORQEDREPRESENTATNE <br /> M Mercurio/JESSIC <br /> ACORD 25 (2009/09) OO 1988-2009 ACORD CORPORATION. All rights reserved. <br /> INS025 �zoosos� The ACORD name and logo are registered marks of ACORD <br />