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HomeMy WebLinkAbout3004 Silver Slary RdThe undersigned hereby applies for a permit for the following described /work: 0 _ OWNER ADDRESS NATURE OF WORK X- `d0 '(„? .Z X_'y0 LEGAL DESCRIPTION W/TAX I.D. TOTAL LAND AREA APPLICANT'S NAME APPLICANT'S ADDRESS APPLICANT'S PHONE NUMBER yo 71- sa3 - 8/ y% t VALUATION / 9010 FEE Building Official I certify that the above infor- mation is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, FL. Applicant's Signature State No. 8p02-13106 P-Gz - t6-2V<r;L Olk United My--6-20W SMNOLE TOWNE CENTER SCMINOL= TOV` NE C;F-NTl= May 6, 2002 City of Sanford 300 Park Ave. Sanford, FL. 3MI Alta. R.T. Hillary 4UW32464 P . / 03 Deer R.T: a F10440 kaaw, l b+ave S=Wd UM= Rental permiation to iastaA a 60' x 100' [eat and a 20' s 40' twt on the Seminole'Towne Center jet' mises for a Used Car Show/We, June 20- 23. Bat proem fadlitiea will also be pro,%1&4 by Umtod Rental for the even. if you aced my more iaforamm please give me at the mall office. Sincerely, SIMON Ptopeny Oroup, L.P. Sbslley Pri sl Markcting Dinzwr 36ST06 XUJ ISib WUZT:0T Z0. 62 .A W ws NI sru h ' 1 R L ' ( Go "' hSolD i •.4 i \ 7 Ire •, c. hr!• co Sias' ,ty-( rti 4 fj fr;t..4C W(hM4 W0944.Mf. — Tert Iffitrate of REGISTERED APPLICATION NUMBER FF31.02 tamic iRest-stance ISSUED BY ANCHOR INDUSTRIES INC. EVANSVILLE, INDIANA 47711 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN Date of Manufacture 4/20/95 Order Number 086921 This is to certify that the materials described have been flame-retardant treated or are inherently noninflammable) and were supplied to: IIOOD RENTAL 2120 N ORANGE BLOSSOM TRAIL P 0 BOX 547878 ORLANDO FL 32854 Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds NFPA 701, CPAI 84, ULC 109 Thn raf thn FR nhpmirnl nnplication is: Serial #: 8157000C (0001) Description of item certified: owIpppp ox EE pppp 44Pp N ES-- Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric DTJKACOTE; RAVENNA—OH Signed: /G Name of Applicator of Flame Resistant Finish TENT ARTMENT—ANCHOR INDUSTRIES INC. a IMPORTANT DOCUMENT etrtifiraft REGISTERED APPLICATION NUMBER F140.1 of if lam e ISSUED BY CNOR INDUSTRIES INC. EVANSVILLE, INDIANA 47711 Roi.gtana qET dQ MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described have or are inherently noninflammable) and were supplied to: 449318 UNITED RENTAL P O BOX 547878 ORLANDO FL 328547878 Date of Manufacture 10/20/00 Order Number 330083 been flame-retardant treated Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshal Code, equal to exceeds NFPA 701, CPAI 84, ULC 109. The method of the FR chemical application is: Serial #: 8271300 (1) Description of item certified: PTEN MID 40W X 20 SNYDER WW Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER MFG NEW PHILADELPHIA,OH Signed: Name of Applicator of Flame Resistant Finish TENT DEPARTMENT —ANCHOR INDUSTRIES INC. N cV. Dw L A Go c cc S f of oir c. • 'i:lt Ash 1 ! / f Ii r L re I I t '•I>! [. rL K •thy Ot ro 4•aw — n tl t w_ REGISTERED APPLICATION NUMBER F140.1 IMPORTANT DOCUMENT eC.'ertif irate of ,-if lame Re-gigtante ISSUED BY ORo INWSTRIES INC. EVANSVILLE, INDIANA 47711 4 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described' have or are inherently noninflammable) and were supplied to: 449318 UNITED RENTAL P O BOX 547878 ORLANDO FL 328547878 i Date of Manufacture 10/20/00 Order Number 330083 been flame-retardant