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Aug 06 09 09:46a Dee Morales 407 - 273 -6030 P.3 M( ACORD ,,., CERTIFICATE OF LIABILITY INSURANCE I DATE (111DD/YWYt M AV PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lassiter - Ware Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange/Seminole, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 940159 Maitland, FL 32794 - 0159 ►NSURERS AFFORDING COVERAGE NAIC# fax: (888) -8680 — - -- -- NSURE 3441 --- -- I __ — NSURED IN SURER A: North Pointe Insurance Company 277 A Catapano Plumbing, Inc. INSURERS: Hanover Americ Co. 360ft 1406 N. Chickasaw Trail INSURERC: North River Insurance Company 211,. Orlando, FL 32825 -5235 INSU ?ERD Florida Hospitality Mutual Ins i06 F SURERE: Progressive Express Ins. Company . COVERAGES THE POLICIES CF 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 PE RTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — — '— . — — - -------- �- -- -- -' — — POLICY EFFECTIVE POLICY EXPIRATION LIMITS I NSRD POLICY NUMBER DATE IMMIDOfYYI DATE IMMMDO/TY1 LTR NSRD TYPE OFINSURANCF GENERAL 2 094119739 09/18/2008 09/18/2009 EACH OCCURRENCE 5 1, COO, 000 — 0ATAAGT:TOREI TED X I COMMERCIAL GENERAL LABILITY : PREMISES IEao ctrenceJ . — CLIMSMDE X OCCUR. X person) _ _ ..�_. . 1. 0.00,000 A PERSONAL &AONIVJLRY $ —_.. — — 2 00 GENERAL AGGREGATE , 0,000 G -A _.._._ z, ooD, 600 PRODUCTS- CDMP;OP AGG — __ —,•— GEN'L AGGREGATE LIMI'A�PLIES PER: - -- -- - -' -` " —` - - - 1 POLICY iX I pi I - - - 1 LOC AUTOMOBILE LIABIUTY AZJ071782001 09/18/2008 09/18/2009 COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) X ANY AUTO ALL own EDAUTOS BODILY.NJUR" $ eerpersonl SCHEDULEDA'JTOS - ..... - .. _- ...---'- ---- B X 1 HIRED AU BODILY IN. URY 5 .._ (Per accdenl) X NON -OWNED AUTOS .. _.... ._. _._..--- . - -... __. PROPERTYDAIMGE ' 5 _. .._. -..._. __. _ ..... .... .... __....- (Per accident) GARAGE LIABILITY ' AUrOONLY • EAACCICENT S 1 ANY AUTO OTHER THAN ACC AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABIUTY 5530915737 09/18/2008 09/18/2009 EACH OCCURRENCE $ 2,000,000 X l OCCUR r C LAIMS MADE AGGREGATE $ 4,000,000 c I J $ . 111 , DEDUCTIBLE — -- •—.__— ___.5.. —. —. X DENTIB S 0 5 _._ — . _ Y•JCSTATU- O T H- a U WORKERS COMPENSATION AND WCO53466 01/17/2009 01/17/2010 X j W C IMU ... _._.._ _.___.._ —.._ -- EMPLOYERS' LIABILITY E.L EACH ACC DENT _ S 503,000 D ANY PROPRIM8EI EXCLUDED? ARTNERIEXECUT VE OFFX:ERIrEMBER E E.L. . DISEASE - EA. EMPLOYEE s SCO, 000 -- -- -- -- - C0 - -'- 8)ea•descr0euncer E.L. DISEASE -POLICY LIMIT 1 $ 500,000 SPECIAL PROVISONS below OTHER WC306- 0020401 -2009 01/25/2009 01/25/2010 Combined Single $1,000,000 E Auto Liability t DESCRIPTION OF OPERATIONS (LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Blanket Additional Insured including Products and Completed Operations are included in General Liability as required per written contract with respect work being performed by the insured for Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION CITY OF 26PHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 10 00 SO SHALL IMPOSE NO OBLIGATION OR LIA3IUTY OF ANY KING UPON THE INSURER. ITS AGENTS OR 5335 8th Street REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ Zephyrhills, FL 33542 Ron Brown fax: (813) 7800005 • ACORD 25 (2001/08) 0 ACORD CORPORATION 1988