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ACORD CERTIFICATE OF LIABILITY INSURANCE (M 0 DATE /DDlYYYY) <br /> 02/09 <br /> PRODUCER 1 -404- 995 -3000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Marsh USA, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> homedepot.certrequest@marah.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 3475 Piedmont Rd NE, Suite 1200 <br /> Atlanta, GA 30305 <br /> Fax (212) 948 -0902 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED , 26387 <br /> THD At -Home Services, Inc. <br /> d /b /a The Home Depot At -Home Services INSURER B: Illinois Natl Ins Co 23817 <br /> 3200 Cobb Galleria Parkway INSURER C: <br /> Suite 200 - <br /> Atlanta, GA 30339 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSRD TYPE OF INSURANCE DATEIMM /DD/YYI DATE (MM /DD/YYI <br /> A GENERAL LIABILITY IPR 3757 608 -02 03/01/09 03/01/10 EACH OCCURRENCE $4,000,000 <br /> LIMITS OF POLICY ARE EXC3SS AMAG TO RENTED 1,000,000 <br /> X <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ <br /> CLAIMS MADE Xj OCCUR "OF SIR: $1,000,000 PER OCC" MEDEXP(Anyoneperson) $ EXCLUDED <br /> PERSONAL & ADV INJURY $4,000,000 <br /> GENERAL AGGREGATE $ 4,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 <br /> POLICY <br /> PRO- LOC <br /> X JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE - $ <br /> RETENTION $ ✓ $ <br /> B WORKERS COMPENSATION AND 3566917 (FL) 03/01/09 03/01/10 X WCSTATU- OTH- <br /> TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1, 000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> BOYSIE GANGA RAMDIAL - CRC046858 BRENT PERREY - CBC1256184 <br /> BOYD A LIPHAM - CCC1325818 EDWARD LYNN GUILLORY - CGC1507093 <br /> QUINN M ROBERTS- CCCO58327 <br /> MICHAEL JAMES HOLEVA - CCC1325540 <br /> BRIAN LEE DAULT - CCC1326270 <br /> TIMOTHY DALE BOLING - CRC1327831 <br /> WORKERS COMPENSATION IS COVERED IN THE STATE OF FLORIDA <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> ZEPHRYHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> BUILDING DEPT. 5335 EIGHTH STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> ZEPHRYHILLS, FL 33540 AUTHORIZED REPRESENTATIVE rg,�� <br /> USA r���ii�i6ebm -a. <br /> ACORD 25 (2001/08) cyoungblood_hd © ACORD CORPORATION 1988 <br /> 11167833 <br />