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10/30/2009 09:47 2399852122 PAGE 02
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<br /> CER IFICATE OF. INSURANCE i 628718 CATENUMBER
<br /> PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO
<br /> RIGHTS UPON THE CERTIFICATE MOLDER OTHER THAN THOSE PROVIDED IN THE POUCY.
<br /> THIS CERTIFICATE DOES NOT AMEND, ENTER!) OR ALTER THE COVERAGE AFFORDED EY THE
<br /> POLICIES DESCRIBED HEREIN.
<br /> Marsh, Inc. COMPANIES AFFORDING COVERAGE
<br /> 1166 Avenue of the Americas -
<br /> New York, NY 10036 COMPANY A: Al South Insurance Co.
<br /> Telephone (212) 345 -5000 COMPANY B: Commerce & Industry Ins Co
<br /> COMPANY C: Fireman's Fund Insurance Company
<br /> INSURED COMPANY D; Illinois National Insurance Co.
<br /> Master Protection, LLC COMPANY E: Insurance Company of the State of PA
<br /> COMPANY F; Nat'l Union Fire Ins Co of Pittsburgh, PA
<br /> dba FireMaeter COMPANY G: New Hampshire Ins. Co.
<br /> 13050 Metro Parkway, Unit 1
<br /> Fort Myers, FL 33966
<br /> United Slates
<br /> COVERAGES. . .
<br /> THIS is TO CERTIFY THAT THE POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED, NOTMTHSTANDING
<br /> ANY REOUIRMENTS, TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
<br /> AFFORDED BY THE POLICIES LISTED HEREIN IS SLIDJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY
<br /> PAIO CLAIMS.
<br /> CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY uMITS
<br /> LTR DATE (MMIDDIYY) EXPIRATION
<br /> G GENERAL LIABILITY GL 090 - 73 - 63 (Primary GL) 10/1/2009 10/1/2010 GENERAL AGGREGATE $4,000,000.00
<br /> x COMMERCIAL GENERAL PRODUCTS - COMP/OP AGG $4,000 QQO.OQ
<br /> CLAIMS MADE IT OCcu PERSONAL & ADV INJURY ,- $2000.090.00
<br /> OWNER'S & CONTRACTOR'S EACH OCCURRENCE $2,000,000.00
<br /> FIRE DAMAGE (My cone Ore) $1,000,000.00
<br /> MED EXP (Any one parson) $10,000.00
<br /> AUTOMOBILE LIABILITY C OMBINED SINGLE LIMB
<br /> F CA 091 -93 -98 (MA) 10/1 /2009 10!1!2010 37,500,000.00
<br /> F X ANY AUTO CA 091 -93.97 (VA) 10/1/2009 1011/2010
<br /> F X HIRED AUTOS CA 091.93 -96 (AOS) 10/1/2009 10!1/2010
<br /> X NON - OWNED AUTOS
<br /> A WORKERS COMPENSATION AND WC 060 - 116 - 0747 (CT.GA,PA,SC) 10/1/2009 10/1/2010 X 1 wc A1urcA'r R *Ie
<br /> made EMPLOYERS' LIABILITY
<br /> 6 WC 060 - 1 (FL) 10/1/2009 10/1/2010 EL EACH ACCIDENT � $2,000,000.00
<br /> D THE PROPRIETOR/ WC 06046 4744 (MI) 10/1/2009 10/1/2010
<br /> G PARTNERS/EXECUTIVE WC 060.1164745 (AR,MA,VA) 10/1/2008 10/1/2010 El. DISEASE - POUCY LIMIT $2,000,000,00
<br /> F OFFICERS ARE: WC 060 -18 -8742 (OR) 10/1/2009 10/1/2010 EL DISEASE.EACH $2,000
<br /> F WC 080 - 1 (CA) 10/1/2009 10/1/2010
<br /> G WC 080 -116 -0748 (AOS) 10/1/2009 10/1/2010
<br /> G WC 060 -1e -8743 (TX) 10/1/2009 10/1/2010
<br /> G WC 080188746 (ND,NY,OH,WA,WI,WY) 10/1/2009 10/1/2010 --
<br /> EXCESSUAEIUTY GENERAL AGGREGATE $11,000,000.00
<br /> G 5] OTHER THAN UMBRELLA FORM GL 090 - 73 - 64 (Excess GL) 10/1/2009 10/1/2010 PRODUCTS COMP /OP AGG 31 1,000 000.00
<br /> EACH OCCURRENCE 35.500,000.00
<br /> 7 UMBRELLA FORM —
<br /> PROPERTY
<br /> OTHER
<br /> C builder, RI1WIn laIIa1IonIContraci Works OC 9112060 5/1/2009 5/1/2010 USD 41,000,000.00 par Jobalta
<br /> t: Rental EOuIpmenUConlreclora Equipment OC 9112900 5/1/2009 5/1/2010 USD 31,000,000.00 perJobelle
<br /> C Blanket Transit OC 911280 5/1 /2009 5 /1/2010 USD 31,000,000,00 per cam/spoon
<br /> DESCRIPTION OF 0PERATI INS /LOCATIONSNEHICLESISPECIAL ITEMS
<br /> Protect: City of Zephyrhillo
<br /> CERTIFICATE .HOLDER CANCELLATION
<br /> BMOUID ANY OF THE POUCIEB DESCRIBED MEREIN BE CANCELLED BEFORE THE EXPIRATION were THFRFOr, THr.
<br /> City of zephyrhils INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS V.WTTEN NOTICE TO THE CERTIFICATE MOLDER
<br /> 5335 Eighth Street NAMED HEREIN, DUI rAILURC TO MM. SUCH NOTICE SMALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON
<br /> THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE IS OF TMI3 CERTIFICATE.
<br /> Zephyrhills, FL 33540 -4312 _
<br /> United States 1 ,- >.. -..) - 1 r A«.PG ,A, 94054-
<br /> MARSH USA INC, BY Franklin HeOock, Glooal Marina
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<br /> aeuallY ProOrem Transh Progrwn
<br /> VALID .AS- oF: 9130/2008: :
<br /> P 7:motl rAaArdino thiA cArtitiCAtA COACACD: Mary Vopt (Email: marv0Otalfiromaoter- mpc.tor, Phone: 23P -4?E- 1
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