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Oct 14 09 05:08p Jenny Eisenmann 1- 813 - 313 -1604 p.l aT CERTIFICATE OF INSURANCE CERTIFICATE NUMBER 706025 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. Marsh, Inc. COMPANIES AFFORDING COVERAGE 1166 Avenue of the Americas New York, NY 10036 COMPANY A: Al South Insurance Co. Telephone (212) 345 -5000 COMPANY B: Commerce & Industry Ins Co INSURED COMPANY C: Fireman's Fund Insurance Company COMPANY D: Illinois National Insurance Co. COMPANY E: Insurance Company of the State of PA SimplexGrinnell, LP COMPANY F: Nall Union Fire Ins Co of Pittsburgh, PA 4701 OAK FAIR BLVD COMPANY G: New Hampshire Ins. Co. TAMPA, FL 33610 United States • COVERAGES • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIRMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 1110 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL. THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY LIMITS LTR . DATE (MM/DD/YY) EXPIRATION G GENERAL LIABILITY ' GL 090 -73 -63 (Primary GL) 10/1/2009 10/1/2010 [ GENERAL AGGREGATE $2,000,000.00 X COMMERCIAL GENERAL ' PRODUCTS - COMP/OP AGG $2,000,000.00 CLAIMS MADE X I OCCU PERSONAL 5 ADV INJURY $1.000. 000,00 OWNER'S & CONTRACTOR'S EACH OCCURRENCE $1,000 FIRE DAMAGE (Any one fire) $1,000,000.00 1 MED EXP (Any one person) 1 $10,000.00 F AUTOMOBILE LIABILITY CA 091 -93 -98 (MA) 10/1/2009 10/1/2010 COMBINED SINGLE LIMI F X ANY AUTO CA 091 -93 -97 (VA) 10/1/2009 10/1/2010 $1,000,000.00 F X HIRED AUTOS CA 091 -93 -96 (AOS) 10/1/2009 10/1/2010 X NON -OWNED AUTOS A WORKERS COMPENSATION AND ..WE ,'"0615- 16- 11141441j,GA, ) 10/1/2009 10/1/2010 X WCrATUTORr :TM B EMPLOYERS' LIABILITY WC 060 - 16.8741 (f1.4 - 10/1/2009 10/1/2010 I I a D ! THE PROPRIETOR/ WC 060-1 - (MI) 10/1/2009 10/1/2010 EL EACH ACCIDENT $2,000,000.00 E PARTNERS/EXECUTIVE -16 -8745 (AR,MA,VA) 10/1/2009 10/1/2010 EL DISEASE - POLICY LIMIT 52,000,000.00 F OFFICERS ARE:' WC 060 - 16 - 8742 (OR) 10/1/2009 10/1/2010 EL DISEASE - EACH F WC 060 -16 -8740 (CA) 10/1/2009 10/1/2010 $2.000,000.00 G WC 060 - 16.8748 (AOS) 10/1/2009 10/1/2010 G WC 060.16 -8743 (TX) 10/1/2009 10/1/2010 "- G WC 060168746 (ND,NY,OH,WA,WI,WY) 10/1/2009 • 10/1/2010 • EXCESS LIABILITY GENERAL AGGREGATE I OTHER THAN UMBRELLA FORM PRODUCTS - COMP /OP AGG • EACH OCCURRENCE UMBRELLA FORM OTHER I I C Builder's Risk/installation/Contract Works OC 9112860 5/1/2009 5/1/2010 USD 51.000.000.00 perjobsile C I Rental EquipmenVContractol's Equipment OC 9112860 5/1/2009 5 /1/2010 USD 5 1,000.000.00 perjobsile C I Blanket Transit OC 9112860 5/1/2009 5/1/2010 USD 51,000,000.00 per conveyance DESCRIPTION OF OPERATIONS /LOCATIONSNEHfCLESISPECIAL ITEMS Project: Da CERTIFICATE HOLDER CANCELLATION City of Zephyrhills SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, WIE INSURER AFFORDING COVERAGE WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, 5335 Eighth Street BUT FAILURE TO MAIL SUCH NOTICE SHALL. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER Zephyrhills, FL 33540-4312 AFFORDING COVERAGE. ITS AGENTS OR REPRES ENTATIVES . OR THE ISSUER OF THOS CERTIFICATE. United States �. —1 0 W MARSH USA INC, BY. Franklin Hallock, Global Marine David Kong, Casualty Program Transit Program • VALID AS OF: 10/14/2009 For questions regarding this certificate contact: Lisa Marie (Email: lieoxes implexgrinnell.com Phone: 813. 626 -5402 x246)