treated Certification is hereby made that: SThe articles described on this Certificate have been treated with a flame-retardant approved 5 chemical and that the application of said chemical was done in conformance with California Fire 5 Marshal Code, equal to exceeds NFPA 7019 CPAI 84, ULC 109. S The method of the FR chemical application is: Serial #: - 8271300 (t) Description of item certified: PTEN MID 40W X 20 SNYDER WW Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER MFG NEW PHILADELPHIA,OH Signed: Name of Applicator of Flame Resistant Finish TENT DEPARTMENT —ANCHOR INDUSTRIES INC. ertifiratie of dame fees REGISTERED APPLICATION NUMBER F31.02 ISSUED BY ANCHOR INDUSTRIES INC. EVANSVILLE, INDIANA 47711 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN tostEMCC Date of Manufacture 4/20/95 Order Number 086921 This is to certify that the materials described have been flame-retardant treated or are inherently noninflammable) and were supplied to: HOOD RENTAL 2120 N ORANGE BLOSSOM TRAIL P O BOX 547878 ORLANDO FL 32854 Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds NFPA 701, .CPAI 84, ULC 109 The method of the FR chemical application is: Serial #: 8157000C Description of item certified: pp 66 ll ggppS8pgMTEOXSEEOTES— 0001) Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric' D1UMCOTE;-KAA-RA- OH Signed: Name of Applicator of Flame Resistant Finish TENT ARTMENT—ANCHOR INDUSTRIES INC. 3 City of Sanford, Florida RECRF.A770NAND PARKS DEPARTMENT Special Events Divisiotu Special Event Review Committee P.O. Box 1788i 32772-1788 (407) 330-5697 (407) 330-5691 Facsimile May 22, 2002 Doug Hodges Courtesy Group 8643 French Oak Dr Orlando, FL 32835 Your attached application for Special Event Permit request for COURTESY AUTO GROUP CAR SALE on Jun 20-23, 2002 has been reviewed and approved by the Special Events Review Committee (SERC) and/or the Sanford's City Commission. However, the SERC has stipulated the following things are completed five days prior to event date for final approval to be granted. They are: All fees paid in full including Refundable Damage/Cleanup Deposit. List of All Vendors (Contact Name, Phone Number & Email Address) City listed as additional insured on Certificate of Insurance as per application X Hold Harmless Agreement must be signed on application. The items checked below must appear on the Certificate of Insurance with a minimum of $1,000,000 General Liability and must name the City of Sanford as Additional Insured: Automobile Liability Insurance minimum of $1,000,000 Providing coverage on a per occurrence basis are required in the amount of the General Liability requirement if automobiles are used as part of the event. Product Liability Insurance is required if there is food sales or consumption at the event. Each vendor (an entity in the business of making a profit) must provide proof of a minimum of $1,000,000 Products Liability Insurance. Liquor Liability Insurance with a minimum limit of $1,000,000 is required if there is the sale or consumption of alcoholic beverages at the event. Worker's Compensation Insurance, in accordance with Florida State Statutes, will be required and afford protection to, any City of Sanford off duty employees hired by the event holder/sponsor to work the event. X Proof of Insurance must be provided for all automobiles and/or boats to be used in event. Should you have any questions or comments please call 407-330-5697 or Email hilleryr ci.sanford.fl.us. Thanks for your time and for choosing the Beautiful Historic City of Sanford for your host site. Cordially, RT Hillery Special Events Division Enclosure: Special Event Application CC: Lisa Jones, Recreation Superintendent Special Events Review Committee F.