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06/17/2009 11:51 3525971173 MAJOR PLUMBING LLC PAGE 04/05 <br /> >f 6/16/2009 15!50 Lion Insurance Lion Insurance Company- ►MaJor Plumbing, LLC 1/1 <br /> CERTIFICATE OF LIABILITY INSURANCE , 6/16/2009 <br /> Producer: Lion Insurance Company This Certificate Is Issued as a matter of information only and confers no tights <br /> '')7911 I . .1..lint..... ... 1(1 fit U, I C u���lm Ocate dose not minded. extend Al i! <br /> insured: South East Personnel Leasing, Inc. lnsurere: <br /> 2739 U.S. Highway 19 N, - In.urerc: <br /> Holiday, FL 34691 <br /> Insurer D: <br /> Insurer E: <br /> Coverages <br /> I ,, • e vence <br /> IS - <br /> avc• en.9rot.10 • n60e ova Or' - .. 'c Qn term a MO <br /> oen r , Keted •Mnma ∎- , figcry . te COO On 0 any contract Or 0 -r - ve resoeclo - <br /> Tto Garteate MN be 145ved or mar ocrlaln, tine telOrN,c¢ afforded IM MO pekes Oescdbed herein is subject no 611 cure terms. aACUCron:, end condgOns of SUCH pONCle9. Apgrogete Smite Mom my rove bier reduced bl <br /> pe10 deism <br /> evSR ADM - Policy Elfecuve - Policy Eaplroaon Date Limits <br /> ur NM) Type of Insurance Policy Number Dde <br /> (MM/DDMI) (MM/DDM!) <br /> GENERAL LIABILITY Elio00oarenc¢ <br /> Commercial General Liability :vivo. to erredprerrvws <br /> Claims Made El Occur `°'"°"`e1 s <br /> �� ed E>m <br /> t <br /> PersonalAdvI,w,y <br /> General aggregate limit applies per: <br /> egat¢ <br /> D Pow/ 0 Promo 0 LOC <br /> Products • Cone/OP Agg <br /> AUTOMOBILE LIABIUTY Combined Single Linin <br /> /EA Acctcler*1 <br /> Arty Auto BON bury <br /> All Owned AIAOS Per Person) <br /> Scnedule0 Auto: <br /> W AVY FIFTY <br /> MredAulOS (PerACdOore 0 <br /> NofOrmed AutoS <br /> P roperty Dome <br /> (Pa Accident) t <br /> EXCESSIUMBRELLA UABILITY Each Occurrence <br /> Occur ❑ Claims Mete Asexegste <br /> 0eeuclmt¢ <br /> A Workers Componsallon and WC 71949 01/012009 01/012010 x WC State OTH- <br /> Employers' Liability tort Limits ER <br /> My prepreta• /petner/executi a ofRcedrrtember E.L. Each Accidar,t 01.000.000 <br /> excluded? E.L. Disease - EeEmployee 01.000,000 <br /> it Yes, deeerbe under special provisions below, <br /> E,L. Oisegae • Poicy Limps 01.000,000 <br /> . .. - -. as •. •• , - • • • • , . brdr. <br /> r . rrrurun <br /> ury7 LL.a: "" — . ^. .... ,.,.., <br /> Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working In Florida. <br /> Coverage does not apply to statutory employees) or independent contractor(s) of the Client Company or any other entity. <br /> A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2136 or by calling (727) 938 -5562. <br /> FAX: 352 - 597 - 1173 / ISSUE 10-10 -08 (NM) / REISSUE 10-15-08 (TD) / REISSUE 12 -31 -08 (TO) / REISSUE 06-18-09 (TD) <br /> Begin Dote 10/15/2000 <br /> CERTIFICATE HOLd R CANCELLATION <br /> CITY OF ZEPHYRHILLS Swett eey Mow above deemed pwctes be canc¢Md Poore the eeebreron date thereof. Ow nssnsrg insurer um <br /> andeewebb men 30 dey9wrl¢en 400C9101:40 certificate noldernemed to ere left. but Woe to do so shel impose no <br /> BUILDING DEPARTMENT ob ogadon or Sabi4N den/ lend upon the insurer, ia sports or represenlreves <br /> 5335 6TH STREET <br /> ZEPHYRHILLS FL 33642 4. <br /> ....4.w.- <br />