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04/27/2 13:02 FAX STEVENS CONSTRUCTION [4 001 /002 Client#: 63830 STECO2 DATE(MMlDDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 04/23/09 PRODUCER ' THIS IS ISSUED AS A MATTER OF INFORMATION • • ONLY ANDCONFERS NO RIGHTS UPON THE CERTICATE Gulfshore insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4100 Goodlette Road North ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' Les, FL 34103 -3303 NAlC # 261.3646 INSURERS AFFORDING COVERAGE INSURED m INSURER k Aerisure Insurance Company Stevens Construction, Inc INSURER B: Stevens Development, LLC INSURER C: 6208 Whiskey Creek Drive INSURER D: I Fort Myers, FL 33919 INSURER E: COVERAGES PERIO THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE ANY REQUIREMENT, TERM OR COND OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT O TO WHICH L THIS CERTIFICA MAY BE I SUED OR NOTWITHSTANDING 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. POLICY EXPIRATION LIMITS INT NS GENERAL LIABILITY GL NDO I RC TYPE OF INSURANCE 1 POLICY NUMBER 1 D ATE ( MMIDOFYYI DATE (MMI DOM'I _ 2053485000000 04/26/09 04/30/10 EACH OCCURRENCE $1,000,000 A DAMAGE TO RENTED $300,000 PREMISES (Ea occurrence) )( COMMERCIAL GENERAL LIABILITY MED EXP (Any One Person) $1 0,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER 1 POLICY 1 ^ 1 jECT I LOC Q4(3OI1 O A AUTOMOBILE LIABILITY CA20534830001 04/26/ COMBINED SINGLE I LIMIT $1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Par accident) i X NON -OWNED AUTOS I PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ 1 ANY AUTO OTHER THAN AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CU205348600 04/26/09 04/30/10 EACH OCCURRENCE $2,000,000 X OCCUR I I CLAIMS MADE AGGREGATE $2,000,000 $ X I DEDUCTIBLE $ RETENTION $O WCSTAT fOTH- A WORKERS COMPENSATION AND WC205348701 04/30/09 04130/10 X I TO I IM 1 I ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNE OFFICERJMEM ERR EXCLUDED? ECUTIVE E.L. DISEASE - EA EMPLOYEE $500,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $500,000 SPECIAL PROVISIONS below A OTHER Leased/ CPP2053483000000 04 /26/09 04/30 /10 $35,000 Limit $500 Deductible Rented DESCRIPTION OF OPERATIONS f LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills - Building DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 fl DAYS WRITTEN Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 REPRESENTATNES. AUTHORIZED PRESENTATIVE �� +•p/_ ACORD 25 (2001108) 1 of 2 #M354277 SJH 0 ACORD CORPORATION 1988