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SEP-13-2011 13:42 P.03 <br /> �""" CERTIFIGAT� OF L,IABILITY INSURANGE °"'�`"W°°'�""' <br /> . i�/ir/zoio <br /> TMIS CERTIFICATE IS ISSUED AS A dIATTER QF INFbRMAT{ON qNIY ANG CpNFERS NQ RI6M7S UPpN TNE CERTIFICATE 114bpER, 7MIS <br /> CERTIFICATE DOES NOT AFFlRMATNELY OR NEGATIVELY AMEND, EXTEND OR AITER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. TWIS CERTIFICATE OF INBtJRANCE DOES NOT CONSTRUTE A CONTRACT SETYVEEN TME ISSU(NG INSURHR(8), AUTHORIZED <br /> RpPR6ffiENTATNE GR PFtODUC�it AND THE CERTIRICATE MOLDER. <br /> IMPORTANT: N tha ceAmcate holder is an ADD1110NAL IN8UR4�„ the pollcy(!es► must bs eritlnrned. If SU9ROCiATWN IS WJWEO, subJeCt to <br /> ths terms and con�atwns ni tne pollcy, ceitaJn poUclos may requlre an endorsement. A statema� on thls cerN�ccate does not contor rlphts to the <br /> c�rtMcato holdor In Ilou of such andorsomonqs�. <br /> �oouc� <br /> �: <br /> Insurance Office nf M�erica, Inc. p"� E; 407.788.3000 N <br /> P.O. Box 16Z207 ��: <br /> Alta�nnnte Sprtin�s, FL 32716-2207 cuaro�Rror� <br /> _ _ _____ �,,,,,,, WBURE AFFORDINOCOVENAOE NMC� � <br /> wsu�o u��A Bridgefie d E�tployers Ins Co 10701 <br /> D& D Garage Ooors, Inc. ,Nau�ee: <br /> 1177 Ca#tleme� Road waur�nc; ' <br /> S�resota, FL 34Z32 iNSU�o: <br /> INB�q�ft @ • <br /> INSURFJt F : <br /> COVERAGES CERTIFlCATE NUMB�R: 11/12 WC SRQ VFJV TAM R�VI8i0N NUMBER: � <br /> 7HIS 1S TO CERTIFY THAT THE POLlC1E5 OF INSURANCE LISTED BELOW HAVE BEEN ISSUE� TO THE M15URED NAMED ABOVE FOR 7HE POLICY PERIOD <br /> INpICATED. NOTIMTHSTANDING ANY REqUIREM�. TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TD WWICH lHIS <br /> CERTIFICAIE WWY B ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY iHE POLICIES DESCRIBED MEREIN !S SUBJECT TO AlL THE TERMS, <br /> EXCLUSIONS AND DITIONS OF fiUCH POLIGES. LEMITS 5HOWN MAY HAVE BEEN REDUCED BY PAID CUUMS. <br /> � '�EOF U�WJCE � POLIC�fN17�IB6R �� ���� LW�S <br /> 6�RAl 11A61G.NY t/K.r Ut.'(,UI�W(:t = <br /> COMIr£RCIRL G LV�BIUTY �Mt [S Ea e rro co S <br /> ClW1�S-A440E � 4CCUR MED Eka l/u+y ar peism; f <br /> aEasow� a aov iN,x�ar � <br /> GENERAt AGGpEG++TE 6 <br /> GENL AGCt�GAlE IIM�T APPLIES PER: pRC�DUCT3 • COMP/OP KsCs 6 <br /> I>OI.ICY � LOC . .....�.._____......�._..,. •. <br /> AVfONp6�E LIR90.RY COMBMEA SIN�iIE IPMT S <br /> fE9lGCtctenq <br /> PNY AuTO BaDILY �N,IURY �Per Der�on) t <br /> alL OwNfO A41rOS <br /> 80DI�Y iN.A�Y (PCr acdtlpd) S <br /> SCHEDUIED AVTOS <br /> aROaearv a�►�r,c� s � <br /> MiREpqUTp$ IW�+��I <br /> NOtJ�OV�AVED A�rtOS S <br /> -- _ <br /> uMBRELW �IAB OCCl7R F_�LM OCCIRi�Nf� S <br /> ptC�68 LN9 CLPJM.�.h64DE AGGREG,ATE ••••••W WYYY1•_— t <br /> OEQUCT164f Z <br /> t�rErmOra i i <br /> MioEMi'�ovER� Y!N 0830�a041 01101/2011 01/01J201Z X'"'�r i� on►� ' <br /> A o Y � ��� wtroE � N � A e L e,4d�ncc�r S 1 000 00 <br /> �u � � yy � an � �� a�se�•enE►�.o • s 1,000,00 <br /> OESLA�OF OPERATIONS GNOw E L. D�SEASE • POLICY UM1T = 1� OOO � QO <br /> 4ESRRIP110N OF OPEq/�flON811,pC,ATONB f VRIRCLEB (ARdch ACQRD 101. AtldMlpn�l R�makR $oh�dWy NMen ipaoe Is tequhtQ <br /> EF; Qualifi�r - Oallas Miller State License CSL1258�05 <br /> CEi�'YII�ICA7'E HdL� CANGELLATION <br /> FAX: 813.780.002I <br /> SHOULD ANY OF THE ABOVE DE6CRIBED POLICIES B6 CANCELLED BEFOR� <br /> TNE EXPIRI4TION CATE TF�REOF, N0110E NIILL BE DELNEItEp 1N <br /> ACCORDANCe WITN TNfi pO1.ICY PROVl8ION8. <br /> City of Zephyrh111s <br /> Building R�oa�tmen�k AUiMORI�DREPR2S�N1'A7NE �� <br /> 5335 8th Street <br /> Z hyrhi7ls, FL 33542 Charlie Saornaxtiar► GQNZAV <br /> cfl 1988-2009 ACORD CORPORATION. All rl�hte tasarwd. <br /> ACpRD �� (Zpp�08) The ACORD �ame a�d logo are reglste►ed marke of AGORp <br />