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<br />ACORDTM . CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br /> 05/02/2008 <br />PRODUCER (561) 338-3030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Stirling Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1700 North Dixie Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 109 <br />Boca Raton FL 33432- INSURERS AFFORDING COVERAGE NArc # <br />INSURED INSURER A: Na tionwide Mutual Ins. Co 23779 <br />J&G Carpentry, Inc. INSURER B: <br />13461 79th Court North INSURER C: <br /> INSURER D: <br />West Palm Beach FL 33412- 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 ANY <br />REQUIREMENT, TERM OR CONDITiON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDIYY) DATE (MM/DDIYY) LIMITS <br />A GENERAL LIABILITY 77PR769812-3001 05/02/2008 05/02/2009 EACH OCCURRENCE $ 1,000,000 <br /> f--- ~~~~H?E~~J~~ncel <br /> X COMMERCIAL GENERAL LIABILITY $ 50,000 <br /> I CLAIMS MADE ~ OCCUR / / / / MED EXP (Anyone person) $ 5,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> / / / / GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREAE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 2,000,000 <br /> :xl PRO. ~- / / / / <br /> POLICY JECT LOC <br />A AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT 500,000 <br /> - (Ea accident) $ <br /> - ANY AUTO <br /> ALL OWNED AUTOS / / / / BODILY INJURY <br /> - (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS / / / / BODILY INJURY <br /> $ <br /> NON.OWNED AUTOS (Per accident) <br /> r-- <br /> ~ OWNED 77BA769812-3002 05/02/2008 05/02/2009 PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> R ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ <br /> tJ OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND / / / / I WC STATU- I 10TH. <br /> EMPLOYERS' LIABILITY TORY LIMITS ER <br /> ANY PROPRIETORlPARTNER/EXECUTIVE EL EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? / / / / E.L. DISEASE - EA EMPLOYEE $ <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER / / / / <br /> / / / / <br /> / / / / <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />( ) - (813) 780-0021 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> City of Zephyrhills FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> Permitting / Licensing INSURER. ITS AGENTS OR REPRESENTATIVES. <br /> 5335 8th Street AUTHORIZED REPRESENTATIVE ~~~ -' <br /> Zephvrhills FL 33542- f'Or 'T"erry ~ !:J,na7n"n'u.t:o <br /> <br />ACORD 25 (2001/08) <br />f'tTM" INS025 (0108).05 <br /> <br />ELECTRONIC LASER FORMS, INC. - (800)327.0545 <br /> <br />@)ACORD CORPORATION 1988 <br />Page 1 of2 <br />