\CITY_SHAU'aks and Reaearion\Special EvenbUtTHillay\WordUxuers\Approved Evam\= Invoiu05 04-Courtesy Auto Group Mall Car Sak.doc PAGE I of 2 City of Sanford, Florida RECREA77ONAND PARKS DEPARTMENT Special Events Divisiorw Special Event Review Conunzttee P.O. Box 1788 32772-1788 (407) 330-5697 (407) 330-5691 Facsimile Mail To: Special Event Division P.O. Box 1788 — 300 N. Park Avenue Sanford, Florida 32771 Phone 407-330-5697 Fax 407-330-5691 Web Site: ci.sanford.fl.us Email Address: hilleryr@cLsanford.fl.us Bill To: Doug Hodges Courtesy Group 8643 French Oak Dr Orlando, FL 32835 Phone: 407-947-6021- other 407-857-2787 Fax/Email: 407-297-9894 INVOICE INVOICE # 0205-04 DATE: 05/22/2002 Comments or Special Instructions: Due five (5) business days prior to Event QUANTITY DESCRIPTION UNIT PRICE AMOUNT 1 Special Event Application Process Fee 50.00 50.00 6 100.00 Daily Damage/Clean-Up Deposit 600.00 600.00 1 Tent Application Fee 10.00 10.00 3 Tent Permit Fee 20.00 60.00 3 Fire Department permit fee 25.00 75.00 1 Banner/Sign Application Fee 10.00 10.00 1 Banner/Sign Permit Fee 10.00 10.00 1 Police Security @$21.00/hr each (_Total Hours each) 21.00 0.00 1 License fee for up to 1 vendors 150.00 150.00 Facility Usage Fee (Picnic shelter) 80.00 0.00 Monitor @$15.00/hr each (_ Total Hours each) 15.00 0.00 Paid directly to Officer/Monitor(s) On Event Day SUBTOTAL 985.00 SALES TAX 0.00 SHIPPING & HANDLING 0.00 TOTAL DUE 985.00 Make all checks payable to City of Sanford except for Officer/Monitors If you have any questions concerning this invoice, contact RT Hillery at 407-330-5697 or Email hillery6b6sanford.fl.us. THANK YOU FOR YOUR BUSINESS! FACITY_SHAWarks and R credion\SpedW EventART Hillery\Word%Wcn\Approved Evenu\20M Invoioa\05 04-Counay Auto Group Mao Car Sale.doc PAGE 2 OF 2 SPECIAL EVENT APPLICATION/PERMIT DATE APPLICATION RECEIVIRM PERMIT APPLICATION NUMBER Now of Event; l9ouRi r.Su / vro /9A. S6/Q_—.------ - Fsduty/Lou.don Requested: f Q c/e- :5wt -- l-, x,,kr IYA L C Eveaa Dase(s): 6 - ZO r!Q u 6 " Z 3 Evest Hoor.: From: 9 aGO _&M To: i l mo —Abqo setop Dole(r)t 4 / Jo f 6 -i 9 ---- - Setup Boon: From: moo j9 To: _ / nAr (Must include set-up/eleaa-cep A decorsdoo usae) E%k Mod: Participants '9P-100E SpectMan Vehicles Zr Vaaeb (for Boating even only) Type of Organisation (Greet am): 0NotlbrProfit0ForProfitIndividuN Federal1.D.1 S-33 S StaxExempt 1: _ -- Teel: _---- M SS1: --_--• Do you anticipaso this evetlt being hold ran your? Yes 0 No It's°. Data: spv. awiug Orpdsatioa name: Office Plum; 4o7 - K7 Z 7P'7 Coll a Penoo RapotlAk for Evest/Cbergev S Email Address: Phonic: Wak 1: y07 ?Y7 goal Hwne M: fax N: 7 9 Gel Plitt 9y3 FreNcA O' RL t • city QR(_----so" zipCode Addidosol Comtaet Penes: C ti. -_ wont Il: 11/0-i/6 --P373 Email Addraw: tour Eveot 2. Exhibit 3.Festival 4.Fisbing TMMMMn 5.0eaeM Mooting 6.Parsde 7.Picnic/ PwWasp g.Tournamont/Coetition 9. Wadding Reception l O. Odta. Explain Cgs sAcE l 1. Admiuion Charge/ Ticket Sole 12.Alcohol Bcvenge Sales 13 Concussion Stands 14.Fiald Preparations 15. F iraworb/Pyrotechnics 16'Food/ Bevenge/cmtering . 