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Nov,17, 241 9:51AM Paul Davis Restoration No .�399 P. 2 <br /> ^"'�� PAULD-1 OP ID: DC <br /> '`��,°- � �EI�TIFICATE OF I.IABILII"Y INSURANC� ���MM/OD/YYYY) <br /> 11/16111 <br /> THIS CERT�ICATE IS 188U�D AS A MA7TER OF INFORMATION ONLY AND CONF�RS NO RIOH73 UPON TNE CERTIFICATE kOLDER. TNIS <br /> CERTIPICATE DOES HU7 AFFIRMAliVELY OR NEGATIVELY AN�END, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y TH� POLICIES <br /> eE�pW, THIS CERTIFICATE OF INSUR,�WGE DOES NGT CONS71TUTE q CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPt2�SENTATIVE OR PRODUCER, AND TH� CERTIFICATE HOLDER. <br /> IMPORTAN7: If tha certificMe holder b an ADDlTIONA� INSUREO, tlw pollcy(los) mu6t he ondorsed. If SUBROGATION IS WAIVEp, subJect to <br /> the tem►s and conditlons of tha po11Cy, certAin poflcfos may roqulro ae �ndorsement. A stataimnt on this car�ificate does not confar Nghts to tha <br /> cartlTleata holtler in INU of suCh endorssme s. <br /> Co no caNisle, Flelds 8� 727 787-0441 N ACT <br /> Nleho� 727-688-0673 � � FA� <br /> j ..... ....._. <br /> P.O. BOX 7027 �� 1 ` • ....I. Nol_.._.. .,...__._., , <br /> CI•arw�r, F� 35767 ADORESS: <br /> John R . �IOIdS INSUR S AFPORa1NGCpVEpqGE � �. � NAICX <br /> — _ .... .....,. <br /> RER A ; Ame1+C�An Se Indemni M.... ., _ <br /> INSURED Paul Dav�s astoration Inc iNSU�a r:pwre.�a lnsura� Company � 52700 <br /> o! Pasco _., <br /> 7844 Rutllio Conrt INSURERC: !M <br /> New Port Rfchey, FL 34663 wsuRen ; ��� � � �� ��� �� " <br /> INSURER E : ... . ._. .. .—_... <br /> IN F : .. .... . . ...— --.. . <br /> COVERAGES CERTIFICATE NUMB�R: REVISION NUMBER: <br /> TH�S IS TO CERTIFY THAT THE PO�ICIES OF IMSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR@D NAMED ABOVE fOR 7HE POI�CY PERIOD <br /> IND1CqTE0, N0TIMTHSTANDING ANY R�QU�REA�IRNT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUM�NT 1MTH RESPECT TO WHI�M THiS <br /> CERTIFICATE MAY 6E ISSUED OR MAY PERTAtN, YHE INSURANCE AFFORDED BY TN� PpLICIES DESCRIBED HEREIN IS SUBJEC'� TO ALL THE TERMS, <br /> EXCLUSIONS ANO CONDITlONS pF SUCH POLICIES. LIMITS SNOWN MAY MAVE BEEN REDUCED 8Y PA10 CI.AIMS. <br /> 7s� �YPEOFWSURANCE POUCrnurak�t r F u. _.. .... lIM1T3... ._.._....... <br /> GeNBIlpL Lwewiv <br /> EACHOCCURRENCE S �,QQ(},QQQ <br /> A X WMMERdALOENERAllJA81LITY ENV0208041101 09l28/11 �9l23H2 pREMISES(E��xw�i/9_ncej„_ S_� �.�Q <br /> CWMS�MaDE �OCCUR MEDExPG°�nYO ne_peroon) -- S .~._ .. 5 <br /> .... _.._.__ . . <br /> anketA/l ENV02060a��a 09123/11 o8l23J�2 PERSONAIaA s 2�000,000 <br /> X Prof llablli ENV02080s11o4 MJl23111 091�3l12 G � S � 3�000�00 <br /> GEN'L AG�EG,4TE UMfl' APPLIES PER: PRODUCTS • COMPpP AG(3 S ! 3,000,00 <br /> X POLICY � lOC 5 —• _,._......... <br /> AUTOMOB1LEilABILITY qNE SINGL UMIT �,OOO OQ <br /> B ANY A(JTO ee�a»400 ��$J� � 09123M2 80D�LV INJURY (PBf pBri0r1) �S � ' <br /> X ALLOWNED SCHEOUl.EO .. _ .�_�_... <br /> AUTOS AU70S BOOILY INJURY (Per a�cc/qprqj 5 <br /> �X HlREDAUTOS X �OSw"ED E s �.._ .. <br /> — �,BOdCiMI _.. .�_.. <br /> S <br /> UMBREIIA LIAB x p�CUR <br /> A X EXCESSLIAB CwMS� ENUO2060711W 08/23h1 09l23/12 �CHOL'C�JRRENCE s_ 3,000,00 <br /> A3GREGATE S S,OOO,OO <br /> D X R NT H 'IOOOO _ _ -°_ _..__.... .... ....... . <br /> NfOR1t4R9 COMPEN9ATtON S <br /> AND ffMPIOYERS' IIABItITY STATU� DTH. <br /> Y! N _,.. T Y LIM�T� .�R ......���.., <br /> ANY PROPRIETORIPARTN6WF�(ECUTIYE E.l. EACM A�IOBNT S <br /> OFF�n,M pcc�u�oa � a!A <br /> (��� �� � E.(,. pSFASE�EA EMPLCYE S �.�.. .. � . <br /> N .s dosaia <br /> D !PT OP RATI b610W E.L. CISEASE - POI� UMi7 a ,,..__.__... <br /> �► Pollution L'18bilty ENNpZQ���04 08/23/11 Q9/23l1Q eeChOCCU� 1,000,00 <br /> aggregaEe s,aoo,00 <br /> OESCRIPTIDN OF OPEqpnONSr �pcnr�pryg � yEK�CLES (AN.ch ACORD 1m, �admenu R�m�Aa Scheduk, N mon soac� �s nqwroa� <br /> CERTIFICATE FIOLDER CANCELLATIQN <br /> CITYOFZ <br /> 9HOU�o pNr OF TN� ABOVE DESCRIBED POLIC�3 ee caNC�1,1.ED BEFORE <br /> THE EXPIRATION DATE TNEREOF, NOTICE WILL 8E DELIVERED IN <br /> City of Zephyrhills A��CRDANCE WITH THE POLICY PROVISIONS. <br /> 5935 - 8th St <br /> Zephyrhills, FL 33642 AUYHORIZEO REPqE9ENTATIVE <br /> `� a� ���.'..4� <br /> � 1988•2010 ACORD CORPORq710N. All rights reserved. <br /> ACORD 26 (2010/05) The ACORD name and logo are� registsred marks of ACORD <br />