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ACORl)". CERTIFICA TE OF LIABILITY INSURANCE DATE (MMlDDIYYYY) 6/4/2008 PRODUCER (727)530-0684 FAX: (727)532-9602 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Jack Rice Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13080 S Belcher Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Largo FL 33773 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Admiral Insurance/Woods ADM!.. Home Pro Services, Inc INSURER B Wood Special Risk Brokers Essex Ins Co 6722 Orchid Lake Road INSURER C: Bridgefield Employers/ Sum 10701 INSURER D: New Port Richey FL 34653 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGI REGATE LIMITS SHOWN MAY HAVE BEEN Y PAin ~I AIM~, INSR ADD'L P~k.:i1~~8~"I' "<6~fll~~~~N L1M.,.S ,.... ,......n TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ~ ~~~~~J?E~~~~nce) X 5MERCIAL GENERAL LIABILITY $ 50,000 ~ CLAIMS MADE W OCCUR A CAOOOO0541704 7/27/2007 7/27/2008 MED EXP IAllv one Derson) $ Excluded r-- X $5000 Ded Per Claim Products/Completed PERSONAL & ADV INJURY $ 1,000,000 x Both BI & PD Operations Excluded for GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Additional Insureds PROOUCTS - COMP/OP AGG $ 2,000,000 W nPRO- n x POLlCY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) f-- ANY AUTO f-- ALL OWNED AUTOS BODILY INJURY (Per person) $ f-- SCHEDULED AUTOS f-- HIRED AUTOS BODILY INJURY (Per accident) $ '-- NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSlUMBRELLA LIABILITY EACH OCCLJRRENCE $ 2,000,000 ~ OCCUR D CLAIMS MADE SMR15481 9/24/2007 7/27/2008 AGGREGATE $ 2,000,000 $ B ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I T~$TtJ#;:; I O:~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E,L, EACH ACCIDENT $ 500,000 C OFFICERIMEMBER EXCLUDED? 83032385 6/2/2008 6/2/2009 E,L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under 500,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERA TIONSlLOCA TlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER (813)780-0005 City of Zephyrhills Attn: Building Department 5335 8th Street Zephyrhills, FL 33540 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTlRCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Sherry Yederlinic/FLN @ACORDCORPORATION 1988 ACORD 25 (2001/08) 1~c:::n?1;, 'n~na\ no.., P~~1nf?