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� <br /> ����� f ' DATE (MM/DD/YYYY) <br /> ��_= - CERTIFICATE OF LIABILITY INSURANCE 5/19/2011 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY 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), AUTHORIZED <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 tertns and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate dces not confer rights to the <br /> certificate holder in lieu of such endorsemenqs). <br /> PRODUCER <br /> NAME <br /> BUHL INSURANCE ac , ex� 813 876-0057 � n,o� (813) 877-8540 <br /> PO Box 152698 ADDRESS ktramer@buhlinsure.com <br /> Tampa, FL 33684 INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURER A OHIO CASUALTY 24074 <br /> INSURED �gy A/C & WATER CONDITIONING INSURER B �"1EST AMERICAN INS . CO. <br /> 3G AIR CONDITZONINGAND HEP,TING INC. DBA INSURER C <br /> 9402 �'i' . HwY . 92 SUITE 1�2 INSURER D <br /> TAMPA, F 33610 INSURER E <br /> 813-633-0440 INSURER F <br /> COVERAGES CERTIFICATENUMBER: 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 NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH 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 REOUCED BY PAID CLAIMS. <br /> I�TR TYPE OF INSURANCE �� �p pOLICY NUMBER (MMIDD/VYYY) (MM/DD/YVVY) LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ Z OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY <br /> PREMISES (Ea occurrence) $ 1 Q � O Q O <br /> I CLAIMSMADE �I OCCUR MED EXP(Anyoneperson) $ 10 OQO <br /> A BRO 53363387 05/21/11 05/21/12 pERSONALBADVINJURY $�, QQO OQQ <br /> X <br /> GENERAL AGGREGATE $ 2� OOO � OOO <br /> GEN'L AGGREGATE LIMITAPPLIESPER PRODUCTS -COMP/OPAGG S 2 OOO OOO <br /> POLICY X PRO- <br /> JECT LOC g <br /> AUTOMOBILE LIABILITY SOO OOO <br /> Ea acadeN g � <br /> X ANYAUTO BODILY INJURY (Per person) $ <br /> ALLOWNED SCHEDULED �Q 53363387 05/21/11 05/21/12 <br /> B AUTOS AUTOS BODILY INJURY (Per acadent) $ <br /> NON-OWNED PROPERTV DAMAGE <br /> HIRED AUTOS qUTOS $ <br /> — (Per accideM) <br /> X HIAED AUTO pHYS $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABIL�TY �� TORY LIMITS ER <br /> ANV PROPRIETOR/PARTNERlEXECUTNE N�A EL EACHACCIDENT <br /> OFFICER/MEMBER EXCLUDED� ❑ $ <br /> (Mandatory in NH) E L DISEASE- EA EMPLOVEE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E �. DISEASE- POLICY LIMIT g <br /> A SURETY BOND 3882057 02/08/10 o2/oe/12 $5, 000 <br /> OESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (AriachACORD 101 Additional RemarksSchedule,if morespaceis reqwred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF ZEPHYRHILLS <br /> 5335 HTH STREET SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ZEPHYRHILLS, FI� 33540 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> t��,+�.rz�" /�aca� <br /> O 1988-2010 ACORD CORPORATION All rights reserved. <br /> ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />