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ACORD05/23/2006 <br /> CERTIFICA' ; OF LIABILITY INSURA . CE °ATE (MNu°° " "° <br /> PRODUCER (407) 886- 3301 FAX (407) 886- 9530 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> GENTRY INSURANCE AGENCY , INC . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 17S East Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> PO Box 2046 <br /> APOPKA , FL 32704 - 2046 - INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED LH Tanner Construction CorpNSURER A: <br /> do P Owners Insurance Company 132700 <br /> 2300 Avacado Ave . , Ste . D INSURERS: Auto- Owners Ins Co 18988 <br /> Melbourne , FL 32935 INSURER C: <br /> INSURER D: <br /> # INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> to MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> :11csR 11,001 LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE (MMIDDffYt LIMITS <br /> GENERA- LIABILITY 20589796 - 05 07/18/2005 07/18/2006 EACHOCGURRENCE $ 1 , 000 , 0( <br /> X' COMMERCIAL GENERAL LIABILITY <br /> PREMISES Eaoccurence $ SO , O( <br /> CLAIMS MADE a OCCUR MED EXP (Any one per on) $ 5 , O( <br /> A PERSONAL S ADV INJURY $ 1700090( <br /> r GENERALAGGREGATE 3 211000 , 0( <br /> FGEN'L� GGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ICY IRO LOC 2 , 000 , 0( <br /> AUTOMOBILE LIABILITY 4240576300 07/18/2005 07/18/2006 <br /> rrI X ANY AUTO (ECOMBINED SINGLE LIMIT $ <br /> Ea accident) 1900010 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> I X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> i - (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br /> AUTO ONLY: EA ADD $ <br /> AUTO ONLY: qGG S <br /> 4111111 EXCESS/UMBRELLA LIABILITY 4656286700 11/01/2005 11/01/2006 EACH OCCURRENCE s 3 , 00090( <br /> ,�( OCCUR CLAIMS MADE <br /> 7 <br /> AGGREGATE s 3900090( <br /> B $ <br /> i DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 20680822 03/15/2006 07/18/2006 XTORY LIMITS X ER <br /> ANY EMPLOYERS' LIABILITY <br /> r B OFF CERIMEE ER EXCLUDED? ECUTIVE E.L. EACH ACCIDENT $ 1 , 000 , OI <br /> yes, C ander <br /> E.L. DISEASE - EA EMPLOYE $ 1100010 <br /> SPECIAL <br /> PROVISIONS OeIow E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 0( <br /> OTHER <br /> + i <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> ertificate Holder is named as Additional insured with regard to General Liability . <br /> s <br /> ° 10 day notice of cancellation applies to nonpay . <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />+� EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Indian River County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />_ 1840 2 5th Street OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES, <br /> Vero Beach , FL 32960 AUTHORIZED REPRESENTATIVE <br /> Debra Liebknecbt HEATHS c ` d ^ <br /> ACORD 25 (2001108) FAX : ( 772 ) 778 -9391 ©ACORD CORPORATION 19 <br />