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ACOID CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 5/4/2010 PRODUCER Phone: 516- 869 -8666 Fax: 1 -516- 869 -8765 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GENATT ASSOCIATES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3333 NEW HYDE PARK RD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SUITE 400. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW HYDE PARK NY 11042 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:FirSt Mercury insurance Compan AFA PROTECTIVE SYSTEMS, INCORPORATED INSURERB:Lexington Insurance Company 19437 1255 LAQUINTA DRIVE ORLANDO FL 32809 INSURERC: Insurance Company of State of 19429 INSURER D: 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/YYl DATE (MMIDD/YY) LIMITS A GENERAL LIABILITY FMMI0128344 2/12/2010 2/12/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $300,000 CLAIMS MADE X OCCUR MEDEXP(Anyoneperson) _ $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2,000,000 PRO- POLICY JECT LOC C AUTOMOBILE LIABILITY CA8263499 2/12/2010 2/12/2011 COMBINED SINGLE LIMIT C X ANY AUTO CA8263500 2/12/2010 2/12/2011 (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ — AUTO ONLY: AGG $ 3 EXCESS /UMBRELLA LIABILITY 014550196 2/12/2010 2/12/2011 EACH OCCURRENCE $25,000,000 X OCCUR I I CLAIMS MADE 1AGGREGATE $ 2 000, 000 DEDUCTIBLE RETENTION $ $ WC STATU- C WORKERS COMPENSATION AND WC20634854 2/12/2010 2/12/2011 X TORY O ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Zephyrhills- Building Dept. WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE 5335 8th Street CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Zephyrhills FL 33542 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI ACORD 25 (2001/08) © ACORD CORPORATION 1988