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<br />l1/U~/Ul 1'1<1 115: 31 t'AA 727 725 5~U~ <br /> <br />AMt;Kl ::iTAt't' <br /> <br />~UU2 <br /> <br />ACORD... CERTIFICATE OF liABILITY INSURANCE I DATE (MlWDIYV) <br />11/0912001 <br />PROIIUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGIITS UPON THE CERTIFICATE <br />CONDON MEEK INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1211 COURT ST <br />CLEARWATER FL 33756 INSURERS AFFORDING COVERAGE <br /> '- .'- <br />INSURED INSURER A: CONTINENTAL CASUALTY COMPANY <br /> AMERISTAFF II, INC _.... ,-- <br /> 3040 GULF TO BAY BLVD ~l.!~~.8; -. - <br /> SUITE 110 INSURER C: .. <br /> CLEARWATER, FL 33759 INSURER D; ., <br /> -"-' <br /> I INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LI~Tr:O Dr::LOW I lAve DI:CN IGGUEC TO 'l'HE INSURED ~MME.D ^90VE. FOR T1-IE !>OLICY PIiRIOO INI:lICATEI:l. NOTWITI-ISTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHeR DOCUMENT WITH RESPECT TO WHICH THIS CEIi(TIFICATE MAY BE ISSUED OR <br />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 />iii8R --,. ,.. .- POLICY EFFECTIVE II'QUCY'l!XpiRATION .. <br />L~ TYJ.'E OF INSURANCE POLICY NU-.&R U"TS <br /> ,,!!NERAL UA8lLITY EACH OceURllliNCli $ <br /> - ... - <br /> eo~MERCIAL GENERAL UABILlTY FIRE DA.MAGE (Any _ 1lIe) S .._~ <br /> I CLAIMS MADE 0 OCCUR MED EXP (Any OM lIe_n) S <br /> r~ncorw. .. AC/V INoIUIW C <br /> - <br /> - GENERAl AGGREGA're S <br /> .. .--- <br /> GEN'L AGGREnE LIMIT AF>PLlES PER: PRODUCT$ - COUPlOP AGG S <br /> I POLICy ~~ n LO~... <br /> LUTOM08I~ LWlIUTY COMBINED SINGLE LIMIT S <br /> ANY AlITO lea 8CQlGent) <br /> - . ~... <br /> t-- ALLOWNEDAUTQS BODILY INJURY <br /> CP"r """,on) S <br /> &CMI:DUUlt:> AUTOS <br /> t-- -.. <br /> HIRED AUTOS BODILY INJURY <br /> r-- S <br /> NON-oWNED AUTOS (Per IICddwJt) <br /> - -,"-,- <br /> PROPERTY DAMAGE $ <br /> CP"r_ent) <br /> GARAGI! UA8UTY AUTO ONLY. E.I. ACCIDENT S ,.-. <br /> R "toN AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: hOC . <br /> EXCESS UA81UlY EACH OCCURRENCIi S <br /> ::J' OCCUR 0 CLAIMS MADE AGGREGATE S <br /> .- ..- <br /> S <br /> -.... <br /> ~ DEl:lUCTI8LE S <br /> ... <br /> RETENTION S S <br />A WORKERS COMPENSAnON AND WC138201697 07101/01 07/01/02 ~.l.~~L~I'+S I IU~.r '--..'-- <br /> EIIPLOYI!RS' UAIIIUT\' Ii,L EACH ACOIDE,,": _.. $ 100,000 <br /> ~.h OISEASE . EA EMPLOYEE S .JOO,OOO <br /> E.L, DISEASE. POLICY UMrr S 500,000 <br /> OTHER <br /> .. <br />CESCIW"nOH OPOPERATIONSILOCAnoNSNEIICI..BII!XCWSlONS ADDlED EIV ENIlCIIUII!IIENTISPEClAL PRCMSIClMS <br />THIS CERTIJ:ICATE REMAINS IN Ei=I='I=CT PROVIDED THE CLIENT'S ACCOUNT IS IN GOOD STANDING. COVERAGE IS NOT PROVIDED <br />FOR ANY EMPLOYEE FOR WHICH THE CLIENT IS NOT REPORTING HOURS, <br />APPLIES TO 100% OF THE EMPLOYEES OF AMERISTAFF II, INC. LEASED TO COAST TO COAST OF TAMPA BAY INC <br />CERTIFICATE HOLDER I I IloDDlTlOHAL INSURED;INSURl!R LE'nI!R: CANCELLATION <br /> lIfIOULD ANT OFllflO AIIClV!: ClI!SCRlIlED POUCES BE CANceu.I!D BEFORE TIlE EXPlRAnON <br /> DIIoTe nt_p, 'fIt1i 'AUlNG INCU._ WIll. 8NDEAVOR TO MAM, ~ nAY5l _ITTBI <br /> CITY OF ZEPHYR HILLS NOTICE 'R) llfE CERnFlCATE HOLDER "MEV 'R) THI! U!PT, BUT FAILURE TO DO sa SHALL <br /> 5335 8TH ST IMPOSE NO OIIUGATlON OR UABILI'IV OF ANY IClMO UPON TIlE; INSUUR, ns AGEN'r.l OR <br /> ZEPHYRHILLS FL 33540 REPRESIlMTATIVE&. <br /> AlITHORIZJ!D RBPRESENTAlNE ..... ~ /?'l- _/~~~. <br /> I , *1- - .. <br />ACORD 25-8 (7/97) V @ACORD CO~URATION 1988 <br />