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Dec. 29. 2009 3:OOPM No. 7635 P. 5 ClIent#: 59276 FROBU ACORDTM CERTIFICATE OF LIABILITY INSURANCE ATE(MO PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Adv. Ins. U/W - Construction ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ATTN Construction Division HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3250 N. 29th AVE. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hollywood, FL 33020 -1313 INSURERS AFFORDING COVERAGE NAIC It INSURED INSURER A: The Travelers Indemnity Company Frontlet Building Corp., eta/ INSURER D: Travelers Property Casualty Ins 1801 SW 3rd Ave. Suite 500 INSURER C: North River Insurance Company Miami, FL 33129 INSURER 0: Travelers Casualty & Surety INsuREN e: Charter Oak Fire Ins Co COVERAGES 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. IN:N[Tlu0 L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRL TYPE Or INSURANCE - POUCY NUMBER DATE IMMIDO/YY) DATE f11YAfVYY1 LIMBS A GENERAL UABILITY DTC00252L748INDO9 03/08/09 03/08/10 EACH OCCURRENCE 51,000,000 X COMMERCIAL GFNI,NAL LIABILITY DAMAO,- 70 RENTED .� CLAIMS MADE n OCCUR PRFM MEDD L` l (My IPA ocwtrr,roy,l 0,000 S5,000 - M( 55,000 X PD Ded:2,500 PERSONAL & ADV INJURY 51,000,000 GENERAL AGGREGATE 52,000,000 GENT_ AGGREGAI E LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 52,000,000 7 POLICY n JEG j 1 LOC E X AUTOMOBILEUABIUTY Y8101579M148COFo 03/08/09 03/08/10 ANY AUTO (E ca nnI) LE LIMB 51,000,000 ALL OWNED AUTOS — BODILY INJURY SCHEDULED AUTOS (Per person) $ _� HIRED AUTOS BODILY INJURY _ NON -OWNED AUTOS (Per accident) S — PROPERTY DAMAGE S .. (Per accident) GARAGEUABIUTY AUTO ONLY- EA ACCIDENT $ H ANY AUTO OTHER 1HAN EA ACC S AUTO ONLY: AGG S B EXCESSAIMBRELLA LIABILITY DTSMCUP0252L748TIL 03/08/09 03/08/10 EACH OCCURHI NCE 51,000,000 OCCUR El CLAIMS MADE AGGREGATE 51,000,000 S DEDUCTIBLE 5 X RETENTION $ 10000 s D wORKERSCOMPENSATIONAND YACRUB917K934109 07/31/09 07131/10 _ I WCSTATU-I ITTl4 EMPLOYERS' LIABILITY TONY 1 IMRS FR ANY PROPRIETOR/PARTNER/Ex.CUTIVE E.L. EACH ACCIDENT 51,000,000 OFFICER/MEMBER EXCLUDED? E If ye describe under L. DISEASE - EA EMPLOYEE 51,000,000 SPECIAL PROVISIONS below EL DISEASE. POLICY LIMIT 51,000,000 C OTM ER Excess Liab 5520138408 03/08/09 03/08/10 $10,000,000 xs $1,000,000 D 3rd Party Fidellt 105095580 03/08/09 03/08/10 _ 51,000,000/$25.000 ret DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROISIONS Blanket additional insured and blanket waiver of subrogation included If required by written contract. CERTIFICATE HOLDER CANCELLATION 10 Days for Non - Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills - DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �1 _ DAYS WRITTEN Building Department NOTICE TO nNE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO S0 SHALL 5335 - 8th Street IMPOSE NO OELIBATION OR UAaiUTY OF ANY KIND UPON THE INSURER, rTI5 AGENTS OR Zephyrhills, FL 33542 REPRESENTATIVES AUTHORIZED REPRESENTATIVE &ALf j� ACORD 25 (2001109) 1 of 2 #S599245/M581417 � L A 0 ACORD CORPORATION 198e