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A CERTIFICATE �F LIABlI,.ITY INSURANCE �����2oii ' <br /> THIS CER71FiCA7E IS lSSUED AS A MATTER �F INPC7RMATION ONLY AND CONFERS NO RlGH7'S IfPON THE CERTIFICATE HaLDER. TNIS <br /> CERTIFICATE DOES NOT AFFIRMATlVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED 8Y 7HE PqLlCIES <br /> BELOW. 7HIS CER7IFICAT� OF INSURAWC� DOES NOT CONSTITUTE A CONTRACY BE'CWEEN THE ISSUING iNSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> lMPORTANT: If the certiftcate holder is an ADQtTiONAL INSURED, the policy(ies) must be andorsed. If SUBRQGATiON 1S WAIVE�, subject to <br /> the tenns and conditions of the policy, certain polic(es may require an endorsement. A statemanf on this certHicate does not confer rights to the <br /> certiflcate holder in EFeu of such endorsement(s). <br /> PRODUCER N T JASSSC8 Morneault -> 561-578-6667 <br /> PrimeGroup Tnsurance Services, Tnc. �� N ���, (813) 890-0415 jnArxc �813)865-4312 <br /> 5440 Beaumant Center 81vd. E � ^ � L morneault@ rime rou ins.com <br /> anortESS: ] P 9 P � <br /> Suite #445 PRODUCER p0003981 <br /> CUSTQMER 10 N. .. <br /> Taaipa �� 33634 INSi/RER(St AFFpR�MG COVERACaE NAIC N <br /> IN5UREP IldSI1REqA:BT3t10A1� Trust x.tl$ll��,�AC@ ;2Q1Q� <br /> Unified Associates Sign Service iNSURERB�Guarantee Insurance Company, 11398 <br /> & Installation, Tnc, iNSUR�c• <br /> P.O. Hox 3265 <br /> iNSURes n: <br /> INSURER E : <br /> P7.ant City FI, 33563 iNSU�e�: <br /> COVERAGES CERTIFICATE NUMBER:CL7.07.23008376 REVISiOId NUMBER: <br /> Tli1S IS TO CERTIFY THAT THE POL{C(ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE lNSURED NAMED ABOVE FOR THE POLICY PERtOD <br /> INDfCATED IdOTWFTHSTANDING ANY REQUfREMENT. TERM OR CONDITtON OF ANY CONTRACT OR OTHER DpCUMENT WITH RESPECT TO WHICH 7HlS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IMSURANCE AFF�RDEQ BY THE POLICIES DESCRlBED ME12EIM1! IS SUBJEGT TO ALL 7HE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWF! MAY HAVE BEEN REdUCED BY PAID CLAIMS. <br /> 1NSR . �UL;$11BR? i POLICY EFF � pOLICIf EXP � <br /> iTR '. TYPE Op INSUR/WCE POLICY NUMBER � MNUODIYYYY AAMlDOlYYYY UM17S <br /> GENERALLlA&LETY : � ; I <br /> i j EACH OCCURRENCE � S 1, 000, 000 <br /> j DMIU4GE TO R�N�ED <br /> X' COMMERCIAL GEN6RHl LIABfLITY j ' ; � PREMISES (fa ocwrrerroe) � S 100 , 000 <br /> A; iCi.AIMS-!JlADE ;}C:OCCUR ; GL0009743-02 `1/8/2011 3j8/2012 MEDEXP(Myoneperson} $ 5,009 <br /> � � � � � PERSONAL 8 ADV INJURY S I r OOO � OOO <br /> �X Contractual LiabilitV � ' �GENERqLnGGREGATE _g 2,000,004 <br /> � G£N'4 AGGREGATE LIMIT APPLIES PER: � : � PRODUC7S - COMPIOP AGG i$ 2 i OOO � OOO <br /> X� POLICY , X PRd LOC $ <br /> ; AUTOMOBILE LIABiLITY ' COMBINED SINGLE LIMIT ,_ <br /> � � ANY AUTO (Ea accider�l) <br /> ' BOpItY INJURY (Per person) ; <br /> ALL OWNEO AUTOS , <br /> ' � BODILY INJURY (Per accident} ; <br /> 3CHEDULEO AUT03 � � i PROPERTY DAMAGE <br /> ; HIREDAUTdS � ! (Peraocident) $ <br /> ; NpN-OWNED AUTOS � g <br /> i $ <br /> X UMBREI.IA UA6 ; X OGCUR ; EACH OCCURREPICE i 2� OOO � OOQ <br /> ' EXCESS LIAB C�q�S-�p�� AGGRfGA7E ; S <br /> ? DEDUCTIBLE � { <br /> �S <br /> A i 3t � RETENTION a 10 00o i �0010089-02 i/s/soii �/oe/zoiz ; s <br /> � 11N(1RKERSCUMPEN8ATION i � � : X �JpF{YL IM.tiS..� X� eR j_ <br /> , AND EMPIOYERS' UABIi.ITY Y � N � ; _ <br /> ANY PROPR�70RIPARTNERIEXECUTIVE I � E-L EACH AGCIDENT �.S 1 � dOO l QOO <br /> OFfIGERIMEMBER EXCLIJOED? �lA �y,fQ/Q012 <br /> (Mandatory in NN) Gi�IC301001555-117. 1/2/201i 1 E,t. 01SEASE - EA EMPLOYfiE� $ 1 QQfl QQO <br /> If yes, dascribe under � � <br /> DESCRIPT101J OF OPERA�'IONS betow E.L DISFISE -POtICY lq�A17 � S �. OOO OOO <br /> DESCRiVT10N pF OPERATIONS! LpCATlONS! VEHICLES (AKach RCORO 101, Additlonal Remarka Schedule, H mwe space is requlred} <br /> "Charlie Deal - 5800001I0.�� <br /> CERT�FlCATE HOLDER CANC�LLATION <br /> (813} 7@0-0021 SHOULD ANY OF THEA80VE DESCRIBEp POL1ClEH 8E CANCELLED BEFORE <br /> THE EXP[RAFiON DATE THER�DF, NOTICE WILL BE DELIVERED I1J <br /> City of Zephyrhills ACCORDANCE WiTH THE POLICY Pi20VISI0NS. <br /> Buiiding Dept. <br /> 5335 8th Street AU7HORIZEDREPRESENTATIVE <br /> Zephyrhills, FL 33542 <br /> E Ellsasser #A077167/ ���.��' ��. <br /> ACdRd 25 (2009/09) � 19$8-2009 ACORD CQRPORA7'ION. Ali rights reserved. <br /> INS025 (2oosos� The ACORD name and logo are registered marks of ACORD <br />