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<br /> <br />PROllUCER <br />. . '~~!,~ USA INC. <br />I vvu LOGAN SQUARE <br />PHILADELPHIA, PA 19103-2797 <br />Alln: Contract.ReviewCSS@marsh.com <br /> <br />CERTIFICATE NUMBER <br /> <br />CLE-001704330-01 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY <br />A ZURICH AMERICAN INSURANCE COMPANY <br /> <br />1 0905-ALL -GAWUP-07 -08 <br />INSURED <br /> <br />HBFL NA <br /> <br />GAW NA <br /> <br />NO <br /> <br />HAYWARD BAKER INC. <br />ATTN: PAULA MISKIEL <br />6850 BENJAMIN ROAD <br />TAMPA, FL 33634-4416 <br /> <br />COMPANY <br />B N/A <br /> <br />COMPANY <br />C N/A <br /> <br /> <br />COMPANY <br />D <br /> <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TO IM-iICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHO\Mol MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DDIYY) DATE (MM/DDIYY) <br />A GENERAL LIABILITY GLO 3373933-04 06/01/07 06/01/08 GENERAL AGGREGATE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COM~OPAGG $ 1,000,000 <br /> CLAIMS MADE 0 OCCUR PERSONAL & ADV INJURY $ 1,000,000 <br /> O\MolER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> FR PRn.IFr.T Ac.:c.:RFc.:AT $ 100,000 <br /> ONTRACTUAL L1AB. & XC $ 10,000 <br />A AUTOMOBILE LIABILITY BAP3481708-05 (AOS) 06/01/07 06/01/08 COMBINED SINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO <br /> ALL O\MolED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY $ <br /> X NON-0\MolED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM <br />A WORKERS COMPENSATION AND 3481706-05 (AOS) 06/01/07 06/01/08 X <br />EMPLOYERS' LIABILITY <br />A 3481793-05 (MA, WI) 06/01/07 06/01/08 <br /> THE PROPRIETORI X INCL EL DISEASE-POLICY LIMIT <br /> PARTNERSIEXECUTIVE EL DISEASE-EACH EMPLOYEE $ <br /> OFFICERS ARE: EXCL <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />RE: ANNUAL REGISTRATION FOR WORK PERFORMED IN CITY OF ZEPHYRHILLS <br />CITY OF ZEPHYRHILLS IS INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT EXCEPT FOR WORKERS' <br />COMPENSATION. THE GENERAL LIABILITY AND EXCESS PLACEMENTS WERE MADE BY MARSH UK. MARSH USA, INC, HAS ONLY ACTED IN THE <br />ROLE OF A CONSULTANT TO THE CLIENT WITH RESPECT TO THIS PLACEMENT, WHICH IS INDICATED HERE FOR YOUR CONVENIENCE. <br /> <br /> <br />CITY OF ZEPHYRHILLS <br />ATTN: LICENSE REGISTRATION DEPT. <br />5335 8TH STREET <br />ZEPHYRHILLS, FL <br /> <br />SHOULD ANY OF THE POUCIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, <br />THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ---3D DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHAlL IMPOSE NO OBUGATlON OR <br />UASIUTY OF fWY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATNES, OR THE <br />ISSUER OF THIS CERTIFICATE. <br />AUTHORIZED REPRESENTATIVE <br />Mush USA Inc. <br />BY: Mary Radaszewski <br /> <br />----h1~ ad~<-<-~ <br /> <br />