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ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) . TII 08/1412008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Jamerson McLean Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 621149 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 825 Executive Drive Oviedo FL 32762 Phone: 407-366.3482 INSURERS AFFORDING COVERAGE NAIC# INSURED Bahrs Propane Gas & Air Conditioning, Inc. INSURER A: UNITED STATES FIRE INSURANCE CO. 21113 4441 Allen Road INSURER B: Zenith Insurance COmDany 00984 INSURER C: Zephyrhills FL 33541 INSURER D: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: ~~I?;~ ~n"^" POLICY NUMBER PR}+~Y EFFECTIVE PQLICY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A ~ 506.864767-5 09/01/2008 09/01/2009 DAMAGE TO RENTED $ 100,000 ~MERCIAL GENERAL LIABILITY I-- CLAIMS MADE [!] OCCUR MED EXP (Arw one oerson) $ 5,000 c-- PERSONAL & ADV INJURY $ 1,000,000 I-- GENERAL AGGREGATE $ 2.000,000 n'L AGG~EnE LIMIT APMS PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY P,fR;: LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A ~ ANY AUTO 506.864767.5 09101/2008 09101/2009 (Ea accident) I-- ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) f-- ~ HIRED AUTOS BODILY INJURY $ -.!.. NON-QWNED AUTOS (Per accident) -.!.. COMP OED $1,000 PROPERTY DAMAGE $ X COLL OED $ 2,000 (Per accident) RGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ OESSJUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T"'/,~JT~I#(, I IOJ~- B EMPLOYERS' LIABILITY Z836554608 05111/2008 05111/2009 $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000 ~~~~I~tS~R~V~~~~s below EL. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLA nON COVERAGES FAX # 813.780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE 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 City of Zephyhills ACORD 25 (2001108)