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CERTIFICATE OF LIABILITY INSURANCE o�ii$�zoii' <br /> PR���UCER (305)822-7800 FAX (305) 558-4294 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Col.i i nsworth, A1 ter, Fowl er & French LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> $Oa Gorvernors Square Bl vd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Su�. ;� 301 ' <br /> Miami Lakes, FL 33016 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A. Alllel IflSUPd11Ce Co 19488 <br /> Driveway Maintenance Inc INSURERB: <br /> P 0 Box 5985 INSURER C: <br /> Tampa, FL 33675-5985 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 POLICIES 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY ,`GLZOGZHSZOOQZ ���OI�ZO11 O7�OI�ZO12 EACH OCCURRENCE $ 1� OOO � OO <br /> X COMMERCIAL GENERAL LIABILITY �� � DAMAGE TO RENTED $ 3OO � OO <br /> CLAIMS h1ADE � OCCUR f CG7048 03/04 j MED EXP (Any one person) $ 1Q � QO <br /> A X Add � � Insd CG7O49 O9�OS ' PERSONAL & ADV INJURY $ 1� �QQ � Q� <br /> X Bl kt Wai ver CONTRACTUAL INCL GENERAL AGGREGATE $ Z� OOO � OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: �� PRODUCTS - COMP/OP AGG $ Z� OOO � OO <br /> POLICY X PR � LOC � <br /> JECT <br /> AUTOMOBILE LIABILITY 7���AC7�HSOOO2 O7�OI�ZO11 O7�OZ�ZO12 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ <br /> 1�000�0� <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED A.UTOS (Per person) $ <br /> A <br /> X HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> X PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY AGG $ <br /> EXCESS/UMBRELLA LIABILITY CU206285101 O7�OZ�ZO11 O7�OL�ZO12 EACH OCCURRENCE $ 4� OOO � OO <br /> X OCCUR � CLAIMS MADE FOLLOWING FORM AGGREGATE $ 4� OOO � OO <br /> A —'.�` $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ $ <br /> WORKERS COMPENSATION AND WC206605000 1�OZ�ZO11 OZ�OZ�ZOZZ X WC STATU- X OTH- <br /> EMPLOYERS' LIABILITY <br /> A ANY PROPRIETOR/PARTfJER/EXECUTIVE _ E.L. EACH ACCIDENT $ 1� OOO � OO <br /> OFFICER/MEMBER EXCLUDED� E.L. DISEASE - EA EMPLOYEE $ 1� OOO � OO <br /> It yes, descnbe under <br /> SPECIAL PROVISIONS be�ow E.L. DISEASE - POLICY LIMIT $ 1� OOO � OO <br /> or ER 2062887001 07/O1/2011 07/O1/2012 Leased/Rented Equipment <br /> A n�land Marine Special $150,000. w/$2,500. DED <br /> Form <br /> applies <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECtAL PROVISIONS <br /> ERTIFI ATE H LDER A <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Cl ty of Zephyrh i 11 s 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Bui 1 di ng Dept . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 5335 8th Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> Zephyrhills, FL 33542 AUTHORIZEDREPHESENTATIVE ��� <br /> Richard French TERESA <br /> ACORD 25 (2001/08) OOACORD CORPORATION 1988 <br />