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AaORD~ CERTIFICATE OF LIABILITY INSURANC~~l I DATE (MM/DDNY) i 07/17/02 , I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IHockman Lackey Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Ip.o. Box 22668 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa FL 33622 INSURERS AFFORDING COVERAGE !Phone:813-636-4000 Fax:813-289-4561 , j INSURED INSURER A: Zuri::h I INSURER B: FCCI I Commercial Maintenance Systems i Inc. INSURER C: The Travelers 4929 Barshore Blvd --- j Tampa F 33611 INSURER D: t I INSURER E: COVERAGES ~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 1 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 i POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER ~OLlf~ EFFECT~YE P~k,t~'(&~rdlW~?N LIMITS , LTR DATE MM/DDNY l GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 IA - X COMMERCIAL GENERAL LIABILITY SCP39370078 12/08/01 12/08/02 FIRE DAMAGE (Anyone fire) $300,000 I I CLAIMS MADE ~ OCCUR , MED EXP (Anyone person) $ 10,000 , , PERSONAL & ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $ 2,000,000 I i II i[PRO- n POLICY 'JECT LOC l AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I f-- $ 1,000,000 Ic ~ ANY AUTO I810997H9876-IND-01 12/08/01 12/08/02 (Ea accident) ; -- l f.- ALL OWNED AUTOS BODILY INJURY I $ SCHEDULED AUTOS (Per person) : f.- X HIRED AUTOS BODILY INJURY f-- $ i ~ NON-OWNED AUTOS (Per accident) I PROPERTY DAMAGE $ ( (Per accident) i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ , R ANY AUTO OTHER THAN EA ACC $ I AUTO ONLY: AGG $ i EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 'A ~ OCCUR D CLAIMS MADE SCP39370078 12/08/01 12/08/02 AGGREGATE $ 5,000,000 1 $ I 1 R DEDUCTIBLE $ . RETENTION $ $ , WORKERS COMPENSATION AND ...-'--"--'~ X I TORY LIMrrS I IUEFt iB EMPLOYERS' LIABILITY 001-WC02A-46053 04/14/02 ~4/1~ E.L. EACH ACCIDENT $ 100000 . - - "f""L DISEASE - EA EMPLOYEE $ 100000__ --- E.L, DISEASE - POLICY LIMIT $ 500000 OTHER A Inland Marine SCP3937007 12/08/01 12/08/02 100,000 leased/rented equp 500 deducti I DESCRIPTION OF OP~IVEA ~ENDORSEMENT/SPECIAL PROVISIONS IOn behalf . : ~!~_~~=_l!;_=~.~..:~_ctrical) ~ Timothy Bauer(general contractor) Cancellat1on: 30 days Workers--CO-mp,"'1:-o--aay all other I ! CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION I ZEPHBUI DATE THEREOF, THE ISSuiNG INSURER WILL ENDEAVOR TO MAIL XXX DAYS WRITTEN ! Zephyrhills Building NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL i Department I 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR I -, l Zephyrhills FL 33540 REPRESENTATIVES. .--- I Georae W. .k / i , ACORD 26-5 (7/97) '" @A TION 1988