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ADP 3/25/2011 11:50 AM PAGE 2/003 Fax Server <br /> BUELELE-01 REDA <br /> A�rM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYI� <br /> 3l2512011 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 ADP Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Roseland, NJ 070B8 ALTER THE CON�RAGE AFFORDED BY THE POLiClE8 BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC � <br /> INSURED BUELL ELECTRIC, INC �NSUReRa Twin City Fire Insurance Company 9459 <br /> 1591 GULF BLVD 403 INSURER B: <br /> CLEARWATER, FL 33767 lNSURER C <br /> INSURER D: <br /> INSURER E. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY NUMBER �LICY EFFECTIVE POLJCY EXPIRATION LIMITS <br /> GENERAL LJABILITY EACH OGCURRENCE $ <br /> COMMERCIAL GENERPL LIABILRY PREMISES Es ocarence $ <br /> CLAIMS MADE � OCCUR MED EXP (Arry one person) � <br /> PERSONPL & ADV INJURY $ <br /> GENERPL AGGREGATE $ <br /> GENL AGGREGATELIMtT APPLIES PER: PRODUCTS • COMPlOP AGG $ <br /> POLICY PR � LOC <br /> AUTOMOBI�E UA8ILJTY <br /> COMBINEDSINGLELIMIT $ <br /> ANY AUTO (Ea accideM) <br /> PLL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per acadent) <br /> PROPERTY DPMAGE $ <br /> (Per accidern) <br /> GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ <br /> ANY AUTO Eqq�� $ <br /> OTHER THAN <br /> AUTO ONLY AGG $ <br /> EXCE391UMBRELLA IJA8IUTY EACH OCCURRENCE $ <br /> OCCUR � CLAIMSMADE AGGREGATE $ <br /> 8 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKER3 COMPENSATION AND )( WC STATU- OTH- <br /> TORY LIMRS ER <br /> A EMPLAYER3' 1JA81LITY 76WEGW8474 311J2011 3l1/2012 E.�. EACH ACCIDENT $ ��0�0� <br /> ANY PROPRIETORiPARTNERIEXECUTNE <br /> OFFICERrMEMBER EXC�UDED? 'IOO OO <br /> If yes, describe under E.L. DISEASE - EA EMPLOYEE $ � <br /> SPECIAL PROVISfONS belav E.L. DISEASE- POLICY LIMR $ SOO,OO <br /> OTHER <br /> DESCRIPTION OF OPERATIONS ! LOCAT10N3! VEHICLE9 ! EXCLUSIONS ADDED 8Y ENDORSEMENT f BPECIAL PROVISION3 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SFIOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhills Building Departrnerrt DATE THEREOF, THE 133UING IN3URER WILL ENDEAVOR TO MAIL � � �AYS WRITTEN <br /> 5335 8th Street <br /> Zephyrhills, FL 33$4Z- NOTICE TD THE CERTIFICATE FIOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> IMP08E NO OBLJGATION OR LIABILITY OF ANY KIND UPON THE INSURER, R9 AGENTS OR <br /> REPRESENTATIlIE3. <br /> AUTFpRI�D REPRESENTATIVE - <br /> ACORD 25 (2001/08) � ACORD CORPORATION 1988 <br />