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ACORDru I CERTIFICATE OF INSURANCE I ISSUE DATE 12/23/2003 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF, SEIBElS & WilLIAMS OF TEXAS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below, 5949 Sherry Lane Suite 1300 COMPANIES AFFORDING COVERAGE Dallas, TX 75225-6532 (469) 232-2100 Company ACE Insurance Co of Texas A INSURED Company ACE American Insurance Co Service Experts LLC B 11747 87th Street North Company largo, Fl 33773 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy periOd indicated. Notwithstanding any requirement, term or condition of 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, conditions and exclusions of such policies, Limits shown may have been reduced by paid claims, CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY CGOG19904623 12/31/2003 EACH OCCURRENCE $ 1,000,000 00 Commercial General Liability 12/31/2004 FIRE DAMAGE $ 1,000,000 o Claims Made 00 Occurrence MEDICAL EXPENSE excluded o Owners' and Contractors' Protection PERS, AND ADVERTISING INJURY $ 1,000,000 0 0 GENERAL AGGREGATE $ 3,000,000 General! Aggregate Limit applies per: PRODUCTS AND COMP, OPER. AGG, see below 00 Policy 0 Project o Location B AUTOMOBILE LIABILITY SCAH08004651 12/31/2003 COMBINED SINGLE LIMIT $ 2,000,000 00 Any Automobile 12131/2004 BODILY INJURY (Per person) o All Owned Automobiles BODILY INJURY (Per accident) o Scheduled Automobiles PROPERTY DAMAGE (Per accident) 00 Hired Automobiles 00 Non-owned Automobiles COMPREHENSIVE $1000 deductible 0 COLLISION $1000 deductible B WORK~RS' COMPENSATION RSCC43528361 (All 12/31/2003 WC Statutory Limit I x I Other I I AND EMPLOYERS' LIABILITY States/Stop Gap Included) 12/31/2004 EL EACH ACCIDENT $ 1,000,000 EL DISEASE (Each emplovee) $ 1,000,000 EL DISEASE (Policy Limit) $ 1,000,000 EXCESS LIABILITY EACH OCCURRENCE o Occurrence 0 Claims Made AGGREGATE A PRODlIICTS/COMPLETED OPS. CGOG19905330 12/31/2003 Aggregate Limit $ 6,000,000 12/31/2004 Occurrence $ 2,000,000 CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT A FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ISSUER, COMPANY, ITS AGENTS OR REPRESENTATIVES, Authorized Representative ~1/~ CITY OF ZEPHYRHILLS 5335 8TH ST. ZEPHYRHILLS, FL 34248 Certificate ID # RAO-06BA