181-Metropolitan Systems
A CORaM CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DD/YY)
7/01/08
PRODUCER 727-796-6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wells Fargo Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Southeast, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 31666
Tampa, FL 33631-3666 INSURERS AFFORDING COVERAGE
INSURED INSURER A: WESTFIELD INSURANCE COMPANY
Metropolitan Systems Inc etal Zenith Insurance Co-DB
3014 Horatio Street INSURER B:
Tampa FL 33609 INSURER c:
INSURER D:
I INSURER E:
COVERAGES f? ;j-..
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN~lJ
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, 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.
I~SR TYPE OF INSURANCE POLICY NUMBER ~~~~YJ~~~~~~ P8k'flf~~!~~;':~~ LIMITS
TR
A ~ERAL LIABILITY CMM1686631 7/01/08 7/01/09 EACH OCCURRENCE $ 1000000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 150000
1 CLAIMS MADE W OCCUR MED EXP (Anyone person I s 10000
PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $ 2000000
-
4'L AGGREn LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
POLICY ~~T n LOC
A ~TOMOBILE LIABILITY CMM 1686631 7/01/08 7/01/09 COMBINED SINGLE LIMIT
$ 1000000
~ ANY AUTO (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$
e-1<-- SCHEDULED AUTOS (Per personl
e-1<-- HIRED AUTOS BODILY INJURY
$
e-1<-- NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
=iAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESS LIABILITY CMM1686631 7/01/08 7/01/09 EACH OCCURRENCE $ 4000000
~. OCCUR D CLAIMS MADE AGGREGATE $ 4000000
$
8 DEDUCTIBLE $
X RETENTION $ 0 $
Z831250616 3/03/08 3/03/09 _xlwC STATU-} TOTH-
B WORKERS COMPENSATION AND X TORLLll\MI.;;. ER ---~~_.-.--------
EMPLOYERS' UA!lIUTY
E.L. EACH ACCIDENT $ 1000000
E.L. DISEASE - EA EMPLOYEE $ 1000000
E.L. DISEASE - POLICY LIMIT $ 1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTICICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY
*FL STATUTE MANDATES 10 DAY CANCL NOTICE FOR NON PAYMENT OF PREMIUM
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCEL LA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF SANFORD DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ----1Q.. DAYS WRITTEN
ATTN: CITY CLERK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. BOX 1778 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
SANFORD, FL 32711 REPRESENTMfWES. /?
AUT~)1Ptr;~~/
I U;I
ACORD 25-S (7/97) 45- 38 .r f7 V , @ACORD CORPORATION 1988
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