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ADP 5/23/2011 8:51 AM PAGE 2/002 Fax Server <br /> TAMPBAY-15 WIKI <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE DATE�MMlDD1YYYY) <br /> 5/16/2011 <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 07068 <br /> ALTER THE COV�RAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC � <br /> INSURED TAMPA BAY ELECTRIC INC INSURERA: TWIfl CI�/ Flf@ IflSUfa11G@ COfllpB�i}/ 9459 <br /> 5857 Rowan Rd. Suite A INSURER B: <br /> New Port Richey, FL 34653 <br /> INSURER 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 1MTH RESPECT TO WHICH THIS CERIIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.IECT TO 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 OCCURRENCE $ <br /> COMMERCIPL GENERAL LIABILR'Y PREMISES Ea ocarence $ <br /> CLNMS MADE � OCCUR MED EXP (Arry one person) S <br /> PERSONPL &ADVINJURY S <br /> GENERAL AGGREGATE $ <br /> GENL AGGREGATE LIMIT APPUES PER. PRODUCTS - GOMPlOP AGG E <br /> POLICY PRa LOC <br /> AUTOMOBILE LIABILITY <br /> COMBlNED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> PLL OWNED AUTOS <br /> BODIIY INJURY $ <br /> SGHEDULED AUTOS (Per persan) <br /> HIRED AUTOS <br /> BODlLY INJURY $ <br /> NON-OWNED AUTOS (Per acddeM) <br /> PROPERTY DPMAGE $ <br /> (PerecddeM) <br /> GARAGE IJABILRY AUTO ONLY - EA ACCIDENT 8 <br /> ANY AUTO EA ACC 8 <br /> OTHER THAN <br /> AUTO ONLY qGG $ <br /> EXCESSIUMBRELLA LJABILJTY EACH OCCURRENCE 8 <br /> OCCUR � CLAIMSMADE AGGREGATE $ <br /> 8 <br /> DEDUCTlBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATqN AND �( WC STATU• OTH- <br /> TORY LlMRS ER <br /> A EMPLOYER3' UABILITY 7gyyEGZX2364 7/1/2010 711I2011 E.L. EACH ACCIDENT g 500 ,�� <br /> ANY PROPRIETOR/PARTNERiE7CECUTIVE <br /> OFFICERrt�1EMBER EXCLUDEC? SOO OO <br /> E.L. DISEASE - EA EMPLOYEE 8 r <br /> If yes, describe under <br /> SPECIPL PROVISIONS belav E.L. DfSEASE - POLICY LIM�T 8 SOO,OO <br /> OTHER <br /> DE3CRIPTION OF OPERATIONS ! LOCATION8! VEHICLES! EXCLU310N3 ADDED BY ENDOR3EMENT! SPECIAL PROVISION3 <br /> CERTIFICATE HOLDER CANCELLATION <br /> 3FIOULD ANY OF THE ABOVE DESCRIBED POLJCIES 8E CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO M/UL 3 DAY3 WRITTEN <br /> Building Dept <br /> 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 33542-4312 IMPOSE NO 06UGATION OR LIABIL�TY OF ANY KIND UPON THE INSURER, 1T3 AGENTS OR <br /> REPRESENTATIVES. <br /> AUT}IORIZED REPRESENTATIVE . <br /> ACORD 25 (2001/08) � ACORD CORPORATION 1988 <br />