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13-14852
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13-14852
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Last modified
11/11/2014 1:11:06 PM
Creation date
11/11/2014 1:11:04 PM
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Building Department
Company Name
ERIC HOOPER INC/WENDY'S
Building Department - Doc Type
Permit
Permit #
13-14852
Building Department - Name
ERIC HOOPER INC/WENDY'S
Address
5658 GALL BLVD
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Certificate of Insurance <br /> Falcan Inaurance Agency,Inc. <br /> P. O.Box 92409 <br /> Austin,Te$as 78709-2409 <br /> 512-891-8473 <br /> February 5,2013 <br /> This is to certify.to: City of Zephyrhills and Zephyrhills Municipal Airport ' <br /> 39450 South Avenae <br /> Zephythilts FL 33542 <br /> That insurance has been renewed 2/18/2013 for: Skydive City,Inc <br /> 424] Skydive Lane <br /> Zephyrhills FI,33542 <br /> tnsurance Company—U. S.Specialiy Ins�arance Company Policy No.—UA00167344-03 <br /> Effective: 2/18/2013 Bx iration: 2/18/2014 <br /> AiRCRAFT LIABU,ITY LIMT'FS OF LIABILITY ATRPORT LIABILTTY LIMiTS OF LIABILTfY <br /> Bodily Injury fiach Pe�son Bodily Injury Each Person <br /> Each Occurnenco Each Occunenca <br /> PropeRy Demage Each Occunence Pmperry Damage Each Accident <br /> Pessenger Each Person 5ingle Limit Pren�ises Each pccurrence:$1.000,000 <br /> Each Occuaence Linbility Annual Aggregate•$2,000,000 <br /> Each Person:$100,000 <br /> Singie Limit including Each Qccurrence Products Liability Each Occurreaee&Annual <br /> Passenger but not to exceed Each Passenger p�n�� <br /> Single Limit excluding Each Occunence Contractual Liability Each Occurtence <br /> Passenger <br /> Hanga�•keapexs'Legal One Aircratt <br /> Liability All Aircrsft <br /> Deductible <br /> The City of Zephyrhitis and the Zephyrhills Mtuiicipal Airport are included as additional insureds with respect <br /> to the airport premises liability insura��ce described herein,but only with regard to the non-operxtional interest <br /> of addressees in the aviation premises occupancy of Skydive City,lne.at the Zephyrhills Municipal Airport. <br /> The certificate issuer will endeavor to provide the addressee with tt�iriy(30)days advance notice in the event <br /> the above described insurance policy is cancelled prior to 2/18/2014. <br /> This Certificate of Tnsurance neither affirmativety nor riegatively arnends,alters or extends the coverage <br /> afforded by the above numbered poIicy. <br /> �jac�,�{aYr�� <br /> Iack Harrison <br /> Falcon lnsarance Agency <br />
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