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MAY -27 -2009 15:48 From: To:813 780 0021 P.1/1 ACORD CERTIFICATE OF LIABILITY INSURANCE I 05/27/2009 PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N0 RIGHTS UPON THE CERTIFICATE Risk Concepts Corporation HOLDER. THIS CERTIFICATE DOES NOT AMEND,, EXTEND OR 410 43rd Street West Suite N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bradenton FL, 34209 INSURERS AFFOROING COVERAGE NAICtf • 171 . INSURER A: Southern Eagle insurance Company Administrative Concepts Corporation INSURER U: Uoyda of London • AA- 1122000 406 43rd Street West INSURER C: Aspen Reinsurance AA. 1 120337 , Bradenton FL, 34209 INSURER D: Max Re Bermuda AA 3190829 INSURER E: Odyssey Re 235130 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 ISSUE° 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. INSR ADcYL POUCY!PP!CT1V! POLICY EXPIRATION LTR INSRD TYPE OP INSURANCE POLICY NUMBER DATEfee/DO/W) DATE(MMIDDIW) OMITS GENERAL UABILTY EACH OC(u RFNCE S — • COMMERCIAL GX:NG LIAlil4I IY eR uISFC, (Fn nmwrmrn) $ 1 CLAIMS MADE 1 (OCCUR MEU EXP (Any ens pence) S l HhKSONA. d, ACV INJURY 5 ..._, GENERAL AGGREGATE S GEN T. AGGREGATE LIMIT APPLIES PER' PRODUCTS COMPrOP AGG $ POLICY ELECT nLOC ` AUTOMOBILE UABIUTY COMDINCD SINGLE LIMIT ANY AUTO (Eu aCtiderd) S r ALL OWNED Au1OB BODILY INJURY W ' (PPr Pommel S SCHEDULED AU'10S MIRED AUTOS BODILY INJURY • NON - OWNED AUTOS (Per 5 Per a PROPERTY DAMAGE (Par uLVdwil) OARAOE UABIUTY AUTO ONLY-EA ACCIDENT S R ANY AUTO OTHER THAN CA ACC $ AU I0 ONLY: AGO S • EXCESS/UMBRELLA UABIUTY EACH OCURRENCE $ D OCCUR ❑ CLAIMS MADE AGGREGATE $ R 5 R S RETENTION 5 5 WO RKE YE RS C AND x C S OTM- A EMPLORS' L,AtllLm v1 WCO272682 -00 01/01/2009 12/31/2009 1 W U= TORY LIMITS 1 I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT S 1.000,000.00 OFPoCEWMI:MBER ExCWDCOV F 1 DISEASE -QA EMPLOYEE S 1.m0,000.0o If yes, describe under SPCCIAI PROVISIONS below C.L DISEASE - POLICY UMT S 1,000,000.110 OINot Please note that Southem Eagle Insurance Company has reinsured it's liabilities in excess of 5250,000 under the policies of 8 C Workers Compensation insurance listed above with the committers listed A - or better e( the time of p(a cement of such reinsurance. Such reinsurance ere subject to their own terms, conditions and times. This is far lnrermeBenaf purposes end 00(0109 semi create any right D E Excess Coverage under suCb reinsurences, DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS ENedive 09/04/2006 023744 Coverego is extended to the leased employees of alternate employer (Florida Operations Only): About Time Plumbing 8 Drain Cleaning, In DISCLAIMER: This Certificate of Insurance does not constitute a contract between the Issuing Insurer(s), authorized ropresontotive or producer, and the certificate holder, nor does it affrrnilively or neoatively amend, extend or alter the coverage afforded by the policies listed thereon. CERTIFICATE HOLDER CANCELLATION :MOULD ANY OF THE ABrVE OEfr'.R1AE0 POU(Es BE CANCELLED BEFORE THE ExpIR•TInN City of Zephyrhills DATE THEREOF, THE ISSUING INSURCR WI LL ENDEAVOR TO MAIL 30 OATS WRITTEN NOTICE TO Tut CERTINCAT! HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 60 SHALL 5335 8th Street IUPOBE NO OBLIGATION OR LIAUILIrY OF ANY IUNO UPON THE INSURER, (Iii AOCNI'S OR Zephyrhills FL, 33540 AUTNORIZED REPRESENTATIVE Fax# (813) 780 -0021 j.) ° ""� ....4-J, - b.—. ACORD 25 (2001108) 446 - 20090527 © ACORD CORPORATION 1988