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11-11978
Zephyrhills
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2011
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11-11978
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Last modified
3/30/2012 11:19:38 AM
Creation date
3/30/2012 11:19:37 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11978
Building Department - Name
LAURIE,TAMMY & LINDER,STANLEY
Address
39040 SOUTH AVE
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWY) <br /> � TM. O6/09l2011 <br /> PRODUCER Phone: (813) 9073990 Fax: (813) 907 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> BAY INSURORS CORPORATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P O BOX 7710 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> WESLEY CHAPEL FL 33545 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> I INSURERS AFFORDING COVERAGE I NAIC # <br /> - -- - -- --- -- -- -- <br /> - --- -- -�-- <br /> INSURED INSURERA. NORTH POINTE INSURANCE <br /> MERILAN HEATING 8� AIR CONDITIONING, LLC INSURE B: --- - <br /> 30818 SONNET GLEN DRIVE �I I NSURER C . � <br /> WESLEY CHAPEL FL 33543 __ _-_ <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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POI.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L TyPE OF INSURANCE -- - - --- - - '- - - - - -- - - - ----- - <br /> LTR IINSR � POLICY NUMBER POLICV EFFECTIVE I POIACY EXPIRATION ' LIMITS <br /> DATE MM/DD/VY DATE MM/DD/YY <br /> GEiERAL LIABILITY GL809392006 O6/09/11 06/09l12 EACH OCCURRENCE $ 5�0,0�0 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I$ 'I OO,OOO <br /> � I ; CLAIMS MADE r PREMISES (Ea occurence) ; <br /> A I X] OCCUR I MED. EXP (Any one person) $ - 5 <br /> � PERSONAL 8 ADV INJURY � 500,000 <br /> ' � i GENER.4L AGGREGATE �$ 1,000,000 <br /> GEN AGGREGATE LIMIT APPLIES PER. � -- -- — --- <br /> X POLICY PR � � PRODUCTS-COMP/OP AGG �$ 1,000,000 <br /> JECT ILOC — - <br /> � �, AUTOMOBILE LIABILITY <br /> ` - � I COMBINED SINGLE LIMIT <br /> ��� ANY AUTO (Ea acadent) $ <br /> ALL OWNED AUTOS I i ' BODILY INJURY <br /> i I_ SCHEDULED AUTOS I (Per person) $- <br /> � ; HIRED AUTOS , <br /> I � BODILYINJURY ��� <br /> I NON-OWNED AUTOS (Per accident) <br /> ' - - - - ' PROPERTY DAMAGE i g <br /> i (Per accident) <br /> i GARAGE LIABILITY � <br /> , AUTO ONLY - EA ACCIDENT $ <br /> I ANY AUTO ', <br /> - - OTHER THAN EA ACC ' $ <br /> AUTOONLY — h - -- - - --- - -- <br /> AGG I, $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE �$ <br /> , � OCCUR J CLAIMS MADE �I AGGREGATE $ <br /> I � � - -- �-- - - <br /> � I DEDUCTIBLE �i ' ;- - -- --- - - -- -- --- - <br /> RETENTION $ I $ <br /> I I$ <br /> WORKERS COMPENSATION AND WC STATU OTHER <br /> I EMPLOYERS' LIABILITY _ 7oRr uMi7s <br /> �' ANV PROPRIETOR/PARTNERIEXECUTIVE I i E.L EACH ACCIDENT $ <br /> I �, OFFICERIMEMBER EXCIUDED? <br /> u yez, aescribe umler I I I E.L DISEASE EMPLOYEE $ <br /> SPEqAL PROVISIONS below ' , r E.l DISEASE LIMIT :$ <br /> OTHER: <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF ZEPHYRHILLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 5335 8TH STREET EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS <br /> ZEPHYRHILLS, FL 33542 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br /> ITS AGENTS OR REPRESENTATIVES <br /> AUTHORIZED REPR <br /> i � <br /> Attention: <br /> !/ �-t�/ ' <br /> ACORD 25 (2001/08) Certificate # 8898 O ACORD CORPORATION 1988 <br />
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