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Oct 20 2011 3:20PM Professional Ins Service <br /> p. 1 <br /> A� • CERTIFICATE OF LIABILfTY INSURANCE �TE�MWDD1YWl� <br /> ouoarzo„ <br /> 7HI8 CERTIFICATE 1818SUED A8 A AIATTER OF INFOR�iAT10N ONLY AND CONFER8 NO RIGHTS UPON 7HE CERTIFICATE HOI.DEfL. THtS <br /> CERTIFICATE DOE8 NOT AFFlRNAT1VELY OR NEOATIVELY AMEND� EXTEND �R ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTFICA7E OF WSURANCE DOES NOT CON8TITUTE A CONTRACT BEIWEEN THE ISSUIN�3 Ri3URER($�, AU7110RLZED <br /> REPREBENTATNf OR PRODUCER, ANp THE CER71FiCATE HOlAER. <br /> IMPORTANT: If 1!w cariific�ba holdsr is an ADDITIONAL Mi8URED, the poticy{Iss) must be endorssd. I/ SUBROGATIDiH IB WAIVBp, sub)act to <br /> the brms and conditions o�f the policy, qrtain policfes may requiro an ondorsemen� A statamaM on this certliicats doss not contar ri�hts to the <br /> cerdflcabe holdsr in IN u of such endons�ms s. <br /> PROOUCER De6orah M Dickerson AAI ACSR <br /> Prote�io�l Insurance 8ervices I�c PHONE . 813 963-6T01 F� . 813 356-0861 <br /> 3836 W. Humphroy St, '"""'� . dehora �insurancesenricea.com <br /> Tampa FL 39814 <br /> • W�stem Worfd Insurance Co. A+ 13186 <br /> �"a"R�° • First Nadonal lnsuranca Co. A 24724 <br /> Af►ordable Roofing Systems, Inc. • Brid afiefd Em en Insurance Co A 10701 <br /> 12573 N. US Highway 301 <br /> Thonotosassa FL 33592 <br /> COVERAGES CERTFICATE NUMHER REYI810N NUMBFR <br /> THIS IS TO CERTIFY YHAT THE POLIGES OF INSURANCE LISTED HEIONY HAVE BEEN ISSUED TO THE 1NSURED NAMEDABOVE FOR Tlf POLICY PERIOD <br /> INDICATED. NOTNMTH37ANDING ANY REQU{REMEM', TERM QR COND�TION OF ANY CON'�RACT �R OTHER DOCUMENT WITH RESPECT TO WHK�i THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TFiE INSURANCE AFFORDED BY THE POLICIE3 DESCRIBE� HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIOi� AND CONDRiONS OF $UCH POLIGE3. LIMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> wa�e rne oF r,�auw�ace roucr � ocP <br /> OENlRI1L LIA�LITY <br /> UY1T$ <br /> 2 000 D00 <br /> A X MERGAI GEME Vl&I.ITY G�MAOE TO RENTED S � �O OQO <br /> CLM�S-MAbE �X OCCUR X PGPO7ZOS24 OS/O8hI1 �S/O8N2 XP An 6 O00 <br /> a aov i r�r a 1 000 000 <br /> 1 000 000 <br /> L AGCaR TE LN/T APPUEB PEli: MP P Z OOO QOO <br /> POUCY � � <br /> i <br /> AUTOMOBILElU1SILRY COMBINEDSIN04ELIWT 3��0 <br /> B X/�ryy AUTO 90dLY INJURY�Perpe�) _ <br /> �OB�E� N T�wNED 2bCC28553410 �4M7��� (�/�']/�j BpDILYIN.WRYlPKaeWCN�y i <br /> X MIRED AUT08 X/1�OS PRDPERTY DAMKC�E <br /> a <br /> s <br /> UYeIlE11A UAB DCCUR EAC UFREN <br /> EXCE88 LIA6 E <br /> VYORI�RS CGMilN6A710N <br /> AND lIIPLOYEqB' UABLlTr X C STATU• OTM. '�"� <br /> c� �E°�� «��,"'�� N► � 0830�44i46 � o0 oao <br /> {M�ddory �e NH) O1J01111 0?101/12 <br /> If dhaib� i+�det PLO �OO OOO <br /> E.l. �� �0� <br /> OEACRPTION OF OPERA710Ni! LOCAT10N81 VEHICL� (M4�eA ACORD 10f. AekMtlonal RNnaeks 8�fwduN. H mon �p is nqdr� <br /> Certific�be Holder b Additbnal Insured as per wHtben contract, <br /> CER7IFICATE HOLDER CAHCEL.LATWN <br /> City of Zephyrhfll ENOULD ANY OF THE /►9pyE pEgCRBED PpLIC�g gE CqNCELLED �FORE <br /> 6335 8�h St�+9�t TF[E E%PIRATION DATE THEREpF. ppT1�E WI�,{. BE DEI.N�RED IN <br /> ACCORDANCE WITH THE POLICY PRCVI81p1�{g. <br /> Zephyrhilla, FL 39542 MJ7110fiIZED �lq�MA�yE DMD> <br /> Phone: „��*x <br /> Fax: <br /> � 198d-2010 ACORD CORPORATICN. A!I dgMs r�ervQd, <br /> ACORD 28 (2010M5) TM ACORD name and bgo are repisterep marks of ACORD <br />