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'4`,.°R°� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDM'Y'� <br /> 4�8�2011 <br /> PRODUCER (913) 385-5000 FAX: (913) 385-3500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Tozier, Parkway, Housh 6 Jones ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P O Box 7787 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Overland Park RS 66207 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: SCOttSC131e insurance Comapany <br /> Fort Rnox Fire 6 Co�unications Inc INSURER 8: C@=tdlII II/W at Lloyds <br /> 4517 George Road, Suite 240 INSURER C: <br /> INSURER D <br /> Tampa FL 33634 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 CERTIFICATE MAY BE ISSUEO OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OISUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> INSR D' DAT��MEFFECTNE p PALICYEI(PIRATION L �� S <br /> TR NSR TYP OPINSURANCE POLICYNUMBER <br /> GENERAL LIABILITY EACH OCCURRENCE S 1 OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurtence $ lO0 OOO <br /> A A CLAIMSMADE � OCCUR p51330681 1�22�2011 1�22�2012 MEDEXP(Myoneperson) ; 5 000 <br /> PERSONAL & ADV INJURY $ 1 OOO OOO <br /> GENERAL AGGREGATE S Z OOO OOO <br /> GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 2 OOO OOO <br /> X POLICY PR � �pC <br /> AUTOMOBILE LIABILIT' COMBINED SINGLE LIMR <br /> ANY AUTO (Ea acddent) $ <br /> ALL OWNEU AUTOS BODILY IWURY <br /> SCHEDULED AUTOS (Per person) S <br /> HIRED AUTOS <br /> BODILY INJURY E <br /> NON-OWNEO AUTOS (Per accitleM) <br /> PROPERTY DAMAGE $ <br /> (Per acci0ent) <br /> GARAGE LIABIUTY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY� qGG S <br /> A EXGESS I UMBRELLA LIABILITY EACH OCCURRENCE S 3 OOO OOO <br /> X OCCUR � CLAIMS MADE AGGREGATE S 3 OOO OOO <br /> $ <br /> A DEDUCTIBLE 50012288 1/22/2011 1/22/2012 g <br /> RETENTION $ _ <br /> WORKERS COMCENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y/ N <br /> ANY PROPRIETOWPARTNEWEXECUTIVE ❑ <br /> OFFICER/MEMBER EXCLUDED? E.l. EACH ACqDENT $ <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYE S <br /> If yes, desaibe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POIICY LIMIT 3 <br /> OTHER <br /> susiaess Personal 15, 000 <br /> B Commercial Property 42oe53 2/17/2011 2/17/2012 rroperty 1,000 deduct <br /> Replacement Cost <br /> DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLE3/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POIICIES BE CANCELIED BEPORE iHE EXPIRATION <br /> City of Zephyrhills- Building Department pA� TM�oF THE ISSUING INSURER WILL ENDEAVOR TO MWL 1 � DAYS WRITTEN <br /> 5335 8th Street <br /> Zephyrhi l ls � � 33542 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFf, BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR L1pg�LRy OF ANY KIND UPON THE INSURER, RS AGENTS OR <br /> REPRESENTATNES. <br /> AUTHORIZED REPRESENTATNE <br /> Vance Loqan <br /> ACORD 26 (2009/01) O 1988,2009 ACORD CORPORATION. All rights reserved. <br /> IN5025 �zoosoi� The ACORD name and logo arc registered marks of ACORD <br />