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12-12830
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2012
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12-12830
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Last modified
2/5/2013 9:01:32 AM
Creation date
2/5/2013 9:01:31 AM
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Building Department
Company Name
MEADOWOOD ESTATES
Building Department - Doc Type
Permit
Permit #
12-12830
Building Department - Name
COLVIN,TERRY & MONK,RICHARD
Address
39773 MEADOWOOD LP
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02/22/2Q12 10: 52 FA� 727 682 Q239 PLF5i0L"TH INSt�RANCE AGE\C f�001/001 <br /> '4co�i�d CERTIFICATE OF LIABILITY INSU °�'�'�°°"v"'' <br /> RANCE z/�z/�oia <br /> TFIIS CERTIFICA7E 18 188UED 11s A MATTER Of INFOR�IATpN ONLY AND CONFERS NO RIOHTS UPON THE CERTIFICJITE FIOLpER. THIS <br /> CERTiFICATE DOEg NOT AFFtRMA71VEL1l OR NEfiATIVELr AYEND, EXTEND OR A�,TlR THE COVERApE AFFpRpEO BY TFIE POUCIES <br /> BELOW. 7HIS CERTiFICATE OF INSURANCE DOEB NOT CONaTITU7E A CpNTqACT BE7WEEN TME 188U/�IO INSURER(8�, AUTFIORIZED <br /> REFRESENTAfIVE OR PRODUCER,AND THE CER7IFICATE FIOLDER <br /> IMPORTANT: N!M caetlHesh ho1dK b an ADOITIONAL INSURED�IM policy(ies)must be endo�d. M SUBROOATION IS WAIVEO,subj�et to <br /> the tarms end eondltlom ot the Po1feY.e�rWn pollei�s may r�qul�t an endaa�m�nt. A�rrt on tlMS c�rtllfe�M dws not cad�r riphb to the <br /> catlflut�holdw M Ilau d sueh s. <br /> PROOl10ER <br /> Plya�outh Ineuraacs 7►gency � �� �=Z <br /> 2739 II8 H�ry 19 l�orth �877-205-068� ,�w:727-68Z-0239 <br /> Soliday, F1, 34691 "�dO�• � tbinaurancea enc .ao� <br /> 7Z7-68Z-4040 Af0"0"'� �"� �• <br /> INsu�RA �ID-COlITI111ELfT O7tOIIP <br /> ���� Oa�an Conatruatioa � plu�bing, LLC. <br /> r�su�e. <br /> �+su�c. <br /> P.O. Box 3 6 6 n�su,�R o <br /> Lutz, !L 33548 ��RE <br /> 813-949-5333 �w�RF <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> TN15 IS TO CERTIFY THAT THE POLICIES OF IVSl11il►NCE�I$TED BELOW MAVE BEEN 13SUED TO 1}IE INSURED NAMEO AB01/E FOR THE POLICY PER100 <br /> INOICATED. NOTWITHSTANOING ANY REpU1RE1dENT,TERtiI pR CpNDtT1pN OF ANY CONTR/►CT pR p7NER DOCUA�ENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POIICIES DE8C7iIBEp HEREIN IS SUBJECT TO AlL THE TERMS. <br /> EXCLU310N3 AND CONDfTION$pF 3UCH POLICIES.L/WTS SHOWN MAY HAVE BEEN REDUCED BY PAIp(x/�IM$, <br /> 1711 TYPE OF INSURANC� POLICY NUA�ER UMIT$ <br /> ce�r� uneiuTv <br /> �►+ �� s 1 000 000 <br /> a �,�"``�„`�'uT'" �ES �.�„�. : ioo 000 <br /> CWMS-Iuu1DE ❑Z OCCUR hED EXP(M ons S EZCLQDSD <br /> � 04-GL-00083Z157 l0/1/�oii io/i/�oi� �R�a,,,�,��, s 1,000,000 <br /> a�� AGGFEGATE : a,o oo,o 0 0 <br /> «�r�L�aoaecnre Llwrr�IE8�: PaooucTS-co�voP�ao S 2,OOO,O O O <br /> Z �,�. � �� s <br /> AUTOIHOBiIF LIABIUTY <br /> NVYAUTO E��ceiOM <br /> ALL OWNED BOOILY iNJURV(Per parson) S <br /> AV� �OEDULED <br /> BOOILV IWURY(Pw saldsrt) f <br /> HIREO AUTOS ��NED <br /> �y S <br /> UI�REI.L/► LU1B �� <br /> 5 <br /> EXCE8S LIAB EACH OCCUIiREN1;E f <br /> CLAIMS-1AADE AGC�IiEOAIE s <br /> OED RE7ENTIONt <br /> WOW(ER8 OOI�EN811TION s <br /> AND EfNPLOVER3'WBIU7Y r�M <br /> ANY PROPRIETOR�PANRERIE�CIlTNE <br /> �Oy�.���c�EyW�r,l�eea Exc�tioM� a NIA E.L.EACH ACpDEWT s <br /> �+����r.�YI� <br /> M d�saibsundar E.L.D18EA,9E•EA EMPLOYE t <br /> ������T�B b� EL.DI3EA$E-POLICV LIMIT S <br /> DESCRIpT�pN OF OPERATIONB/LOCATIONS!VEMIClE3 (AIt�cA ACORp 701.Additianel Rsmerka gv�s0ub.K mo�e�Is roquirotl) <br /> CERTIFICATE HOLOER CANCELLATION <br /> CITY O�' ZBPH7fR8ILL8 <br /> 5335 8TH $T SHOULD ANY OF TME ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE <br /> THE EXPIRAT�ON DATE THEREOF, NOTICE WILI BE DELNERED IN <br /> ZSPHYRRILLS. FL 335�Z �ccoa�c�wmir►iePOUCVPRavrsioNS. <br /> lAZ: 813-780-Q005 <br /> MITFFOR¢EU REPRE9ENTATIVE <br /> ��� <br /> m 1988-Z010 ACOR�COPtPORATION. All rtghts r�eserved. <br /> ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD <br />
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