Laserfiche WebLink
Fax: 1745€0903 Mar 19 2010 ':5 -.CI <br /> -. OERTrFICAis N0. DATE <br /> ACE-0-Ra CERTIFICATE OF LIABILITY INSURANCE .1 1 0019( 25AM <br /> PRODUCER THIS CERTIFICATE IS ES$UED AS A MATTER OF INFORMATION <br /> Ri.ghpoint Risk pervious L1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 14150 Dallas Parkway 4500 HOLDER. THIS CERTIFICATE DOTS NOT AMEND, EXTEND OR <br /> Dall IPS 75254 ALTER THE COVERAGE AFFC)RTTPn my TIIF POLICIES BFI OW <br /> (80O) 632 - 5096 (972) 714 <br /> Fax: (972) 404 -4450 INSURERS AFFORDING COVERAGE <br /> MSURED: 295 1 /c /f; 1NSURERA: co,"n;fla 1+rcacT1 And rn.,nr1'ty Tn- ,ux,+nce e ' <br /> MCkY6M SXTER26RS, INC. INSURER B: <br /> 1E011 NORTH NESQASKA. AVE SRO= C: <br /> 1.1.72, FL 33569 <br /> (9131 9?1 -4463 Fax: (813; 949 -0822 INSURER 0! <br /> I18URER E: _ <br /> COVFRAC55 T I <br /> THE POL DE9 of RNSUI NGE u9TED BELOrf NAVE Bl!N 133m r0 TIE INSURED NAMED ABOVE FOR TIRO POLICY raaOD INDICATED. N015NI7NSTANDINO <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 07NER DOCUMENT WITH RESPECT TO YAWN IBS CERTIRCATG MAY DC HMO OR <br /> MAY PBCTAue 741E INSURANCE AFFORDED EY THE POUOIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDRIONS OF SUCH <br /> POLIO :'::.,... - M • RAY NAVE WEN REuDGED Sr PAD CLAIMS. <br /> POLICY EPFECTNE POLICY EWRATION <br /> rem - RNLURANCG • NUMBER a LINTS <br /> -, EACH OCCURRENCE S <br /> • CARRERCIAL GENERAL tuMILRY FIRE DAMAGE (Any 0i . Frei S <br /> r ■ CLAIMS MADE FJ oacVR RED RP (Any aneperaon) S <br /> ■ PSR$QHAL &ACV rNJIJPT S <br /> . GENERAL AGGREGATE S <br /> GCNL AGGREGATE ul PER PROM <br /> O% - 0040./OP A00 1 <br /> POLICY IMP 1 1 LOO <br /> untRa0 7N•G uA0YJTY WINEINeo 9INoLE LIMIT $ <br /> ■ ANY AM <br /> [E8eeosenn <br /> ' ALL OWNED AUTOS ROILY i$.iURY 3 <br /> ■ GCHCONLE0 AUTOS (Per poem) <br /> ■ HMO AL TOS SOWN !WRY <br /> NON -OUNW AUTOS ('M PPOLI R) $ <br /> . PROPERTY DAMAGE S <br /> II (Per ) <br /> AUTO QTLY - EA APOIDOIT S <br /> QD1 TYNN EA ACC s <br /> ■ AuTO ONLY: 0.00 <br /> EXCE6SLMIBILITY EACH OCCURRENCE S <br /> in OCCUR ECLAIRS woe AGGREGATE f <br /> ■ DL7. UCTIBLE _ $ <br /> — <br /> II RETENTION $ $ <br /> WORKERS cOmPENIATIONAND 01/01/2010 OL/01/2011 X Tnvviwiurc �v <br /> EM S PLOYER L1AEtt7TY C PMU • 01 7, 0 <br /> r= L Dal AOCE7lNT 1 1000000 <br /> f A E.L. DISEASE• EA EMPLOYEE s 1000000 <br /> E.LDISEASE- POLICYLAIT $ 1000000 <br /> mum <br /> 1 ■ LUlIS • f • <br /> ■ LNAT6 $ <br /> 1, This certificate remain$ in effect, provided the client's account is in good standing ith PPS. <br /> cgverage is not providled for any employee for at]ici'I the client is not reporting wages to PPS. <br /> Applies to 1008 of the employees of PF5 leased to MORGAN EXTERIORS, Inc., trectiv 01 /D1 /20119 <br /> Insured is affordia Workers Compensation r Employers liability as a co-employer under the policy tor <br /> e mplo y ees leased Tx 9�%¢ PPS. <br /> •* paAsc SET ATt2C EMPLOYEE POSTER_"'" <br /> CERTIFICATE HOLDER ADDITIONALIISUReD; RJR LE77ER: CANCELLATION <br /> �-- - $AR:SILI741YOF THE ABOVE DESCRIBED POLICIES (R CMP:ELLGO BQDRE 04E EXPIRATI0B <br /> DATE TMNROQ/. THq gliuNE WARM WILL ENDEAVOR TO MAE 30 DAYS RIMER <br /> (I OLIGE TO R1E CORTIFICATC RIOWER IANCD TO TIM UV; OUT PAROLE 10 DD SO 711411 <br /> CITY OF 2EPHYRHILLS IMPOSE NO osuaenON OR uA9uTY OR ANY r4Ne UPON THE WBURl0. WS *GRIM OR <br /> 5335 BTH STREET <br /> REPRESENTATIVES. <br /> 7,EPHYRHILL3, FL AIJTHOIeZFA REPRESFRITAIIVE <br /> ACORD 254 (7157) 0 ACORO CORPORATION 4905 <br />