Laserfiche WebLink
<br />~ 8/25/2008 09:52 <br /> <br />Lion Insurance <br /> <br />Lion Insurance Company"CITY OF ZEPHYRHILLS <br /> <br />1/1 <br /> <br /> CERTIFICATE OF LIABILITY INSURANCE Date <br /> 8/25/2008 <br />Producer: Lion Insurance Company This Certificate Is l5Sued as a matter of Information only and confers no rights <br /> 2739 U.S. Highway 19 N, upon the Certificate Holder. This Certificate does not amend, extend or alter <br /> the coverage afforded by the policies below. <br /> Holiday, FL 34691 <br /> Insurers Affording Coverage NAIC 41 <br />Insured: South East Personnel Leasing, Inc. Insurer A: lion Insurance Company 11075 <br /> 2739 U.S. Highway 19 N. Insurer B: <br /> Holiday. FL 34691 Insurer c: <br /> Insurer 0: <br /> Insurer E: <br />Coverages <br />The poliCies 0 Insurance Ilsled below have been Issued to the Insured named above lor tile policy perIOd Indlcaled Nolwltllslandlng any reqUirement, term or condition 01 any conhacl or other document WltIl respect to which <br />tillS cenificale may be issued or may penain, the insurance aWorded by the policies descnbed herein IS subJect to allhe terms, exclusions, and conditions 01 such poliCies, Aggregale IfTlilS shown may have been reduced by <br />paid claims, <br />INSR ADDL Type of Insurance Policy Number Policy Effective Policy Expiration Date Limits <br />LTR INSRD Date <br /> (MMIDOIYY) (MMIDOIYY) <br /> GENERAL LIABILITY Each Occurrence $ <br /> - Commercial General Liability Damage 10 rented premises (EA <br /> : :J Claims Made 0 Occur occurrence) $ <br /> - Med Exp $ <br /> - Personal Adv In~ry $ <br /> General aggregate limit applies per <br /> :J Policy o Project o LOC General Aggregate $ <br /> Products. ComplOp Agg $ <br /> "UTOMOBILE LIABILITY Combined Single Umlt <br /> - lEA Accident) $ <br /> Any AUlO <br /> I- Bodlt; InJUIY <br /> All Owned Autos <br /> I- (Per Person) $ <br /> Scheduled Autos <br /> I- Hired Autos Bodlt; Injury <br /> - Non-Owned Autos (Per ACCIdent) $ <br /> - Property Damage <br /> (Per ACCident) $ <br /> EXCESS/UMBRELLA LIABILITY Each Occurrence <br /> q Occur o Claims Made Aggregate <br /> Deductible <br />A Workers Compensation and we 71949 0110112008 0110112009 x I WC Stlllu- I 10TH- <br /> Employers' Liability tON Limits ER <br /> Any proprietor/partner/executive officer/member E.L. Each Accident $1,000,000 <br /> excluded? EL Disease - Ea Employee $1,000,000 <br /> If Yes, describe under special provisions below. E.L. Disease. Poticy Limits $1.000,000 <br /> other Lion Insurence Company is A.M. lest Complll1Y reted A- (Excellent). AMI # 12616 <br />Descriptions of OperallonslLocatlonsNehlcleslExcluslons added by Endorsement/Special Provisions: Client 10: 29-60-024 <br />Coverage only applies to active employee(s) of South East Persomel Leasing, Inc. that are leased to the following "Client Company": <br /> 011 Sign Group, Inc. dbe AAA Wholesele Sign end Service <br />Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida. <br />Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or cny other entity. <br />A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938.5562. <br />FAX 813-907.9774 & 813.780-0021/ISSUE 06-25-08 (TO) <br /> ......n Dale 1 /2 /2008 <br />CERTIFICATE HOLDER CANC ELLA TlON <br /> CITY OF ZEPHYRHILLS Should any 01 the above described pOlicies be cancelled belore tile expiralioo date tIlereof, tile ISSUing .nsurerwill <br /> endeavor to mail 30 days written notice to the certificate hotder named to the left. but failure to do so shall impose no <br /> BUILDING DEPARTMENT obligation or habibty of ally' kind upon the insurer, its agents or represematives. <br /> 5335 8TH STREET ~ ~,-.. <br /> ZEPHYRHILLS FL 33542 <br /> "r <br />