Laserfiche WebLink
07/15/2�11 1C:15 FF;OM: 7272695462-T0: Contractor Lic@18137800021 Page: 2 of 2 <br /> OP ID: LM <br /> '` CERTIFICATE OF LIABILITY INSURANCE DATE(MMUDDflYYY) <br /> 07/15/11 <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY 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� AUTHORI�D <br /> REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> : t e certi icate o er is an , t e po icy ies must e en ors . , su �ect to <br /> the terms and conditions of the policy, certain policies may require an endorsement A statemeM on this certificate does nat confer rights to the <br /> cert'ficate hol er in ieu of suc endorseme s <br /> alden Insurance Network, Inc �2�_gq�_9544 ' <br /> 7516 Ridge Road "� "O E'� : �ac, No�: <br /> Port Richey, FL 34668 PRODUCER <br /> H. Shelita StuartlA275613 <br /> INSURER(S) AFFORDMIG COVERAGE �� # <br /> INSURED RobertHugues INSURERA.MOflt ome InsuranceCom an 24074 <br /> Enterprises Inc INSURERB . <br /> 7510 Cypress Knoll Dr INSURER C. <br /> New Port Richey, FL 34653 <br /> INSURER D . <br /> INSURER E . <br /> INSURER F . <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 /> 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 REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE IIMIT3 <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE g 1,000,00 <br /> A x COMMERCIAL GENERAl. LIABILITY BL01253554125 06/26111 06126I12 pREMISES Ee occurrence S ���,0 <br /> CLAIMS-MADE � OCCUR MED EXP (My one pereon) $ � O,OO <br /> PERSONAL & ADV INJURY $ 'I,OOO�OO <br /> GENER,4L AGGREGAlE $ Z�OOO�OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ Z�OOO�OO <br /> POLICY PRa LOC <br /> $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A X.nNrAUro BA01253749282 06/2B111 06/26/12 �Eee`°�°em� $ 1,000,00 <br /> ALL OWNED AUTOS <br /> BODILY INJLK2Y (Per person) $ <br /> SCHEDULED AUTOS BODILY INJURY (Per eccideM) $ <br /> HIRED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per acadeM) <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> $ <br /> W ERS COMPENSATION <br /> EMPLOYERS' LUIBILT' Y/ N TORY LIMITS ER <br /> PROPRIETORIPARTNERIEXECUfIVE $ <br /> OFFICERMIEMBER EXCLUDED? N/ A E L EACH ACCIDENT <br /> (Mandatory in NH) <br /> If yes, describe under E.L DISEASE - EA EMPLOYEE $ <br /> DESCRIPTION OF OPERATIONS below E L DISEASE - POLiCY LIMIT <br /> DESCRIPTION OF OPERATION3/ LOCATIONS ! VEHICLES (Attaeh ACORD 101, Addkional Rsmarka Schsduls, H moro spses ia nqWred) <br /> CTYZEPH <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> ACCORDANC WI H THE POLICY P OVISIONS. <br /> 2ephyrhill City Hall <br /> 5335 8th St AIJT►{ORIZE� REpREgENTATIVE <br /> Zephyrhills, FL 34248 <br /> � ,�..�-�+ta7�.. �"#��:�ew� <br /> O 1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 {2009/09) The ACORD name and logo registered marks of ACORD <br />