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ACORQ.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 06/06/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Doug Jones c/o AJG Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8800 E. Chaparral Rd, Suite 230 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Scottsdale, AZ 85250 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich-American Insurance Company Oasis Acquisition, Inc. etal All. Emp: TOTAL ELECTRIC SERVICE OF INSURER B: TAMPA, INC. INSURER c: 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: ~o,.~~ POLICY NUMBER POUCYEFFECTIVE POLICY EXPIRATION LIMITS ~NERAL LIABILITY COMMERCIAL GENERAL LIABILITY =::::J CLAIMS MADE D OCCUR - RGARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY o OCCUR D CLAIMS MADE R DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A I>JolY PROPRIETORlPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? ~~~~I~~P~O~I~~~NS below OTHER WC 29-38-687-06 EACH OCCURRENCE $ ~~~~~H YE~~~~~~ncel $ MED EXP (Anyone person) $ PERSONAl & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COM PlOP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ X I TV;;~~nJI~;' I IOTH- ER 06/01/2008 06/01/2009 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 GEN'L AGGRE~E LIMIT APPLIES PER: ~. POLICY I I P,bW;: n LOC ~TOMOBILE LIABILITY I-- ANY AUTO I-- ALL OWNED AUTOS f-- SCHEDULED AUTOS HIRED AUTOS I-- f-- NON-OWNED AUTOS f-- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS pyLlCENSE HOLDER: JOHN MADISON - EC 0001439 AND ROY W BAKER EC .-.certl.fl~te#: 08FL075769447 lf~nrF:fi-; !;;, - r5'--' 1 3 O;O~.'. ~1~ ~ J'----.:.--~J l.Jb. ~ Ull : u U JUN 1 D 2008 II I' . --- '- ..:;..,J ~ . -...-.----...,..--. . . ,City of ZephyrhiU~ '---~-"'-' Location Coverage Period: 06/01/2008 06/01/2009 Coverage is provided for only those employees leased to but not subcontractors of: TOTAL ELECTRIC SERVICE OF TAMPA, INC. 8929 MAISLlN DRIVE TAMPA, FL 33637 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN CITY OF ZEPHYRHILLS BLDG DEPT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 EIGHTH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ZEPHYRHILLS, FL 33542 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE &~Z~ ACORD 25 (2001/08) @ACORDCORPORATION1988