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11-12140
Zephyrhills
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2011
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11-12140
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Last modified
5/10/2012 11:23:44 AM
Creation date
5/10/2012 11:23:41 AM
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Building Department
Company Name
RACEWAY-METRO PCS
Building Department - Doc Type
Permit
Permit #
11-12140
Building Department - Name
PHILLIP MICHAEL INC
Address
6947 GALL BLVD
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07/11/2011 15:31 FAX 7Z7 882 OZ39 PLYMOUTH INSURANCE AGENC �j001/001 <br /> ��� CERTIFICATE OF LIABILITY INSURANCE �i1i/zo i <br /> �oouceR THIS CERTIF�ATE IS ISSUED As A MATTER OF i�o�wu►noN <br /> P1ymo uth Zaauraacs Agancy ONIY AND CONFERS NO RIGNT� IJPON TME CERTIFICATE <br /> 2 7 3 9 IIS 8vry 19 �iorth ��• THIS CERTiRC/1TE DOES NOT AM@!D, FXTEND OR <br /> ALTER THE CWERAGE AFFORDED 8Y 7HE POLICIES BELOW. <br /> Holiday, F1, 3�691 <br /> 8 7 7- 2 0 5- 0 6 8 2 INSURERS AFFORDING COYQiAGE wuC � <br /> ��►�o Accnnt �ieon � S gn Co, dba of ,,,,��,� Benc rk Ias Co <br /> Todd � s Contractiag Corp. ,,,,�� B LLOYD � S OF LO1�D0� <br /> 7 7 4 iiai Lani Ad . ,,,�,� �; <br /> Pala Harbor, 1�L 34683 ,,,�� o - <br /> 7a7-947-3610 office ,�� E: <br /> COVERA4E3 <br /> TME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU� TO THE INStJRED NAMEO ABOVE FOR THE POLICY PERIOD N�DICATED. NOTWITHSTANDNdG <br /> ANY REOU�NT, TERM OR CONDfT1pN OF ANy CONTRACT pR pTFIER DOCUMENT W(TH RESPECT TO WH1CH THIS CERTiF1CATE MAY � ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POIJqES DESCRIBED FIEREIN IS SUBJECT TO ALL THE TERMS. D(ClUS10NS AND COt�ITIONS OF SUCH <br /> POLICIES. AGGREGATE LIAAlTS SHOW N MAY HAVE BEEN REpI�ED 8Y PAID CLAIMS. <br /> LTR POLICY 1NJA�ER LAMTS <br /> ��w� we�un' �►cr+ ocau�a+ce s 1, 000, 000 <br /> 7C m�cu� c�NEww ue�ex.��v �isess E, ocu,er,aa s 10 0. 0 0 C <br /> cuiMSw�oE �Z occuR uEOOCr c s 5, 000 <br /> A HCP0959 5/15/ZOii 5/15/3014 �yp�arovwx,Rr s 1 d00 000 <br /> cr�xu �cc�cn� s Z, 00 0, 0 Q 0 <br /> cerr� ,►cc�c,�re ur�r �uES �ooucTS - co�ro� �cc s Z, 0 0 O, 0 0 0 <br /> a �o�� P�°- �� <br /> �uTOMOe�� u��m <br /> �►�r�uro � s� utiar s <br /> �own�o�uras Bod�Vw.i�v s <br /> SCHEDULED AUTOS _ � �� <br /> HII�D AUTOS � <br /> NON-OWNEDAUTOS ' (����� s <br /> PROPERTY U�11AGE S <br /> (Per�aid�rnl <br /> GARAGE LIA81L ITY AUTO OI�V - EA ACpDE1�R S <br /> ANYAUTO OTHERT►NN �►ACC S <br /> AUTOOI�LY: AGG S <br /> EXCESS+UMBRELLA UA&LITY EACM O�ENCE S <br /> OCCUR � CuH�ASMaoE �GGREC�'rE i <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> WORKERS fAMPEN5/4TI0NMD <br /> EMPLOYERS' LIA&LITY EL. EACM ACG�ENi S <br /> tN' vROPRIETOILP�ATI�IExECl1TVE <br /> OPFICEWMl�A!!R EI7Cl.U0FD� <br /> ' EL. OISEASE - EA ENPLO i <br /> M�yes dwcriDeuntler <br /> 9PEG�IAL PROVISIONS bNow E.l. OISEASE - POLICV uA11T i <br /> O7MER <br /> DESCRIPTION OF OPERATIONS / LOCJITION3 VEFitCLES / EJCCWSIONS ADDED BY B�IDORSB�EM / SPEGAL PROVISIONS <br /> CERTIFICA7E HOLDER CANCELU►T10N <br /> CITY OP' ZEPHYRHILLB �U��������������������TION <br /> 5335 8TH ST �T� ���. T� ��' ��R WILL ENOEAVOR TO 1M�.O DAr3 WRIn'EN <br /> ZBPHYRHILLB. 1�'L 3 3 54Z Nom� To r►� c�nF�►re t+o� �n ro � t�r, eur Fa�u� ro no so sH�u� <br /> IMPOBE NO 0�1GATION OR LIAB�RY OF ANY I�ID UF'OW THE INSURER fTS AGENl�3 OR <br /> REPRESEHfATIVE3. <br /> 11UTF10R1�D REPRESENTA7P..'`. <br /> ACORD21(2001/08) OAiCORD f�RPORATION 19� <br />
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