12-12689 - Laserfiche WebLink

Browse Search

qC Q• OP ID: SM �.,...- CERTIFICATE OF LIABILITY INSURANCE �A�IMM/DD/YYYY) 01/11/12 THIS`CERTiFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRAAATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certif�cate holder is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATtON IS WAIVED, subject to the tertns and conditio� of the policy, certain policies may requi�e an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s). PRODUCER 8�_967�� CONTACT Mulling Insurance Agency, Inc PHONE P O Box 308 208 E Park Str+eet $��s�"�592 Fax No : Auburndale, FL 33823-0308 E �� Brien Spann, AA1 � ° M�i ; SUNS-13 INSURE 3 AFFpRDING COVERAGE NAIC # INSURED Sunshine Pressure Cleaning, In iNSUr�n: United Fire 8� Casual 13021 Joseph Zarbo �NSUr� e : PO Box 5836 Lakeland, FL 33807 INSURER C: INSURER D • INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SI;BJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOVIM MAY HAVE BEEN REDUC€D BY PAID CLAIMS. IN LTR TYPE OF INSURANCE POLJCY NUMBER MM�fDD � M�p � tJM1T8 OENERAL LUIBILITy EACH OCCURRENCE $ ') �OOO�OO A X COMMERCIAL GENERAL LU181LIN 0399610 01/07/12 01/07/13 pREMISES Ea aoaurence $ ��Q� CLAIMS-MADE a OCCUR MED EXP (Nriy one per�p�� g §�(a PERSONAL&ADVINJURY $ 'I,OOO,OO GENERALAGGREGATE $ Z�OOO�O GEN'L AGGREGATE LIMfT APPLIES PER: POLICY PR �p� PRODUCTS - COMP/OP AGG S Z,OOO,OI) AUTOMOBILE LIABItJTY S COMBINED SINGI.E LIMR A ANYAUTO 60399610 o�ro��12 01/07/13 �Ee�'a�"`> $ �,000,00 ALL OWNED AUTOS BODILY INJURY (Per pergon) $ X SCHEDULED AUTOS BODILY INJURY (Per apcidern) g X HIRED AUTOS PROPERTY DAMAGE $ (Per accident) X NON-0WNEDAUTOS S X � � X OCCUR $ �xcESS uae encH occuwzENCe s 1,000,00 A CLAIMSaVMDE AGGREGATE $ 'I,OOD DEDUCTIBIE 60399610 01/�T/�2 �1/�7/13 X RETENTION S �O�OOO $ WORKERS COMPENSATION S AND EMPLOYERS' LIA8161Ty OC STATU- 07}{- OFFIC UDE� Y ❑ N/ A r (Mandatory in NN) E.L. EACHACCIDEN, g yes E.L DISEASE - EA EMPLOYE $ DESCRIP�TIO�N pF ppERATIONS below E.LDISEASE-POLICYLIMIT $ DESCRIPTION OF OPERATIONS! LOCATION8 / VEHICLES (Nhch ACORD 101, Additlonal Remarks SehedWe, K moro space is requked) CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE YYILL BE DELNERED IN City of Zephyrhitis ACCORDANCE WITH THE POLICY PROV1310N3. Building Department 5335 8th Street �UJTNORIZED REPREgENTATIVE Zephyrhills, FL 33542 !��? � �-- � 1988-2009 ACORD CORPORATION. AII Hghts reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD