My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
11-12338
Zephyrhills
>
Building Department
>
Permits
>
2011
>
11-12338
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/11/2012 11:55:56 AM
Creation date
6/11/2012 11:55:54 AM
Metadata
Fields
Template:
Building Department
Building Department - Doc Type
Permit
Permit #
11-12338
Building Department - Name
KOB PROPERTIES LLC
Address
7813 GALL BLVD
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
13
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
��� OP ID: DAWN <br /> A�oR° � CERTIFICATE OF LIABILITY INSURANCE °" 09�, �"' <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEftS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFlRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERIIFICATE OF INSURANCE DOES NOT CONS7ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S� AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERIIFICATE HOIDER. <br /> IMPORTANT: If the certificate holder is an ADDI710NAL iNSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such end s. <br /> Sihl�e Insurance Group - Clrvvtr 72� P�E Mic �Iliams F � <br /> 2653 McCormick Dr 727-531-6855 � N , • 727-531-6800 � No : 727�31-6855 <br /> Clearwater, FL 33759 A�� mwiilja ihle.COm <br /> Micky Williams PRODUCER <br /> � a �_ ENCON� <br /> INSURE S AFFORDMiG COVERAGE NAIC 0 <br /> INSURED Encon, inc. wsur�R �: Westfieid Insurance Grou 24112 <br /> 730 S Steriing Ave, #200 ���R B: Brid eld Em lo rs Ins Co. 31267 <br /> Tampa, FL 33609 n�su�R c: <br /> IMSURER D . <br /> INSURER E : <br /> MISURER F • <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INOICATED. NOTWITHSTANDiNG ANY REQUIREMENT, TERM OR CONDI7lON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDfTIONS OF SUCH POIICIES. LMA(TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ��� TYPE OF IMSURAMCE � �Y � POLICY EXP <br /> POLICY NWIBER �g <br /> GENERAL ilABII.ITY EqCFI pCCURRENCE S �,OOO,OO <br /> A X COMMERCIAL GENERAL LIABILITY TRA5603065 'I 2/S1/'I O 1 TJ31H 1 pREMISES Ea ocairtence S � SO�OO <br /> CLAIMS-MADE � OCCUR MED EXP (Any one person) y � O,OO <br /> — PERSONAL & ADV INJURY S 1,000�00 <br /> GENERALAGGREGATE S Z,OOO�OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ Z,OOO,OO <br /> POLICY X � LOC g <br /> AUTOMOBILE LIpB11JTY ( COM�NE�D t SINGLE LIMIT = � �OOO,OO <br /> A X ANYAUTO TRA5603065 12131/10 12/31N1 <br /> BODILY INJURY (Per person) y <br /> ALL OWNED AUTOS <br /> BODILY INJURY (Per acddent) S <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE <br /> X HIREDAUTOS (Peracddent) $ <br /> X NON-0WNEDAUTOS PIP S 'IO�OO <br /> E <br /> X UMBRELLA W1B X pCCUR EACH OCCURRENCE S S,OOO,OO <br /> EXCESS LU1B CLAIMS-MADE AGGREGATE S S,OOO�OO <br /> A TRA5603065 12/31h0 12/31H1 <br /> DEDUCTIBLE <br /> S <br /> X RETENTION E O b <br /> WORKERSCOYPENSATION WRYTATU- X OTR <br /> AND ElY1P1AYER3' UA8ILITY X <br /> B ANY PROPRIETOR/pARTNERiEXECUTiVE Y� N f A 83�6998 12/31/10 12/31M 1 E.L. EACH ACCIDENT E �,���,�� <br /> OFFICERfMEMBER EXCLUDED? <br /> (Mandatory M NH) <br /> t( yes, describe under <br /> E.LDISEASE-EAEMPLOYEE E 'I,OOO,OO <br /> DESCRIPTION OF OPERATIONS below E.L �SEASE - POLICY UMIT S �,OOO�OO <br /> A Rent Lease Equipmt TRA5603065 12/31/10 12/31N1 Ded 5500 2s,00 <br /> A Installation Float TRA5603065 12/31H0 12/31/11 Ded s5pp 20,00 <br /> DESCWPT1pN OF OPERATIONS / LOCATIONS / VEHICLES (Atlaeh ACORD 107, Ad�ional Remuka SehW�Y�. N mor� a�pp ��1 <br /> License holder: Gregory Alan wlcox <br /> License #EC13004754 <br /> CERTIFICATE HOLDER CANCELLATION <br /> ZEPHY-1 <br /> SHOULD ANY OF THE ABOVE DESCR�ED POLICIES BE CANCELLED BEFORE <br /> CI�/ Of Z@pll�/fI11IIS 77iE EXPIRATION DA7E THEREOF, N0710E WILL BE DELIVERED IN <br /> Bldg Dept ACCORDANCE NlITF17HE POLICY PROVISIOIiS. <br /> 5335 8th Street pU7HORQED REPRESEMTATNE <br /> Zephyrhills, FL 33542 ��/� <br /> /1��� UV�..� <br /> O 1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2009l09) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.