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<br />04t07/20~8 07:36 9414455976 RJMAHAFFEY CONSTRUCT <br />Date, 4/4/~UUB ~~, ~,~7 ~n TOt ~ R&D4ttey ~.~rua;.QQ, ~~~~ "~~~10 <br /> <br />PAGE 05 <br />~-V"" .. <br /> <br />PIUlDUCIR (941)366-7070 .FAX (941)953-4901 <br />PunllOrt a Nartin Insur..ce Agen(;)', lLC <br />2301 R1ngl1ng Boulevard <br />Sarasota. FL 34237 <br />Ashley Cote <br />INIUIlED 8a 1 a1 ty El ect r1 c , Inc. <br />4753 s.eetmeadaw Circle <br />sarasota, Flor1da34231 <br /> <br />ACOBQ CERTIFICATE OF LIABILITY INSURANCE I :'i= <br />THIS CERTlACATE IS ISSUED AS A MATTER OF "FORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE <br />HOLDER. T" CERTIFICATE DOES NOT AMEND. ElTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> <br />INIURERSAFFORDlNG ~E <br /> <br />I~A; Old OaIlinian Ins. Co. <br />INSlflER B: <br />INSlIlER c: <br />INSt~D: <br />INSlID!R E: <br /> <br />NAIC# <br />402U <br /> <br />'THE POLICIES OF lNSIJAANCI: LISTeD lleLOW""VE BEEN IssueD TO 1M! INSURED ~ED ABOVE FOR 'THE POLlCV PERIOD INDICATED. NO'IWmlSTANDINQ <br />IW'( REQUIREMENT, TERM Oft 00NDrTl0N OF f/H'( CONTRACT OR (1)tER DOCUMENT wmt RESPECT TO WHlCH'THlS CERTIFICATE MAY 8E ISSUED OR <br />MAY PERTAIN. 1llE INSURANCE AFFORDED BYlHE POLICIES DESCRIBED HERE" IS SUBJECT TO ALL 1lE TEIUIS, EXCWSIONS AND CONDITIONS OF SUCH <br />POLICIES. AOOREGATE UMITS SHOVt'N MAY H.t.VE 8EEN REDUCED 8Y PAID ClAIMS. <br />= lYPEOFINlMW4CE I'OUCTNUlIIIER ~ I'OUCV~ LIIIl'S <br />~LIMLITY MPG76144 01/26/2008 01/26/2009 E,ACH()C(;URREN:E $ <br />~ ~IAL GEl'ElW. LIPelI.lT1 ~ 0 RENIED f <br />I--~ ClAlOll6MAOE [[] ~ t.EDEXPI"InJ_......on) $ <br />I-- ~- 1lN)1I IN.UlV S <br />I-- Gl:NEIW. AOOlEGA'TE S <br />GEN'I. AG<R:GA'TE lllillT APPLIES PER: PRODUCTS - CXM'fOP "'* $ <br />h POliCY n ~ n LaC <br />AUTOMOIlIl& LIMlUTY <br />I-- <br />I-- /1M fl/JrO <br />ALL CIN/6J I\IJl"OS <br />I-- <br />I-- SOEOU.eO lllftOS <br />i"'- HiReD AIJT"OS <br />i-- NON-OYVIED Al1r05 <br /> <br />A <br /> <br />1000 <br />100. <br />S <br />1,000 <br />2000 <br />2000 <br /> <br />COMBINEO SINSU! LIMIT <br />lEe eoadcrtI} <br /> <br />$ <br /> <br />9OO1L Y INJlRY <br />(Pet person) <br /> <br />BODILY IN.A.RY <br />(PerICClClll!1l) <br /> <br />$ <br /> <br />=~~ S <br /> <br />R=~ <br /> <br />tJlEX~ ~ LAL1AIIUlV <br />OC~ 0 ClAItolSIoWlE <br /> <br />. h OECUCTlBLE <br />H RET'ENTJON $ <br />__AM) <br />Ellll'LoYERS' IJNalTY <br />_ ~1E1al.4'~cvnVE <br />OFFlc:EAIMEMllER EXCLuoeD? <br />~e~=II~below <br />aTHER <br /> <br />I'IJTO ONLY - EAACCJCeNT S <br />EA,o"cc ~ <br /> <br />0llER'1lWI <br />I'lJTO ON.. v: <br /> <br />AGG $ <br /> <br />I:J\CH ocaJlIlENCE $ <br />AGGIlfGATE , <br />S <br />$ <br />$ <br /> <br />I we STA1U- I I OJ::- <br /> <br />E.L:eAOi ACCIOENT S <br />E.L. DISEASE - EA eMPLOYEE , <br />E.L DIlieAH - POLICY LIMIT , <br /> <br />bE8ClIlll'1XlN OF OI'I!RATlONIII LOCA1lONS J\Il!HlCU!IJ lEXaJJIIONI AIlOID BY BlIIClftt8llliNl' ,-.1'R(MlIlC)NI <br /> <br /> <br />SHOULD NI'I OF'ntl!1lIIOVI! ~ ~ lIE CMCBJ.EI) II90flEM <br />EXI'IWlON DA1E lHEIlliDf, 'Tlfti.... MUIlIR WLL EMlEAYOR TO .... <br />-.UL. DAYlI WNT1BIIIO'I1Ce TO 1NI! CI!R'IlFIC<<l1! HOLDeR NIIEl TO lHI! LEfT. <br />BUr 'M.~TD....IUCH H011CI! -.L. WCII! NO ClIlLJGAllON OltUo\8lLl1Y <br />OF NNlCNIlI'OIlHI!.........1IS AGBCY8 ClRREPJlIiIENI"Jl11\/es. <br />AUntlIRIZID....--<I"AlM <l~l.;d-.. <br />Wells Pumeort ATTI T ~ <br /> <br />RJ Mahaffey Construction, LLC <br />1109 Dona Way <br />Nakanrls, FL 34275 <br /> <br />ACORD 25 (2001108) FAX: 445-5976 <br /> <br />_CORD CORPORATION 1.. <br />