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� DATE (MMIDDIVYVY) ACORO CERTIFICATE OF LIABILITY INSURANCE o8�25�20„ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT• If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policfes may require an endorsement. A statement on this certi£cate does not confer rights to the eerti£cate holder in lieu of such endorsement(s). cor+rncT aRODUCER phone� (813)988-123 Fax: (813)988-0989 NAt�tE_ MARY �Y PHONE S�3 9SB �ZS4 �a 813-988-0989 ASSOCIATES AGENCY, INC. �ac No E.��: �_ _L__ -' PO BOX 16190 E- �� ADORESS_ 11470 N. 53RD ST. vaooucea 2223 C_USTOMERID. __ __. -_ _ TEMPLE TERRACE FL 33687 Agency Lic# R001766 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA . SCOttSC�aI@ ADRC INC. & FLORIDALARM COMPANY INSURERB 322 CHADWELL DRIVE INSURERC SEFFNER FL 33584 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 228953 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CE�RT FICATE MAY BE ISSU�ED OR MAY PER A AFFORDED BY THE POLIC ES D SCRI ED REEN IS SUBJECT I TERMSS �ADOL�SUBR '� POLICYEFF POLICYE%P LIMITS INSR 7yPE OF INSURANCE INSR Wy0 POUCY NUMBER �MWDD/_YY'IV] �_lMM�DDIVYYYI �TR 1,000,000 A GENERAL LIABILRY CPS7320592 03113f11 03/13l12 EACH OCCURRENCE S DAMAGETORENTEO $ �O�OOO X COMMERCIAL CaENERAL LIABILITV 'I � i , PREMISES.�Ea_occurence) i MED EXP (Any one person) $ 5,�� �CLAIMS-MADE X OCCUR � � i - i --� - "—" i ' ' PERSONAL&ADVINJURY $ 'I,OOO�OOO � '' GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 'I,OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER' PRO- i ' $ POLICY j : �ECT ILOC _ _ _, — -- + - ' COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY '� $ � (Ea accidenq ANY AUTO ' ' � r BODILY INJURY (Per person) § ALL OWNED AUTOS � �� BODILY INJURV (Per accidenq $ SCHEOULED AUTOS , ! � PROPERTY DAMAGE $ � HIRED AUTOS i � , , (Per accident) , $ NON-OWNED AUTOS � � $ UMBRELU. uAB OCCUR , EACH OCCURRENCE � exce5s Lwe �CLAIMS-MAOE i , AGGREGATE $ ' �I $ DEDUCTIBLE ' , � . � RETENTION $ , , ' wC S7AiU- 07r+ WORKERS COMPENSATION � � TORVIiMITS ER $ pNO EMPLOVERS' 1U61LRV v i n ' E.L EACH ACCIDENT g ANV PROPfUETORIPARTNEWEXECUTIVE iNIA OFFICERIMEMBER Ezcwoeoa , E.L. DISEASE EMPLOYEE $ (Mandatory In NHj u yes, aesc�oe uneer E.L. DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS Eelow t -- -_ � ' � ', CPS1320592 03/13/11 � 03/13112 ' 2,000,000 AGGREGATE p �' Ertors or Omissions , '� � - 1----- -- -- -- ' - -- -�- - DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attaeh ACORD 101, Additfonal Ramarks Schedule, H more space fs required) Central Security Group is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Zephyrhilis I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department �I ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8th Street Zephyrhills, FI SSS42 AUTHORIZED REPRESENTATIVE I I Attention: fx 813-780-0021 :� Mike R er — s ACORD 25 (2009/09) OO 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD