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11-11946
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2011
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11-11946
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Last modified
3/30/2012 9:39:46 AM
Creation date
3/30/2012 9:39:43 AM
Metadata
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Building Department
Company Name
FLORIDA HOPSITAL ZEPHYRHILLS INC
Building Department - Doc Type
Permit
Permit #
11-11946
Building Department - Name
FLORIDA HOSPITAL ZEPHYRHILLS INC
Address
6748 GALL BLVD
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Jun 1411 03:29p Sealander Contractor Serv 813-788-4028 p.1 <br /> '� � CERTIFIGATE OF LIABtLITY #NSURANCE °"'�`""�°°'"'�"' <br /> s/i�/zoii <br /> TItIS CERTIFICATE 13 lSSUED AS A MATTFR OF �NFORMATiOli ONLY AID CONFERS NO RKiNTS UPON TlIE CERTlF1CA7E HOLO�t. T1�,4 <br /> CEIiTIPlCATE 60ES MOT AFfilGIATNEIY OR NE6ATIYFI.Y AIAEfd. p(T�p ap �y,� THE COYER/�GE AFFappEp BY 'TME ppt,IpEg <br /> BF10W. TFpS CERTIFICATE OF NSURANCE OOES NpT CpN8TRU7E A CONTqACT BETM�EN THp 15�11� <br /> REPRESENFATNE OR PRO�tJCER. ANC 7HE CERT/�7CATE HOLDBt �1. AUTHORIgD <br /> IMPORTANT: / tl�e atrli('ialr hold�r ie an AODIf1�NAl IN�URED� 1he pollcy(ksl muat be �ndo�sC. ■ SUBROGATIOM IS WAIV�. aup�eet ro <br /> the Iemie and co�ilb�c oi the ppllq, artaln polides may nqiqre an anppr�a�e�, A shbmeK oa tNS C�RIyeaEr do�s not epif�r rlOhfs !n tfy <br /> aRMleale Aoldor b Ilw W such Mdo�naR�s� <br /> PROOtR�R <br /> LEEREEDENSURANCE � Miiler <br /> PO Box 908 � � {813F782 5502 �.� �813)788-1996 <br /> Zephyrhilis, FL 33339-04D8 �aore�ss andy@leereedins.com <br /> �I AFFOMDMO cOYERAaE rwcr <br /> wa��. Southem-Owne►s Insurance [ompanY 10�.90 <br /> �"S�"EO Sealander ContractorServices, Inc. <br /> waur�a a : <br /> 5305 Camberlea Ave <br /> NSUqgt C : <br /> 2ephyrhills, FL 33541 �� o <br /> M{6'JIER E <br /> INBUREN F: <br /> COVERAGES CERTIRCAIE NUM6ER: REVISION NUA�ER: <br /> 7WI5 t5 TO CgiY�Y TFiN7 7HE POUCIES OF Mi3UW4NCE USTEO 86LOW MAVE BEEN ISSUED TO THE t�QUFEO NAt�ICp AgpyE FpR 7HE POUCV Pg'tpp <br /> W WCAi�. N071N17'FISTANDING ANY REOUIREIYE[�17'. TER610R CONDITiON OF ANY COMRACT OR OTHER DOCUNEM' WfiH RESPFCT TO VIlHICH THIS <br /> CERTIFICATE MRY BE �SSUED �i YAY PStfRN. 7HE �ISt1RJWf£ AFFOR[IED BY THE POUdES DESCRtBED HEHEIN !S SUBJECT TO ALL THE 7EftM15, <br /> EXCLUSIONS AND 004ORIONS OF SUCH POlIf1ES. LNAITS SHOWN MNY WNIE BEBi R�D BY VAIO CUI�l,4 <br /> �wn <br /> i� TrPE CF N191XIAUrE � wW POUCY MJMBg1 ��F � � <br /> G6NERAl 4A61LI�Y <br /> EACIi OOCtfdiENCE • Z�QQ���� <br /> x couuHrcw. cEx�w,� �usurv <br /> «,w�.� x0 � ? �•� � � aoo 000 <br /> � M��,��,.�.�� � io,000 <br /> i 0723I2-20699636 9/18/I(I 9/18/11 oeasow�s�wvxu,rar i 1,000,000 <br /> � oer�tx �cort�w� s 1,00O,OOU <br /> CENL ARRREOATE UMIT APPLE$ PEIR <br /> X voucr E� �� , weooucrs.carwovrcc s 1.000,000 <br /> �uraiomsF �u�eiun ' t <br /> N+v�wro <br /> � �. de.r � : 1,OOU,000 <br /> A � �� �w�v 072312 20699636 <br /> /18/30 /I8/21 wni�r euunv sn.r w.o„1 s - <br /> . X HIFIED MffOS � J( NOMOWNED <br /> SOOILYINR/C1'(p�r�ep�J s � <br /> �ums rn aarr s <br /> �otlurtt <br /> IA�AELl/� l6b S <br /> OCCIR <br /> � � i <br /> FXCESS 14�8 CWYSMADE <br /> AGp�.11l'E j <br /> �ED RE'[EFRION E <br /> WORMBiB CONPENW17p� i <br /> AND EMPLOYEAS' Ubt�flY Y�N TORYTU1tIi'i 014� <br /> �wr ewofwErcw�rutl�pimg �'''� <br /> � <br /> o�Mm4M�WEP OGUOSO� 1 I M!A E L° AGCI�!(T : <br /> ��� �� � i . <br /> If yw,��crip��r E.L D16EAEE . EA FJ+IPLOY� � t <br /> DESCRIP�AN OF OPSiA710N8 e�w <br /> et o�wse • Poucr uw► z <br /> oEaearvno►r oF oaou'noNS r �oranais rvgeaES t�noa �cao �w. adarar a.�wa se.+�� um. �.a k,. <br /> CER7IFICATE MIOtDER CANCELLATION <br /> City of Zephyrhills <br /> 5335 8th Street st+aua �wr oF rHe �eove oeaaaaeu voucies eE c�u.ea e�oaE <br /> Zephyrhills, FL 33542 ����r� p^� '�+E�. NoTic� wa� eE oa�v�o iN <br /> �ccoaaanrcE wrtx te� roucv as�ovs�,. <br /> � Ml►hARQED NEP11E7EN7KIVE <br /> � <br /> � ORA7101Y. Allright,teserved. <br /> ACORD25(?A10/06) 'The ACORO name and logo are reyLstere.W r�arks of ACOR� <br />
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