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AUG-29-z011 10:40A FROM: T0:18137800021 P:1�1 <br /> A� �O�' CERTIFICATE OF LIA�ILITY INSU�ANCE �"�`""�°""''"' <br /> 7i2a��o„ <br /> TNtS GERTIFICA7"E IS 18SlJED AS A MAITER OF INFORMATION ONLY AND CONFERS NO RIGNTS UPON T11� CERTIFICATE HpLDER 7'H{S <br /> CEltTIFICATE DOES NOT AFFIRMIATIVELY OR NEGATIVELY AIMEND, Ex7END OR �Lrere TME cOVFR,yQE AFFOROED BY TFFE POLICiES <br /> BELOW. TNt3 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE7YYEEW THE I�ING INSURER(S), AUTFIORIZED <br /> REPRF�NTATNE OR PROD{JCER �►ND TME CERTIFICATE HOLDER. <br /> qAPORTANT: If tlre cerdfic�be holder Is an ADDITIONAL INSURED, f1� poliay(iso) �+ust be endo�a�ed. If SUBROGA710N 1S wA1vED, subject to <br /> th� tom�s and cpn0iti0n6 of eh� polic�r, p�a polkNs rnay nquln an �ndoes�nNnt A stabm�nt on MM MrtMlc� dws not �onNr rlyhts eo t� <br /> ceAitic�be holder in lieu M sueh endoraanertqs). <br /> PROOYCER <br /> �ovits �nsurano� Agency. �nc. ^1 . 3 "'� H 35 - 2885 <br /> P.R. B� 188 <br /> San Antonio. FI. 33576 .. <br /> raoouC � . <br /> .._. .. .�n�;� nr�o�c � �uuc r <br /> INSYRW � � ; <br /> A-1 B COOL WEAT AND AIR ��C Msur�a e:�rOq reSS7 Ve i nsu rance co <br /> 15873 I.AKE 10�A RD - • <br /> dade city. FL 33523 m�uns� c: .._ _. ._. <br /> o: <br /> e; FIRST COMP INSURANCE ��� <br /> NiffilAEN F : . ..... <br /> CQV�RAGES CER7IFICATE NUMBQR REVISION NUMBER: <br /> TM�3 �8 TO CER7IFY TFIAT TM8 POLICIES OF IPt3URANCE U$TED BEI.OW MAVE BEEN ISSUED TO THE INSURED NAARED ABOVE FOR THE POLICY PER10� <br /> INpICATED. NOTIMTHSTANDING ANY REQUIRB�AENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT YNTH RESPECT 1'() WFIICH TMS <br /> CERTIFICATE MAY pE 13SUE0 OR MAY pERTAIN, TME INSURANCE AFFpRD60 BY 7HH POUCIE$ CESCRIBE� NE3tEiN I$ SUBJECT 70 ALL THE TERMS, <br /> EXCLUSIONS AND COND 1110NS OF SUCH POUCIES. UMfTS SHONM MAY MAVE BEEN REDUCED BY PAID CLAIMS. <br /> �� ....� TVP! OR M�fUMNC! .. . NUM!!R .. . Mr MIDDMWY uMt�9 <br /> ��� � EACM OCCURRENCE S <br /> COMMERGAL 6ENERAL LUABILiTY <br /> PREAkR ,. �netrye E <br /> CUUMS.MADE n OCCUR _ . <br /> MED EXP M�pN pKNMf) S <br /> —.—. . PER.�iONAL 6 ADV INJURY S <br /> ... . _ GENERAL AGGRlGATL S <br /> CENLP�',GREGATEUMITAPPLJESPER: PRODIICTS-COMW�PnCG S . .. <br /> roucv �O' �.oc a ... <br /> '�'VT�� �� COMIBINED SINfnLE LIMR <br /> �¢„� s <br /> MFY AUTQ <br /> ALL OWNED AUTpS <br /> eaaLYnr,iuRVfPeroxmnY s 100.000 <br /> BODILY INJIfRY (Per a�ddent) _ �0�� <br /> B ... SG"FCU�EOwros 04531017-3 7/28/11 Ol/28/12 r�ovEa�,�,on�cc <br /> waeo nuros �„�, s <br /> NON�OVYNCD AIJTp$ � _ <br /> a <br /> V � � �'�'�� GGI GCI.',IJf�RENCF f <br /> aCE551U16 �j,,y�.p�p,� MrXsREGATE . .. .s .— <br /> �?ELIUCTIBIE • � <br /> S <br /> a� 1� s .. . . <br /> WORKlRSCOMPEaISA110N A U- <br /> AND EMPLOY6Rfi uABIUtY ER <br /> A �,�� µY � ' ����� rlM E.L[/�CIIM�ClDEN7 � 100.�QQ <br /> E ORFIC6RMEM�p(CWp� � N!A sitooxzzss-oz s�zs�ii os�i3/iz <br /> �� ��) E_L CISEASE - EA EMPLOYC S +�OOrOOO <br /> u w�. iP°riau 0� rrn� �Ows deaw ._ <br /> E.L. D15EASE - POLICY U611T S 100.000 <br /> OiYCRIPTON Or Op�R�7qN6/ �0�7WN5 � vEr�Ki�EB (MMO� AOORD 701� AOO�nem� RMN�rIa 6e�NUM� N ma� �o�o� N w0u+r0) <br /> CERTIFICATE HQLDER CANCELLATION <br /> CITY OF ZEPHYRHILLS s�iO�D M pF TME ABOVE CesC�b �O,,x,ES BE,C��FI I cn g�p� <br /> 5335 STH ST. � �E � TM � �v��ov�.�o��s.� ,�,� � � m <br /> ZEPHRYHILLS, FL. 33542 <br /> FAX $13-780-0021 �u►rnae� a�r�sourArnE '.. <br /> .. , <br /> _� �L�—, <br /> .- ._._ � 1988-2009 RD CORPORATI . AII r{g1itS Rsero�d. <br /> ACORD 25 (2009/09) The ACORD name and logo are ragi� mprlcs of ACp� <br />