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<br />FRCJ1 : TOTAL PAYROLL <br /> <br />FAX NO. :8888766716 <br /> <br />Jul. 16 2007 0E:I:J4H"\ t".I.'> <br /> <br />~1Kl..'DATE <br />ACORD.. CERnFICATE OF LIABILITY INSURANCE ~;;t~"040Ii;\~,~i~~ <br />THIS ~.I88IEDNiAM11'EROIf INPORIIATION <br />OILY ". -41- _.II 110 RIGH1S UPOK TII! CEKIlPICI'TE <br />...,.._ TaaCEllJlfVA1I! DOeS NOT EXTEIIDOR <br />A&.; 1HE <br /> <br />JtROIlIJCftl <br /> <br />Jli~ tiak SUYi.aea J.I,C <br />14lliO Da1J.U ~ t$oo <br />Dal.l_ . one '525. <br />(aOOl 632-50ti tf1:n 715-0959 <br />p .M-' <br />'"SUIUlO: AIlS 1 ~ <br />GF:ORr.r: mlS5V.t.l. ROOF'lttr. 11DA cewr'1lA1. n.DR1DA RCOFIMG <br />Il 9 n 1 ('"OOH'l''t l.Nf& 80. <br />LITKIA. FL '3~47 <br />(813) 68<1-774.2 <br /> <br />...... APPOROINGCCJVERAGE <br /> <br />....ax: <br /> <br />18131 689-6411 <br /> <br />lNSUAERA: COIIP"nion <br /> <br />lNSUIlI!RB: <br />INIUReRC: <br />__0: <br />"&URERE: <br /> <br />"ropez:t:~ aDd c:&auiIlt:y IDSW:aBCe Cgmp <br /> <br />S <br />THlEPOLJCIQ OF......-:EUPED......tUIIlE II!I!II_W...."'-OIlMlDMOVI JlaRlMa POLII:YPEMID~ IIG1WI1MITMIDlN8 <br />MY ..,,_...-1\'. 1EIIIII OIl c;oMDIftOIIOf' I/IIJ/N CGN1IIACT OIl O'RII!R ~wm& ...T 10"1_'* ~1lfICMIE IIo\Y IEIS8UED OR <br />MAy........... lIE_.............Er .............__ - ",lSsuaJl!CT1lUlLl. 1HE..-. IiJ(GI Wlll""-AJe.~ 0Ii1UCtt <br />PO "8 ...M'E......_....IIoWEII!I!II....UEll8W'HID~ <br />TfPliCll'IIIIW'.Mlr -..:'1''- <br />nGL0801f~ <br /> <br />It>~,}'-.,....:?;st.:,.iIi..~~?I. '" :.~~j~...:... <br /> <br /> <br />07/12120tS'1 <br /> <br />0'7/12/2801 <br /> <br />5llCIf P"" I8IC~ <br />FIlEOMMlIE o-l'loIIt I <br />~EllP -~ . <br />IIIIMOIML & II/JN""'" I <br />.......~1S S <br />~_c;QWlDP'M8 <br /> <br />LMI8 <br />S <br /> <br /> <br />CClIo*IIID--.a&.Mf s <br />(Ie .-..ll <br />...."..-v , <br />C-~ <br />IOOILYIMJRV 5 <br />tp., ......, <br />P'ftCIPlIJI'IY- $ <br />(PI< .-...u <br />MIlO ONLY . L\ l\CClIlENT S <br />OltERntAtl QN:.C S <br />NIfO ONLY:: A6G <br />1!ofoOIt~1IIIIINeIi <br />~ <br /> <br />wc7177"'0401 <br /> <br />04/01/2007 04/01/2008 <br /> <br /> <br />uc.... LM8LITY <br />0CClM\ D~Mi\llE <br /> <br />DEIllJCTa! <br />Rl!lENTlOOI , <br />WORKHt<< IIIU.TlOIUlC <br />~LMILITY <br /> <br />1000000 <br />1000000 <br /> <br />A <br /> <br />$ <br /> <br />OTIIIft <br /> <br />LIMUI <br />UIoIIT8 <br /> <br />5 <br />S <br /> <br />Ol!SCIlPJIOIiIGF ClMAfdIlIIIIS4I oet.,...,.,..-"-' '__IIY_al1.l..~----L~ <br />l. 'rn1s r.t'!T.1;.1ftC411#e reW-l!P8 in eLtect. provided tbe ellone's account U 1.A 9ooc:l stan<liag with l\MS. Coverago <br />1:: not pL"l)vj,c1eC1 Lor any ..p~oyee for .tUc:h tlur cli.ent ia nol: reportiDq ~ U) aNS. "PPl1~::s to 100' of Cite <br />erlplOVflftll n~ I\MS ll'lftMld 1:0 ~ 1QJSSRLL 1IOOFTtIG DBA CEllTRAL FLOBIDA NlU'E'IlII(;. c.ffocti- 04/01/2007. 2. <br />IrllJ\lred i. afforded Woz:kers CcapensatiClll " Ellployers liability.. a c:o-eIIP1oy.u: Uftder !:.be poliCy '0" eapio)'et!o$ <br />lft"'jIled frCllll N4S St.U t..easlng. Inc. <br />~. "['LEASE sa A'M'ACHe:u tH"l.QV~ MOS'l'1:R. H' <br /> <br />C!RT <br /> <br />_____-LftBB: <br /> <br />MlOIlUtMtOlonc--SI POUCIeIIEC;-.pn .-__ r-pPUlATlOIf <br /> <br />_~. we ____ ~.....,.. 'SO.... ~ GAll WRlTTIIl <br /> <br />.uncETOnE__lElIDUIal..-D ....n5~. _'--TODCI__L <br />~ IG -____VII IoIoIIIIIIo8'Y C1PMf'l _ _ T.---. 1fII-." <br /> <br />WUi'ra.It'~ CQNt."T1U1CT:t0ll <br />~23 OS KYGKKAY 301 ~. <br />n%Y1i:l\VTI':II. n. J35,6!1 <br /> <br />r4X1, <br />ACORD 25-8 (7117) <br /> <br />'!J <br /> <br />(p /l- <br /> <br />~ <br /> <br /> <br />AUNDIlIIIIbIlD --.- <br /> <br /> <br />o ACORD CORPORATION 1988 <br />