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14-15582
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2014
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14-15582
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Last modified
8/19/2015 8:54:47 AM
Creation date
8/19/2015 8:54:45 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
14-15582
Building Department - Name
LAPLANTE,MICHAEL
Address
5554 16TH ST
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�`� HOMEP� OP lD:AF <br /> '`��R°n CERTIFIC/�1'E OF LIA ILITY �NSURAfVCE DATE�ASNJDIWYYYJ <br /> • 04/22/2014 <br /> THIS CERTIFlCATE IS ISSUED AS A fVWTTER OF INFORMATION ONL AND CONFERS NO RiGHTS IJPON THE CERTIFICATE HOLDER. 71i(S <br /> CERTIFICA7E DOES NOT AFFIRMA'CNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY 7HE POLICIES <br /> BELOW. THIS CER71FlCATE OF (NSURANCE DOES NOT CONSTITU E A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORI�D <br /> REPRESENTATfVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certiflcate holder fs an ADDITIONAL INSURED, the o11cy(ies) must be endorsed. lf SUBROGATION IS WANED,subject to <br /> the terms and conditions of the policy, certain pollcfes may require an e dorsement. A statement on this cerf[ficate does not confer rights to fhe <br /> certiflcate holder In Ileu of such endorsement s. <br /> pRpp�� CONfACi <br /> Phone:813-226-1300 e_ MaryJaneGw�n .. <br /> Brown&Brown of Florida, Inc. Fax:813-226-'1373 PKONE gq3-226-1307 F,"_�, 813-2261313 . <br /> P.O.Box 173088 .{�,�q: xo�: <br /> Tampa,FL 33872 a�ss: mgwyn@bbtampa.com <br /> Mary Jane Gwyn - <br /> __ INSURER/S}AF ORDINQCOVERAGE _ NAC_1 q <br /> . iNSUr�aA: Southern Owners Insurance Co. 10190 <br /> iF,suRen �F{ome Performance Alliance,Inc �msu�e: <br /> Lana Radowick,Cf0 iksur�c: � <br /> 2850 Scherer Dr -- <br /> St Petersburg,FL 33716 msuru�o:_ _ _ <br /> iNSURER E: <br /> IN UfiERF• <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS 1S TO CEftTIFY THAT THE POLICIES OF iNSURAMCE LIS7ED BELOW HA BEEN fSSUED 70 THE INSURED WNhED ABOVE FOR Tf-tE POLICY PERIOD <br /> INDiCATED. NOTWffHS7ANDING ANY REQUIREIJ�NT, TER�v1 OR CONDfTiON �AIJY CONTRACT OR OTNER DOCUMENT WRH RESPEC7 TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PER7AIN, THE INSURANCE AfPORD b BY THE POLECIES DESCRIBED HEREIN (S SUBJECT TO ALL THE TERMS, <br /> EXCLUSSONS AND CONDffIONS OF SUCN F'OLICIES.LWHTS SHOWN M4Y HAVE B EN REDUCED BY PND ClA4N5. <br /> INSR yypEOFINSUWU.CE A�S�-��-_ p011CYNUMBER PaUCYFfF PO[!CY P IJMRS <br /> ��L��urr / EACH CCURRENCE 5 'I�OOO�000 <br /> 20752962 04���z�1 04f04l2015 DAAIAGE70RENTE� <br /> A X COMtdERCIALGENERALLIAeIL1iY SO OOO <br /> � �aeecurren� S � <br /> CLAIMS-51ADB �OCCUR ME J� An one rson S , 5�000 <br /> ._ RSONAL8ADVINJURY S T,OOO�OOO <br /> X EPLIl,000,000 20152952 04f0412044 O GENERALAGGRE(iAiE 5 2,000,000 <br /> GEN'LAOGREOATELIM[7APPLIESPER: PRODUC7S•COMP/OPAGfi S 1,000�000 <br /> X Y PRO. L S -- <br /> AUTOIdOBlLE LfA6tLIiY COMeINED SINGLE LIMfT <br /> a ccjga"u , <br /> ANY AUTO BOOILY INJURY(Perparson} S <br /> AUTOS�E� AUTOSULED BODfLY1NJURY(Peraccldanl) 5 <br /> HIREDAUTOS NON-0WNED PROPERTYDAMAGE 5 <br /> AUTOS _ acc�anp <br /> S <br /> UMBAEILALIAB pCCUR EACHOCCURRENCE S <br /> DCCESS uAB CLAIMS-A1ADE AQGREGA7E S � <br /> YlORF¢�RSCOh1PFNSATIOk - WCSTATU- OTH- <br /> AND Fh1PL0YER5'LWBIUTY yy�INN (]RV I Il.tlj <br /> P1 N7YPROPRIETORIPAItTNER/EXECUTNE � 2�-00�-ODD 04/ O1a 04 04l2015 E.L. CHACCIDENT S 5�0,�00 <br /> OFPlCER1hgN9ER EXCLUDED9 N 1 A <br /> (MandalorylnHH) E.LDSEASE-EAEMPLOYE S 500���� <br /> lfyes,describeunder <br /> E - LI Ild afl0 004 <br /> bESCPoP710N OF OPERAitONS/LOCA710NS 1 VE}pCIFS (Attach ACORD 101,Additlonal Remarke Sch dule,7 more epace Is requlre� <br /> Door & Window Installation All Types Residentiai & Co mercial <br /> Thomas Lippert CGC1508826 <br /> CERTIFICATE HOLDER ANCELLATION <br /> CITYCLE ' <br /> SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATlON DATE THEREQF, NO710E VNLL BE DEtIVERED 1N <br /> ACCORDANCE WITH THE pOLICY PROVISIONS. <br /> City ofClearwater <br /> 100 S.Myrtle Avenue UTHORIZED REPRESEHfATIVE <br /> Clearwafer,FL 33766 <br /> ��� ��� ��� <br /> O 1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010l05) The ACORD nam e and iogo ar registered marks ofACORD <br /> I <br />
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