17.Merchandiu Sales 1 g. Opm to Publicet -_ 19.SpecialSups20.Street. Lane. Sidewalk Clown 21.Verrdas Number of 22.watcr/ Electric 24.1oi1slable Devien 25.Pottable Restroctro 26.1tegistration Table 27.Sporu Equipment ZE.Stage/ PmPs/Productioo 2L 29. 7'ables a Chairs 30.T" W BannaWSignagets/ 11,TrobCaDumpVtor(s) 32.Video Equipment 33.Mobde Stags - Times: Set up 34.00M. Explain 2o7 9 co 6oZ l 3 2 ,pas- 36.01E DutyOffiw ( 521) 37.Evept Manavanent(f25) 3g.Pite(SZl) 39. Polics(S21)-Nl1fiif SEGuvl>< 40.Pubic Worts(S15) 41.Reveadon A Padu( S13) 42.Code Enforcement ($ig) Take Down: ss A MAP AND/ OR DIAGRAM OF THE PROPOSED EVENTL.A SrrE YOUTI ROUTE MUST' BE SUHMMED WITH THIS APPLICATION"* if you ebecked may of the above Ilmos. provide a 901001cte deuriptioa of the tveot/request on a Special Event Backup dieet. j ***Please Provide Below a Detailed Description of Event ***(A"sbee4lfneed") CM v tA( V rcW Z0 39Vd 1d3Q 038 Q210dNVS T699-0EE-L0b L0:9T Z00Z/U/90 111I/u1e....n. . b — — .. HOLD HARMLESS AGMEMENT: The Contrrr-tor. Vendor or User hereby promises and agriiei to irAt nniN and save hnasaless the City of Sanford, a municipal axporwKm. its offim a, agents, and employees, fan and against any and all liability, claims, damages, demands, eapertses, fees, fines, penalties, suits, prvcoodings, actions and cost of actions, including attorneys' foes for trial and cm appal of any kind and nature arising or uuwing out of or in any way connected with the performanrA of the Agreement whether by act Or omission of tlrc Contractor. Venda, officers, agents, imam. employees or other or because of or due to the mare existence of the agreement between the parties The applicant will supply a "Certificate of Insurance" reflecting minimum coverage of S500,000 per occurrsnm for bodily injury and property damage. The City of Sanford as additionally insured which will be noted on the Certificate. IU Certificate will indicate that the applicant's insurance policy will not be canceled without thirty days prior written notice to the City. Tltt tumUrsigned agues to abide by the regulations governing the said fuihty and is responsible for charges incurred and must supply a -Certificate of Insurance" to the Recreation Ocpertrrncnt no later than live (5) calendar days prior to program/evont date. Copyright Law: Licensee assumes all costs arising from the use of patortod, trademarked or copyrighted materials, equipment, devices, processes, or dramatic righu used on or incorporated in the conduct of any event covered under the agreement and licauee agrees to unde:nnify and bold hwnJr sb devices. pmmscs or dramatic fights tumished or used by licensee in connection with the agreement and will defend the City from any such suit or action regardless of %iwther it is groundless or finudulent. CERTI1FICATIOl4 BY AI'Pi1.ICAN"ft t certify than I have read this application and thrd all information contai red in this application is true and correct, Any falsehoods or misrepresentations will constitute a criminal violation of the code of the City of Sanford. I certify that 1 have me vcd a copy ofcity code chapter 18a l was to comply with and be bound b) any and all applicable provisions of the city code. I understand the event may be cancelled by the Chief of Police or The Fire Chief should any conditionVstipulations of the permit or city ordinance or state statute be violated. I certify that 1 am authorized by the organization named heein to act as its agent for the herain described activity. 