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11-12072
Zephyrhills
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Building Department
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2011
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11-12072
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Last modified
4/2/2012 2:08:33 PM
Creation date
4/2/2012 2:07:59 PM
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
11-12072
Building Department - Name
STALL,DEBORAH
Address
37648 GILL AVE LOT 263
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06/29/2011 WED 13:09 FAX 727 784 8554 STAHL �001/001 <br /> ��^� OP ID: D <br /> AC'UR[7 DATE (MMUDDIWYI� <br /> � CERTIFICATE OF LIABILITY INSURANCE 06129N1 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATNELY AMENO, 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 /> REPRESENTATNE OR PROOUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certHicate holder is an ADDITIONAL INSURED, the poNcy�les) must be endorsed. If SUBROGATION IS WANED, subJect to <br /> the terms and conditions of the policy, certain policies may require an endorsemeM. A statemerrt on tMs certHicate does not confer �igMs to the <br /> c rt c e h Ider in Ileu of such endorsemerrt s. <br /> PRODUCER 813-818-5300 <br /> Stahl 8� Associates Ins., Inc. 813-818-5396 H0 N; E: roo : <br /> 3939 Tampa Road <br /> Oldsmar, FL 34677 AD° <br /> Michael Pagano, AAI • SUPER� <br /> INSURER(S) AFFORDING COVERAGE NAIC i <br /> INSURED Superior Heating 8� Cooling INSURERA. NBLIOflBI T�USt IflSUPBflCE CO. <br /> Management �flC. INSURERB. <br /> 785 Dunbar Ave <br /> Oldsmar, FL 34677 INSURERC. <br /> IN3URER D . <br /> INSURER E . <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL01N HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NONIIITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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 SHOYVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR 7ypE OF INSURANCE P ICY NUNIBER ��M� <br /> GENERAL IIABILRY EACH OCCURRENCE $ 'I �OOO�OO <br /> A X COMMERCIALGENERALLIABILITY GL001042102 OB/O'IN1 OBIO'IHY pREMISES Eeoccurrence $ �OO,OO <br /> CLA�MSMADE � OCCUR MED EXP (My one person) $ 5,�� <br /> PERSONAL & ADV INJURY $ 'I,OOO�OO <br /> GENERAL AGGREGATE $ Z,OOO�O <br /> GEN'L AGGREGAlE IIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Z,OOO�O <br /> POLICY X PRa LOC Em B611. $ 'I OOO OO <br /> AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT <br /> A X/wv,4lJfo CA001615802 06101/11 06101l12 �Eaaccident) $ 1,000�00 <br /> BODILY INJURY (Per person) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY (Per acadent) $ <br /> SCHEOULED AUTOS <br /> PROPERTY DAMAGE $ <br /> HIRED AUTOS (PeracadeM) <br /> NON-OWNED AUTOS $ <br /> $ <br /> x UMBRELLALIAB X OCCUR EACH OCCURRENCE $ Z,OOO,OO <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ Z,OOO�OO <br /> A UMB001082702 06101l11 06101112 <br /> DEDUCTIBLE $ <br /> X R NTION � O OOO <br /> WORKER8 COMPEN8ATION <br /> AND EMPLOYERS' LIABILITY Y! N <br /> ANYPROPRIETOR/PARTNERIEXECU'fIVE E.L EACHACC�DENT $ <br /> OFFICERlMEMBER EXCLUDEO? N J A <br /> (MSnd�tory in NH) E.L DISEASE - EA EMPLOYE $ <br /> If yes, descnbe under <br /> E.L DISEASE - POLICY LIMIT <br /> q Physical Damage CA001615802 06101l11 06101l12 Comp Ded 50 <br /> Coll Ded 50 <br /> DESCRIPT'ION OF OPERATIONS ! LOCATIONS! VEHICLES (AGach ACORD 107, AddWond Rsmuk� Sehsduls, it more spacs la roquirod) <br /> ZEPHY-1 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE 1MLL BE DELIVERED IN <br /> ACCORDANCE NIITN THE POLICY PROVI810N8. <br /> City of Zephyrhills <br /> 5335 8th Street AUTHORI�D REPRESENTATIVE <br /> Zephyrhills, FL 33542 <br /> � ���1���`��� <br /> O 1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2009I08) The ACORD name and logo are registered marks of ACORD <br />
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