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<br />Certificate of Insurance <br />This certificate is issued as a matter of information only and confers no rights upon you the certificate holder, This certificate is not an insurance policy and does not amend. extend, <br />or alter the coverage by the policies listed below, <br /> <br />Named Insured(s): <br /> <br />Staff Leasing, LP, by Staff Acquisition, Inc., The General Partner. and <br />The Affiliated Limited Partnerships of Which Staff Acquisition, Inc. is <br />The General Partner and their Successor Corporations <br />600 301 Boulevard West. Suite 202 <br />Bradenton, Florida 34205 <br /> <br />C'NA <br />RISK MANACEMENT <br /> <br /> Insurer Affording Coverage <br />Coverages: Continental Casualty Company <br />The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated, The insurance afforded by the policy(ies) described herein is <br />subject to all the terms. exclusions and conditions of such policy(ies), <br /> Certificate Exp. Date <br />Type of Insurance o Continuous Policy Nwnber Limits <br />o Extended <br /> * 181 Policy Term <br />Workers' 1-1-2001 we 189165165 Employer's Liability <br />Compensation we 189165182 Bodily Injury By Accident <br /> $1,000.000 Each Accident <br /> Bodily Injury By Disease <br /> $1.000.000 Policy Limit <br /> Bodily Injury By Disease <br /> $1,000,000 Each Person <br />Other: <br />Employees Leased To: Effective Date: 1/1/00 <br />5240 <br />General Home Development Corp <br />The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policylies), not to the employees of any other employer. <br /> <br />*If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the <br />certificate expiration date, However, you will not be notified annually of the continuation of coverage. <br /> <br />Notice of Cancellation: (Not applicable unless a number of days are entered below) <br />Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policy(ies) until at least <br />30 days notice of such cancellation has been mailed to: <br /> <br />Certificate Holder: <br /> <br />CITY OF ZEPHYRHILLS <br />5335 8TH ST <br />ZEPHYRHILLS, FL 33540-4312 <br /> <br />M- ai.l-. <br /> <br />-- <br /> <br />Martin Oosterbaan <br />Authorized Representative <br /> <br />Office: St. Louis, MO 12/15/99 <br />Phone: (877) 427-5567 Date Issued <br />