1 also have received the notice informing me of my rrtponsibilitics and obligations should 1 canal the event. By filing lhn application, !. and tine organization an whose behalf I make this opplieatim zontract and agree that we will jointly and severally indemnify and hold rho city against liability, including court costs and attorneys' foes for trial and on appeal, for any and all c)abns for damage to property or injury to, or dab of persons ing of or resulting fiom the issuance of the permit qr the conduct of the activity or any of its participants. 6- _6 offLiaSignamm -- Doc LICENSEE CERTIFICATION I hereby oertify that all the information contained herein is true and cxureit to the beat of my knowledge. If any portion is found to he false or misrepresented, such face miry• be just cause for immediate revocation of ary.permil(s) issued. 4Sipaatlreofapplicant. —_----- --_- - - Subscribed and affirmed before an 05/ 10 / O SHARON L HOOM Notary Public -State of Flaft Hdshe ' ly know me OR has presented Dane: / U ' Z 1 Notary Signature and Seal: MY." The proRreasievent will be terminated sbould keusetcause any violatfoo of Local, Stat 11OFFICE USE ONLY ., and who did take an oath. 4 . 1f a f ; laws and ordlaaac COPIES OF THIS PERMIT REVIEW EY (CHECK). RECOMMENDING APPROVAL BY INITIAL/DATE. Date Datc Engineering dr Planning Dept _•—._—_ _ Code Enforcement Division Pub Deparanent Public Works Departtro m Utility Depmmnwa Fire Department Police Department Risk Managanent Division Permit O© Approve O® Deny By Authorrration of Date Received: bate: Received: Due; Application Fee: Cleat Up Bond Spacial Evert Pa Certificate of Insurance 0 39Vd 1d3Q 03d G60JNVS T699-0££-LOP LO:9T Z00Z/Z0/50 MAY-06-2002 15:11 SEMINOLE TOWNE CENTER 4073232464 P.03/03 SEMINOLE TOWNE CENTER May 6, 2002 Division of Motor Vehicles Bureau of Field Operations 1020 N. Orlando Ave. Suite P Winter Park, FL To Whom It Mat Concern: Please know, I have, granted penm)assion for Courtesy Auto Group to conduct a used car sale at Seminole Towne Center, June 20-23, 2002. The following car dealers will be participating in the show: Courtesy Chevrolet Airport, Courtesy Chevrolet West Colonial, Courtesy Ford, Courtesy Chrysler Jeep, Courtesy Pontiac Buick GMC, Courtesy Toyota, Courtesy Honda and Courtesy Acura. If you need any more information, please give me a call at (407) 323-1843. Thank you inadvanceforyourconsideration. , Sincerely, SIMON Property Group, L.P. Shelley Price- an Marketing Director 53n1.rd C;- 7I. DATE (MWDDNY) AC014D. CERTIFICATE OF LIABILITY INSURANCE 05/06/2002 PRODUCER (407)849-0333 FAX (407)425-5694 George Eidson A , Inc. 9 9 ency, P.O. Box 540209 2807 Edgewater Drive Orlando, FL 32854-0209 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Airtime Promotions, Inc. 8643 French Oak Drive Orlando, FL 32835 INSURER A: Hartford Insurance Co INSURERS: INSURERC: INSURER D: 77771INSURERE: NV Lr%MVG.7 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTR A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX ] OCCUR POLICY NUMBER IUECLH9809 POLICY EFFECTIVE DATE MM/DD/YY 08/20/2001 POLICY EXPIRATION DATE MWDD/VY 08/20/2002 LIMITS EACH OCCURRENCE S 11000, 00 FIRE DAMAGE (Any one fire) S 50,0001 MED EXP (Any one person) 5,0001 PERSONAL 3 ADV INJURY S 11000,000 GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPIOP AGG