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��� OP IQ: TR <br /> '`��°R CERTIF[CATE OF LIABILITY INSURANCE dATE�MM10D/YYYY� <br /> 07/19I11 <br /> THIS CERTIFICATE I5 ISSUED AS A MATTER OF INFORMA'CION ONLY AND CONFERS NO RIGHTS UpON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BEL.OW. 7HIS CERTIFICATE OF INSURANCE DOES N�7 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERT[FICATE HOLDER. <br /> IMPORTAN'f': If the certiftcate holder is an ADDITIONAL INSURED, the po[!cy(ies) must be endorsed. lf SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certaln po[icies may require an endorsement A statement on this certtficate does not confer righks to the <br /> oertiftcate holder in fieu of such endorsement(s). <br /> PRODUCER 813-223-3911 NAIiE Tan a Russo <br /> Lykes Insurance, lnc 813-221-9857 p"oNE .873-223-3911 F^x <br /> 400 N. Tampa St, Suite 2200 E�NIAIL �vc No : �13-221-1651 <br /> Tampa, FL 33602 PROO �s: trusso I kesinsurance.com <br /> Rieha�d P. Russo� J!'. A226626 cusTOnnereioa•CALDE-2 <br /> ' INSURE S AfFORDING COVERAGE NA1C # <br /> INSURHP Caldeca Mechanical Services, INSURERA FCCI Insurance Com an 10178 <br /> Inc. iNSUReR e: National Tn�st Insurance 20141 <br /> 1721 N. Howard <br /> Tam pa, FL 33607 INSURER C: <br /> INSURER D : <br /> INSUREFt E • <br /> IPlSLIRER F • <br /> COVERAGES CER'fIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE L15TED BELOW HAVE BEEtJ I5SUED TD THE INSURED NAMED ABOVE F�R THE POLICY PERIDD <br /> INDICATED. NOTWITNSTANDING ANY REQUIREMENT, TERM DR CONDITION OF ANY CONTRACT OR O7HER DOCUMENT WITW RESPECT TO WHICH TH1S <br /> CERTIFICA7E MAY HE ISSUED OR MAY PERTAIN, THE INSURAMCE AFFORDED HY THE POLICIES 0£SCRIBED HEREIN IS SU8JEC7 TO ALL THE TERMS, <br /> EXCLUSiONS AND CONdiT10NS OF SUGH POIICIES. IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> �� TYPE OF 1NSUFtANCE POUCY NUM9ER MMIDDlYYYY MMlDOIYY�YY LIMIT9 <br /> 6ENERAL UABIU7Y EACH OCCURRENCE S ') �OOO�DO <br /> /4 X COMMERCIAL GENERAL LU481LITY GL0007708 09I25/10 09125l14 pREMI . E e ce S � �a���� <br /> CIAIMS�MAOE � OCCUR MEO D(P (Any one parson) S 5,00 <br /> PER50NAL 8 A�V INJUAY S 1,000,00 <br /> GENERALAGGREGATE S 2,000�00 <br /> GEMLAGGREGATELIMITAPPLIESPER: pRODUCTS-COMP/OPAGG S Z,OOO,OO <br /> PDLICY X PR � LOC S <br /> AUTOMOB]LE LIABILlTY COMBINED SINGLE LIMfT S '� �QOQ�OO <br /> B X ANY At1T0 CA0011838 o��2sli o o9lzsrl � �Ea °`aa°m� <br /> BODILYINJURY(Perparson) S <br /> ItLL OWNED AUTOS 9001LY IN.fURY (Per eeNdeM) 5 <br /> SCHEDULEO AUTOS PROPERTY �AMAGE <br /> X H1RED AUTOS (Per aaltlenl) $ <br /> X NON-UWtJEp AU'fOS S <br /> 5 <br /> UMBRELLA L1AB X OCCUR EACH OCCURRENCE S 'I�DOO�00 <br /> F.l(CESSLIAB CLAIMS-MA�E AGGR£GATE S 'I�040�00 <br /> B UMBOd07568 09125l10 09125I14 <br /> DEDUCTIBLE . S <br /> X RETENTION S �IO DOO s <br /> WORKE3t5 COAAPENSATION WC &TATU- OTH- <br /> ANp EMPLOYERS' LIABILITY Y/ N X T '�'� <br /> A ANY PROPRIETORlPARTNERIEXECUTIVE fl�� WCOB/4-sOJ2 001 09/25110 a9/25/11 E.L EACH ACCIOENT S SOO�QO <br /> OFFICERfMEMBER EXCLUDED? � N!A <br /> {�landatory tn NH� E.L OISEASE - EA EMPLOYEE S 500,00 <br /> Ifyes, desaipe under <br /> DHSCRIPTION OF DPERATIONS ba�aw E.L DISEASE -?OLtCY LIMIT S SOO�OO <br /> q Contractors Equtp- CM0004i3b 09125/1Q 09125/11 Leased � 1UO,00 <br /> ment Rented <br /> OESCRIPTION OF OPERA110NS l LOCA710NS J VEHICLES �Altoeh ACORD 1D1, Addlllonal Ramarks Sehodu[u, if mara apace is raqulrad� <br /> CERTIFICATE HOLDER CAWCELLATION <br /> ZEPH533 <br /> SHOULD ANY OF THE ABOVE UESCRIBED POLICIES BE CANCELLED BEFORE <br /> THH EXPIRATiON DATE THEREOF, NOTICE WlLL BE DEL.IVERED IN <br /> City of Zephyrhills- ACCORDANCE W1TH THE POLICY PROVISION3. <br /> Building aepartment AUTHOR¢EO REPREBENTATiVE <br /> 5335 8th Stree# A% � s ���� . <br /> Zephryhills, FL 33542 <br /> i <br /> O 1988-20D9 ACORD CORPORATION. Atl rights reserved, <br /> ACORD 25 (2009109) 7he ACORD name and [ogo are registered marks of ACORD <br />