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- -'!� DATE (MM /DD /YYYY) A" — " ~" CERTIFICATE OF LIABILITY INSURANCE 07/06/2009 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION Bankers Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11101 Roosevelt Blvd. N. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. St. Petersburg, FL 33716 • i INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Bankers Insurance Company 33162 Bankers Employer Services I, Inc. INSURER B: 11101 Roosevelt Blvd. N. INSURER C: St. Petersburg, Fl 33716 INSURER D: (727) 823 -4000 x4274 INSURER E: 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. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD /YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ ❑ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ PRO- D POLICY ❑ JECT ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS — — BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE OCCUR 11 CLAIMS MADE AGGREGATE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU OTH EMPLOYERS' LIABILITY �TORY LIMIT� ER A OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE 09 03 00000000 02 04/01/2009 04/01/2010 E.L. EACH ACCIDENT $ 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS As defined by Client Service Agreement, coverage is extended to leased employees but not subcontractors of Britton Air, Inc.. For information regarding this coverage or to receive a list of employees for this client, please call (727) 823 -4000 x4274. CERTIFICATE HOLDER CANCELLATION City of Zephyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 5335 Eighth St DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Zephyrhills, FL 33542- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fax: REPRESENTATIVES. AUTHORIZED REPRESENTATIVE C‘ 11-14 " 4:.) d ACORD 25 (2001/08) ACORD CORPORATION 1988