S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: COMBINED SINGLE LIMIT Ea accident) S 1,000,000 POLICY JEC LOC AUTOMOBILE LIABILITY 21UECLH9808 08/20/2001 08/20/2002 ANY AUTO ALL OWNED AUTOS • BODILY INJURY Per person) S A SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY Per accident) S PROPERTY DAMAGE Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ONLY: AGG ANY AUTOHAUTO S EXCESS LIABILITY OCCUR CLAIMS MADE vfOVD EACH OCCURRENCE S E DEDUCTIBLE RETENTION $ S WORKERS COMPENSATION AND TORY LIMITS ER E.L. EACH ACCIDENT SEMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONStisagreedtheCityofSanfordappearsasadditionalinsuredfor general liability coverage. Reference lob: 06/18/02 - 06/24/02 6CK I Ireum I C nVLvcR I n I ANVI I IVRAL PROW-. ,R...- City of Sanford 300 Park Ave. Sanford, FL 32771 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Louis J Mariany CPCU/LSW pl{aY-0$2k:Tri2 iq: 4;. rev vvrsv, Vv1\`1•Tr P>Vr'f7,i';III' I :. • 1JGEA $6rial Ill 502883 THIS CERTIFICATE l; ONLY AND CONPEF Am Risk Services. IACL 0/ NOW York MOTN9"COVEN 688 Third Avenue COMPI New York, NY 100117 RED COURTESY FORD 011 WAYSIDE DRIVE SANFORD, FL 32711 COMPAW PACIFIC EMPLOYERS INS. CO. A CDMPANY B COWANY C COMPANY 0 THIS 16 TO CERTIFY THAT THE POLIGES OF INSURANCE LISTED BELOWMAVESEEN ISSUED TO THE IN5URE0 NAMEA A — INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 00 ANY CONTRACT OR OTHER0eRTIPI0ATEIyIAYSEISSUEDORMAYPERTAIN. THE INSURANCE AFFORDED 0 V THE POLICIES DESCRIBED MEXCLUSIONSANDCONDITIONSOFSUCHPOLICIES, LIMITS SHOWN MAY HAVc BEEN REDUCED BY PAID CLAIMS OOLJCY EPFECrive POLICY E7WIRATION TYPE OF INSURANCE POLICY NUM9ER DATE IMIWDWTYI DATE IMMMDDml 3ENBRAL MEN HDO G2031185A 01101/2002 01/0112003 ME X GOMMEFIGWL OENZPAL LIAVIVTb CLAWS MADE I X =UP OW W IWS A COWPACTOWO PROT ISA H0785142A I( ANY AUTO X ALL OWNED AUTOS J 9CNEoUL90 AUTOS HIRWAUT08 X NON-DWN@D ALTOS ANY AUTO EXCESS uA61LITY 3 UfMRELLA FORM OTHER THAN UM6RELLA /ORM IMORNlR'S OOMPENOATION AND EMPLOIV' w LWquTY I MTMEeR6GUME Itu i DI c9m N:6 R.rxr, DTHER ' i o11o1/ 2002 ; 01/0112003 I' EN7 SALE JUNE 18. 2002 - JUNE 24, 2002 CERTIPICAYS HOLDER IS INCLUDED AS AN ADDITIONAL INSURED WITH RESPECTS TO THE ABOV CITY OF SANFORD 300 PARK AVENUE SANFORD, FL 32771 SHOULD ANY OF THE ADM EXPIRATION DATE THEREOF, 3O OAY3 WRITTEN NOTICE' OUT FAILURE TO MAIL SUCH N' OF ANY I0140 UPON THE ZE n. DOCUMENT WITH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS. LIMITS OINERALAOGREOATB 9 I PRODVOTS - tow' 0P AOO i MRSONAL E Acv IWVRV it EACH OC 6MW49 s 1,000.000 FIRE DAMAGE "CM %) i MED EXP Y rile P—) t COMBINED SINGLE LIMIT i 1,000.000 E004Y mmV >< IPp Ilrhenl BODILY WJ11RT : nor PROPEATrORMIGE S AVTO ONLY. FA ACCIDENT i OTHMA TMAN AUTO ONLY' EACMACGDENT i AOOREOATE 5 EACM OCCURPIMP S AOOR6QAT6 v s 1p YfS EL EADM AL'CI06NrES ELDL5W• POLICY Lnar r EL DISEASE - IA EMPLOYEE pC3" BE0 POME• BB CAV=,- D 9EFORE TIE INE * won COUPANr W%L c"DEAVOR TO a" rD TkE CERTIPI6ATE W"P-R NAMED TO TIIE LOR. TICSSIIAiLIMP= NoOUMTIOR ORUABLI" CQMPANY. RS AOEyM OR REARIMENTETAIE3. SUN B. NG• OF NI 10243301 TOTAL P.02 TOTALP.02 t ti -` \\ ru i ' \ rt C.C.•m.. Ctn w`'••f j(I',' :C \ `• \ \Ales/ M.C. nR1CI 't M.C. U •- n C Lo 4 l EV L CC a 07S. AC, I I r4ptc'rP/'yfs hr•,.. .66•( %• \ r'\ is m S'l I I L \ f•20]p \ / , ` ,- . r 4.`••`4 "'''yr_YYYYYYOr f fK Cf.t 11• 00 Co.;. f r •r \ 1 rf a EXISTING WETLANDS TO REIMwMNTT 3 ;I G, C IC+ •