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AW o ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) <br /> 8/24/2009 <br /> PRODUCER Alliance Insurance Solutions LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> PO Box 1777 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> St Petersburg, FL 33731 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 727 - 497 - 1247 <br /> www.ins4biz.com INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED Progressive Employer INSURER A: SUNZ Insurance Company 10133 <br /> Services VI, LLC INSURER B: <br /> 6407 Parkland Drive <br /> Sarasota FL 34243 INSURER C: <br /> INSURER D: <br /> I INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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, THE 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 /> INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR INSRD TYPE OF INSURANCE DATE (MM/DD/YYYYI DATE IMMIDD/YYYYI <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ <br /> POLICY JFCT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS o `O r ILY Y <br /> ` person $ <br /> SCHEDULED AUTOS q 1 <br /> HIRED AUTOS - + BODILY INJURY <br /> NON -OWNED AUTOS ' I / (Per accident) $ <br /> Y _ PROPERTY DAMAGE $ <br /> / v (Per accident) <br /> GARAGE LIABILITY r/ ` I�, / //fjj AUTO ONLY - EA ACCIDENT $ <br /> G <br /> ANY AUTO f " j OTHER THAN EA ACC $ <br /> t \` v AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY �(// G � EACH OCCURRENCE $ — <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATION WCPE0000000604 1/1/2009 1 /1 /2010 ✓ TORY LIMITS ✓ OT <br /> AND EMPLOYERS' LIABILITY ER <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE I Y / N E.L. EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1.000,000 <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> State of FL Coverage Only <br /> Coverage Provided for all Leased Employees but not Subcontractors of: <br /> Breatheasy Heating & Air Conditioning, Inc dba Aircorps <br /> CERTIFICATE HOLDER CANCELLATION <br /> 7020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN <br /> 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Zephyrhills FL 32602 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. ' 10 Days for Non - Payment of Premium. <br /> AUTHORIZED REPRESENTATIVE <br /> Douglas Lilak Artie! ge9�v <br /> ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />