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12-13765
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2013
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12-13765
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Last modified
9/13/2013 11:10:05 AM
Creation date
9/13/2013 11:10:02 AM
Metadata
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Building Department
Company Name
OAK RUN
Building Department - Doc Type
Permit
Permit #
12-13765
Building Department - Name
PADGETT,DEBBIE
Address
7252 HIGHLAND LP
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"� QO DATE(MM/DDfYYYY) <br /> A�Q��' . CERTIFICATE OF LIABILITY INSURANCE <br /> 1/11/2013 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2ED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: R the certNicate holder is an ADDITIONAI INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,sub�ct to <br /> the terms and condftions of the policy,certafn policfes may require an endorsement A statement on this certHfcate does not confer rights to the <br /> certificate holder in Ileu of such endorsement s. <br /> PRODUCER NAME: <br /> Brower Insurance Agency PHONE ac No: <br /> 409 E.Monument Ave , Suite 400 E-MAIL <br /> Dayton OH 45402 ADDRESS: � <br /> INBURER S AFFORDING COVERAGE NAIC• <br /> INSURER A: <br /> INSURED NEWSW�C INSURER B. <br /> Newsouth Window Solutions,LLC INSURERC. <br /> Newsouth Window Solutions of Tampa Bay,LLC INSURER D. <br /> 4901 Oak Fair Blvd <br /> Tampa FL 33610 INSURER E. <br /> INSURER F. <br /> COVERAGES CERTIFICATE NUMBER:1338981631 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWffHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POLICY EFF POLICV EXP LIMITS <br /> LTR n'PEOFINSURANCE POLJCVNUMBER NMIDD/V�/YV IWDDi <br /> GENERAL LIABILITV EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY PREMI3E3 a a:wrtenoe S <br /> CLAIMS-MADE �OCCUR MED EXP(My one aon) $ <br /> PER30NAL&ADV INJURY $ <br /> GENERALAGGREGATE $ <br /> GENL AGGREGATE LIMIT APPLIES PER: PfiODUCTS-COMP/0P AGG $ <br /> POIICY P� LOC $ <br /> AUTOMOBILE LIABILITY Ea aacidert <br /> ANY AUTO BODLY INJURY(Per peraon) $ <br /> ALL OWNED 3CHEDULED BODLY INJURY(Per aocident) $ <br /> AUTOS NON-04MNED ��R�MAGE $ <br /> HHEDAUT03 AUTOS <br /> $ <br /> UMBRELLA LIAB p�CUR EACH OCCURRENCE $ <br /> EXCE33 LlA6 CLAM3-MADE AGGREGATE $ <br /> DED RETENTION $ <br /> q WORKERSCOMPENSATION 3WECBF0981 11/2012 /1/2013 X WCSTATU- OTH- <br /> AND EMPLOYERS'LJABIUTY Y/N <br /> ANY PROPRIETOfLPARTNEFUEXECUTIVE❑ N�A E.L.EACH ACCIDENT $1,000,000 <br /> OFFlCERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DI3EASE-EA EMPLOVE $1 000 000 <br /> tlyea,desalbe urder <br /> DESCRIPTION OF OPERATqN3 belw+ E.L.DI3EA3E-POLICY LMR $1 000 000 <br /> DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES (Atlach ACORD 101,AddHlonal Rertorks ScMedule,it more space la requlred) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF 7HE ABOVE DESCRIBED POLIqES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Zep hyrhills ACCORDANCE WITHTHE POLICY PROVISIONS_ <br /> 5335 8th St. <br /> Zephyrhills FL 33542 AUTHORIZED REVRESENTATIVE <br /> r:x�,k•�.'^, <br /> ,1�. ,r'4i�..•:7:��.�.... <br /> �1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />
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