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1.2/05/201.1 08:19 FA� 7278896477 Coolquest/dipatch � OOOli0003 <br /> �1 OP ID: SG <br /> '`�` °� °' CERTfFICATE OF LlAB1LITY INSURANCE �7E(�IMlDO/YYYY) <br /> 4 2l02/19 <br /> THIS CERT(FICATE tS lSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RfGHTS UPON THE CERTIFICATE HOLDER THIS <br /> CERTIFICATE DOES NOT AFFlRMATIVELY OR NE(3ATIVELY AMEND, EJCtEND OR ALTER THE COVERAGE AFFORD�D BY THE POLICIES <br /> BELOW. TH1S CERTtFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TNE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND TtiE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certiflcate holder is an ADDITIQNAL INSURED, the polky�ies) must be e�dorsed. Ii 3UBRaGATION IS WAIVEO, subject to <br /> the terms and condrtions of the poNcy, certain policies may requfre an endorsemer►t. A statement o� thls ce►ttficate does not confer rights to the <br /> certiiicate holder in lieu of such endorsernen s. <br /> PRODUCER 813 ��A T <br /> Stahi 8 Associates ins., inc. <br /> 3939 Tampa Road 813-818�396 P "� p � p : <br /> Oldsmar, FL 34677 �"M- <br /> Stahl � Assoclates Insurance aD <br /> io � COOLQ-1 <br /> AFFORDING COVERAGE NAIC 0 <br /> �rrsuaEO Coo(Quest, Inc. n�suReaa: Preato�fan Insurance <br /> Joh� Philie Electric LLC ,n�uRERB:Southem Owners Ins Co. <br /> A Professional Appliance <br /> iNSURER C : <br /> Repair of West Florida Inc. <br /> 16640 BachmannAve. #� '"su�RO: <br /> Hudson, FL 34667 �RE: <br /> IM$tIRER F : <br /> COVERAGES CERTIFICATE NUMBER: REVIStON NUMBER: <br /> TIifS IS TO CERTIFY THAT THE POIICiES OF IrlSURANCE IiSTE� BELOW FIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TFi£ POUCY PERfOD <br /> INDICATED. NOTWITHSTANOING /WY REQUIREfdENT, TERM OR CONOfTION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICHTE MAY BE ISSiJED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POlICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONOiTIOMS OF SUCH POUCIES. LIA�TS SHOWN MAY i�lAVE BEE�1 REDUCED BY PAIO CLAIMS. <br /> LTR TYPEOFMSURANCE POUCYNWIBER NMIDD E � �� UMRS <br /> GEMERAI WIBILITY FACH OCCURRENCE 5 �s�sOO <br /> B X co�eac+n� ce�rvw �wai�rtv 004012011 07/01/11 07/o1N 2 Es s 300,00 <br /> cwa�s� �X occua r�o exa «+. a�s«+) s 10,00 <br /> veHSOru� s nnv uuurtr s 1,000,00 <br /> GENERALAGGREGATE S Z�OOO,O <br /> GENI AGGREGATE IIMfT APPLfES PER: PRODUCTS - COMPlOP AGG S 2�OQO� <br /> POLICY PRO �� g <br /> AUTObIOBN.E 11A8RRY COMBMED SIHGLE LIMIT S SOO,OO <br /> (Ea aaident) <br /> a x��,TO �cF�000�aoz oz�2s,�� oy�anz 80�ILYINJURY�Pvperson) s <br /> ALl OWNEO AU70S <br /> 8000.YINJURV(Paraccide�k) $ <br /> SCFiEDUIED AUTOS <br /> vROPER7Y DAMA(3E g <br /> HIRED AUTOS (PeraoaOeM) <br /> NOM-0WNEO AUTOS 5 <br /> S <br /> UMBRELLA LIAB p�UR EACH OCCURRENCE 5 <br /> EXCE33 LIAB �q,��E 0.GGREGAtE 3 <br /> DfDUCTlBLE � S <br /> RETENTION S 3 <br /> VYORKER3 COMPEN9ATION WC 5TAM OTFI- <br /> ANO EM VL01IER8' UAB�LITY Y/ N <br /> ANY PROPRIETORfPAA'TTlER/EJ(ECUTNE E.L EACN ACCIDENT 5 <br /> OffICERIAlEMBER EXClU0E0? � N I A <br /> (1Nsndatory M Nl1) E.L DISEASE - EA EMPLOYEE S <br /> ttyes dete�ibe �attlx <br /> �ESCRIPTION Of ERATIONS below E.L. OISEASE - POIICY LIMfT S <br /> DESCl�T10N OF OPERATION8/ LOCATIONS 1 VElIICIES (At1�cA ACORD 101, MApIOnM Rem�rks Sehedid�, N moro spacs Is reQulnE) <br /> Ucense Holder is John G. Philie, Ltcense S ER0045321, expires 8/31/2012 <br /> Fax # 813-780-0005 /a��./, <br /> CERTIFICATE HOLOER CANCELLATION <br /> ZEPHY-1 <br /> 3HOUtD ANY OF TFIE ABOVE OESCRIBEO POLIGES BE CANCELLED BEFORE <br /> TItE EXP�RATION DATE THEREOF, NOTICE WILI BE DEIIVEREO �M <br /> City of Zephprhills ACCOROANCE WITH THE POLICY PROV13101r3. <br /> 5335 8th Street <br /> Zephyrhills, FL 33542 �►UTNORIZEOREPRE8£N7ATIVE <br /> "�i1P!�r`w"� �I <br /> � 1968•2009 ACORD CORPORA710IV. All rights reserved. <br />