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<br />16:50 APR 10, 2008 <br /> <br />FR: WENDI MCILVAIN <br /> <br />*2160 PAGE: 2/2 <br /> <br />.ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MINDDJYVYY) <br />04/10/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Affiliated Agency Ops ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />16 South River Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Wilkes-Barre, PA 18702 <br />Tel: (800) 673-2465 Fax: (570) 825-0611 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: EaslGUARD Insurance Companv 14702 <br />Employee Leasing Solutions, Inc. INSURER B <br />Phone: (941) 746-6567 <br /> INSURER c: <br />1401 Manatee Ave W. Suite 600 INSURER D: <br />Bradenton, FL 34205 <br />'1 INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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 />INSR "DO' P~~~~=~ ~':i:Y,=~~ <br />LTR INSR; TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> ~ERAl LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> - 5MERCIAL GENERAL LIABIliTY $ <br /> - CLAIMS MADE 0 OCCUR MED EXP {f,~, one -son' $ <br /> PERSONAL & ADV INJURY Is <br /> GENERAL AGGREGATE $ <br /> ~L AGGREM LIMIT APn PER: I~ <br /> PRO. <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE lIMrr <br /> - (Ea accident) $ <br /> I-- MolY AUTO <br /> I-- ALL OWNED AUTOS ll9.DIL Y INJURY <br /> er person) $ <br /> I-- SCHEDULED AUTOS <br /> I-- HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> I-- <br /> I-- PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE lIABLITY AUTO ONLY - EA ACCIOENT $ <br /> R MolY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> ~EISSIUMBRELLUILlTY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> =l ~EDUCTIBLE $ <br /> RETENTION $ <br /> WORKERS COMPENSATION AND X I WCSTATU,: W~i <br /> EMPLOYERS' LIABILITY TORY lIMrrS ER <br />A AIofY PROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIDENT $ 1,000,000 <br /> OFFICERlMEMBER EXCLUDED? EMWC904495 01/01/2008 01/01/2009 E.L DISEASE. EA EMPlOYEE $ 1.000,000 <br /> ~fE'b~~o~~~s below E.L DISEASE, POLICY lIMrr $ 1,000,000 <br /> OTHER <br /> Client 10: #2109130 .. Valid in the State of Florida .. <br />DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT (SPECIAL PROVISIONS EastGUARD Insurance Company <br />COVERAGE APPliES ONLY TO THOSE EMPLOYEES LEASED TO BUT NOT SUBCONTRACTORS OF: <br />R J Mahaffey Construction LLC carries an A.M. Best <br />Qualifiers Name: Ed Hardesty/RJ Mahaffey Rating of A- (Excellent) <br /> and a financial size Fln.nDi.. St......gth <br />Aprox active employee count: 10 Category of VIII ~ <br /> A- 'Eiiaituent <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City Of Zephyrhills <br />5335 8th Street <br /> <br />SHOUlD ANY OF THE ABOVE DESCRIBED POUCES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR lIABLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br /> <br />Zephyrhills, FL 33540 <br /> <br />AUTHORIZED REPRESENTA <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />