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11-11728
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11-11728
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Last modified
2/8/2012 11:22:42 AM
Creation date
2/8/2012 11:20:35 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11728
Building Department - Name
TOWNVIEW RETAIL LLC
Address
7326 GALL BLVD
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�� <br /> �`� °� ' C�RTIFICATE OF LIABILITY INSURANCE � <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFPIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2ED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement A sWtement on this certificate does not confer rights to the <br /> certiflcate holder in lieu of such endorsement(s�. <br /> PRODUCER Lockton Companies, LLC-1 Kansas City NAME: <br /> 444 W 47th Street, Suite 900 ac No eXc : ac No : <br /> Kansas City MO 64112-1906 E-MAIL <br /> (816) 960-9000 AD Re : <br /> IN RER AFFORDIN C VERA E IC p <br /> INSURER A. Travelers Property CasualTy Co of Amenca 25674 <br /> INSURED B�.p�CK BOX NETWORK SERVICES - FLORIDA INSURER B. St Paul Fve and Manne Insurance Company 24767 <br /> 1007290 3247 TECH DRIVE NORTH INSURER C. <br /> ST PETERSBURG FL 33716 <br /> INSURER D . <br /> IN RER E . <br /> IN R RF: <br /> COVERAGES BLABO01 CE CERTIFICATE NUMBER: 11199954 REVISION NUMBER: XXXXXXX <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 NOTWITHSTANDING 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 /> �L7R TYPE OF INSURANCE �gp S y�yyp POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> MMIDDMlYY MNVDD <br /> A GENERAL LIABILITY �( N HC2J 3/31/2011 3/31/2012 EACH OCCURRENCE 1 OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES� a occurr 1 OOO OOO <br /> CLAIMS-MADE� OCCUR MEDEXP An one ereon 1� �Q� <br /> X$1 O MILLION TOTAL PERSONAL & ADV INJURY $ 1 OOO OOO <br /> AGGREGATE GENERAL AGGREGATE $ Z� OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2 OOO OOO <br /> PRO- <br /> P LI Y X JECT LOC S <br /> p AUTOMOBILE LIABILITY N N TC2J 3/31/201 ] 3/31/2012 EO aB aeD INGLE LIMIT $ 2 00 � QQ � <br /> X ANY AUTO BODILY INJURY (Per person) $ XXXXXXX <br /> AUTOS NED qUTOS BODILY INJURY (Per acadent $ XXXXXXX <br /> X HIRED AUTOS X qON Pe�a�d $ XXXXXXX <br /> $ XXXXXXX <br /> B X UMBRELLA LIAB X OCCUR N N QKO 8001 147 3/31/2011 3/31/2012 EACH OCCURRENCE $ IO OOO OOO <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1 O OOO OOO <br /> DED X RETENTION $O $ XXXXXXX <br /> A WORKERS COMPENSATION WC gTATU- OTH- <br /> ANDEMPLOYERS'LIABILITY N TC2N (AOS) 3/31/2011 3/31/2012 X TORYLIMITS <br /> A Y/N TRJ-UB-131J2235-11 3/31/2011 3/31/2012 <br /> A OFFICER/MEM ER EXCLUD D XECU7NE � ry� p �AZ, MA, OR, WI� E L. EACH ACCIDENT $ 1 OOO OOO <br /> (MandatoryinNH) E.L DISEASE-EAEMPLOYEE 1 OOO OOO <br /> Ifyes, describe untler <br /> DESCRIP710N OF OPERATIONS below E L. DISEASE - POLICV LIMIT 1 OOO OOO <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Attach ACORD 101, Additlonal Remarks Schedule, ff more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 117 99954 AUTHORIZED REPRESENTATIVE <br /> CITY OF ZEPHYRHILLS BUILDING DEPT <br /> 5335 8TH ST <br /> ZEPHYRHILLS, FL 33542 <br /> ACORD 25 (2010/OS) O 9 8-2010 AC ORPORATION. All rights reserved <br /> The ACORD name and logo are registered marks of ACORD <br />
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