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09- 08 -'09 11:37 FROM- Atlantic / Prime 1 800 - 859 -3709 T -670 P007/007 F -565 <br /> ACO,14 CERTIFICATE OF LIABILITY INSURANCE DATE (M 7/2908 ) <br /> 06/27/2008 <br /> PRODUCER (305)445 -3535 FAX (1866)415 -0825 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> Fortun Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 365 Palermo Avenue <br /> HOLDER. THE AF AFFORDED B O Y T TH AMEND, POLICIES EXTEND ELOW. <br /> Coral Gables, FL 33134 -6607 <br /> INSURERS AFFORDING COVERAGE NAIG i1 <br /> MsuRE0 Atlantic Service & Suppl y, LLC INSURERk National Union Fire Ins. Co. <br /> 6525 Baker Blvd INsuRaRO; Continental Casualty Company <br /> Ft Worth, TX 76118 INsuRERC New Hampshire Ins. Co. <br /> wsunesi o, <br /> INSURER E. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEO. 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. TI IE 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 /> Ili AoD L ° <br /> I TR NSNT TYPE OF INSURANCE POLICY NUMBER POUC EFC5VOLICY E %PIRAIIO <br /> DAT IMeMm P /Yn nA R N LIMITS <br /> GENERAL LIABILITY GL4025793 07/01/2009 07/01/2010 EACH OCCURRENCe S 1, 000 <br /> X cOMME\CIAL GENERAL LIABILITY DAMAGE TOIiENYED $ 500 } QDD <br /> - DBEmIS <br /> C:AIMS WAGE U O� -CUR 1 (E n w,mnrl,�_ <br /> MEO EXP (Any oho person) 5 10, 000 <br /> A PERSONAL 8 AOV If UuR' 5 <br /> 1,000,000 <br /> GENERAL AGGREGATE S 2,000,000 <br /> GEN'L AGGREGATE Lima APPLIES PER; PRODUCTS• COMP /OP ACG s <br /> -- 1 POLICY' J JL ,, LOC .,,,,`. 2,000,000 <br /> • AUTOMOBILE LIABILITY CA6049032 07/01/2009 07 /01 /2010 <br /> X ANY AUTO COMBINED SINGLE Lox'. 5 <br /> (Eaaccialrnl 1 000 000 <br /> ALL I�WNECAU7crs • --- <br /> _ -� UOOILYINJURY s <br /> • A scl IsouLe> AurOS (Po( ptraon) <br /> 111F1E0 AUros `..,, <br /> X <br /> X NON.OWNEDALITOS DOOILYIN (Porsc000./1 /RY 5 • <br /> nq <br /> X PHYSICAL DAMAGE; 1 SURED IS SELF-INSURED PROPERTY DAMAGE S I <br /> (Per Widen() <br /> GARAGE LIABILITY AUTO ONLY • EA ACGOENT s <br /> f ANY AUTO <br /> OTHER THAN EA ACC $ <br /> nUYOONLV. ACG S <br /> EXCESS/UMBRELLALIABIUTY 12090617870 07/01/2009 07/01/2010 EACH OCCURRENCE s 25,000,000 <br /> X1 occur< 0 CLAIM<s'AADE — <br /> 8 <br /> AGGREGATE _ S 25,000,000 <br /> s <br /> ,e0„crDLE <br /> j S <br /> 1 _ X ?ETENTION s 10,000 5 <br /> WORMERS COMPENSATION AND WC7582381 07/01/2009 07/01/2010 X +"� s�"ATU• OTh- <br /> EMPLOYERS' LIABILITY TARY 11Ay <br /> C ANY PROPRIETOR E.L. EACH ACCIDENT 5 1,000,000 <br /> OFF!CERR)EMSER ExcLuneo7 <br /> I pec opafto,,,oe EL DISEASE - EA EMPLOYE¢ 5 1,000,000 <br /> SPECIAL PROVISIONS halm.: <br /> EL DISEASE • POLICY UMIY S 1,000,000 <br /> OTHER <br /> DESCRIPTION OF E X CLUDE S E A S BES EXCLUSIONS HYS DAMAGE F OR ALL VEHI IS <br /> SELF INSURED BY NAMED INSURED. CANCELLATION PROVISIONS SHOWN BELOW IS <br /> SUBJECT TO SHORTER TIME PERIODS DEPENDING ON THE JURISDICTION OF & REASON <br /> =OR, THE CANCELLATION. <br /> CERTIFICATF HOLDER CANCELLATION <br /> SHOULD ANY OFTh6 ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, Tyre ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 OATS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> CITY OF 2EPHYRHILLS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY <br /> 5 335 8TH STREET OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> 2EPHYRHILLS, FL 33540 AUYIIORREDREPRESENTATIVE �! _ <br /> Hector Fortun/CE :%y`�r �•tVi�`-- <br /> ACORO 25 (2001 /08) OACORD CORPORATION 1988 <br />