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07-0?-'11 16:�9 FROM-Miller Electric 4078127171 T-768 P003 F-949 <br /> r � <br /> ' CERTIFfGA7E QF LlABILITY IN$URANCE � oi�o� �' <br /> r�S C�RTIFICATE IS I3SUED as A MaTTER OF INFORMA110N ONLY AND coNFERS NO RIGHTS UPON 1HE CERTIFICA7E HO[.[�R. TI�Ns <br /> CERIIFICA'1'� DOES NOT AFFlRMATII/ELY OR NEGATIYELY AMENI�, �XTEND OR ALTER THE COVERAGE AFFORDED BY 111E POLIdES <br /> BELOW. TFNS CER7tFlCATE OF INSURANCE DOES NOT CONST1TUrE A CONTRACT BETWEEN TNE ISSUING INSURER(S� AUTHORI2ED <br /> REPR�sErRArnE OR PR4DUCER, /WO THE cER�FICaTE HOLDER. <br /> IMPORTANT: If the ceA�cate holder is an ADDI110NAL INSURED, the policy(iea) must be e�orsed. If SUBROGATION IS WAIVED, subjec:t to <br /> the terms and conditians of the policy, certain policies may require an endorsement. A statement on this certificete does not cqnfor rights to the <br /> certificata holder in Ifeu M euch er�dorsemeM s <br /> vr�o�uc�R 407-869-0962 C NqNEACT Melinda L ch <br /> SIHL� INSl1RANCE GROUP, INC. qpy.774.093g ;� � E ,407�89-8424 N, 407-389-8494 <br /> P. O. BOX 160398 A ML ch sihle.com <br /> ALTAMONTE SPRINGS, FL 32716 � � <br /> Cheryl Noble MILLE31 <br /> M15URE S AiFORDINGCOV�JIGE NAICi <br /> ��� Mfller Electrical Serviaes inc �,su�a:Westfield Insurance Group 24712 <br /> 2153 Premier Row ,�� e : <br /> Orlando, FL 32809 <br /> w�c: <br /> �+sukEa o : <br /> 1NSURER E : <br /> INSURdtF: <br /> COVERAGES CERTlFlGATE NUMBER: REVISION NUMBER: <br /> TMIS IS TO CERTIFY THAT TFtE POLICIES OF 1NSURANCE IISTEO BEl,QW HAVE BEEN ISSUED TO THE IN5URE0 NAMED ABWE FOR THE POLtCY PERIOD <br /> INDICAT�D. NONVRHSTANDMJCi ANY R�GlU1REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHHR DOCUARENT WRH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE NSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREN IS SUBJECT TO AlL THE TERMS, <br /> EXCLUS�ONS AND CONDITIONS OF SUCF1 POLICIES. �lM�'TS SHOWN MAY HAVE 9EEN REDUCED BY PAtD CLAIMS. <br /> � TYPB OF INSYitANCE POLICV nn�M6ER MMAO/YYYY Mr+oorcrvv L�� <br /> GENERALLIABILITY �MQG(�/RRErIICE S ���� <br /> 14 x COMMERCIALGENERFLLIABIIITY RA3376346 0911511Q ����� pRp.1�S�S Ee aw�6noe = ��� <br /> CLAIMS�MPDE QX OCCUR MED EXP (My or+o pirso�) S �Or <br /> X Per �ocallon A99 a�RSOnia� a,�,ov r�a,ar s 1,000, <br /> X C��� W�• GENERnLaGGREGATE S 2,000� <br /> GEN'IAGGREGATELIMITAPPLiESPER PRODUCTS-COMp�OPAGG 6 Z.��. <br /> POLICv �( PRO- LOC $ <br /> AUrOM081LELUBII.IT! COMBINEDSWGLELIMR s ���� <br /> (E8 eCdtlenn <br /> A X ANYAUTO RA3376346 ���� ���11 gpDILY NJJRV (Perpenon) S <br /> Al.l OwNEDAUrOS <br /> BOO�LY NJURY (POr�pd«�t) _ <br /> SCHEOV LEO AUTOS <br /> PROPER7YDAMAGE s <br /> A x M8tE0AUTOS ��7ssas o�r�s��o oer�s��� ��a�e��� <br /> A X NON-OWNEDAUTOS TRA3376546 09HSH0 09l13/11 PIP s 10, <br /> s <br /> X UMSREI.IA I,IAB X OCCUR EACN OCCURRENCE S ���� <br /> EXCE88 W16 aAIMS�AAAOE AGGREGATE t � �,�, <br /> A TRA3376Sa6 osrtsno 09NS/11 <br /> DEDUCTIBLE 6 <br /> X RETENTiON S -0' s <br /> 1M�RKERS GOMPENSATION WG STA7U- OT►i- <br /> AI� EMPLOYERS' LIABILITY T RV pAIT R <br /> euvr PROPR�ErOR��RnuEWE)cECV'rrv� Y � N E,�, �N ,ACCIDENT : <br /> OFFICERIMEMBEREXCWOfO� � NlA. <br /> ryan�late+Y M� NMl E �. DISEASE - EA EMPLOYEE f <br /> If y99, C64CtiDB urWB� <br /> DESCRIPTI N OF OPERATIONS belOw E L. DISEASE - POLICY LIMfT S <br /> DEBCRPTION OF OPERA710NS i LOCA110NS! VEY#CLES (AtMCh ACQIm tot, A�tla�N RamoA�a 8ch�dul�, If mon spue la requlred} � <br /> CERTIFlCATE FfOLDER CANCELLATIOlJ <br /> ClTYZEP <br /> • SHOULD ANY OF THE ABOVE DESCRIBED POI.ICIEB BE CANCELLED BEFORE <br /> CityofZephyrhilis TM+E ExP1�►noM oA7E i1�REO�, No11t� wkL BE DELNEREO IN <br /> ACCORDANCE NfITM 7HE POLICY PR0IASIONS. <br /> Building Dept <br /> $3.35 Stli SLI'eeL AIRNORt2ED ItEPRESBJTATNE <br /> 2ephyfiills, FL 33542 <br /> �� Q �.iEb(f_� <br /> ,� <br /> � 1986-2009 ACORD CORPORATION. AI1 rlghls reserved <br /> qcoRD 25 (2ooeAe) The ACORD name and togo are regist�red marks of ACOrtD <br />