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A °® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDJYYYY) 05/11/2010 PRODUCER Fax# 813 - 418 Ph "" 813 984 - 3200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Baldwin Insurance Group, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4010 West Boy Scout Blvd., Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33607 INSURERS AFFORDING COVERAGE NAIC # INSURED Faa a 813 289 - 1293 Ph.^. 888 - 340 - 9442 INSURER A. Illinois National Insurance Co 23817 Advantec 10, LLC INSURER 8 4890 West Kennedy Blvd., Suite 500 INSUKEN L Tampa, FL 33609 I INSURER D Z 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 AI 1 THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ii4SR ADD'll P OI MY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 1 LIMITS LTR INS TYPE OF INSURANCE DATE IMMIDD D/ /YYYY1 DATE IMMIDYYYY1 GENERAL LIABILITY ,I EACH OCCURRENCE ( S • ; 'CST+M�E ED I_ LOMMERGIAL GENERAL LIABILITY q PREMISE (ETO a RENT oee ED ) $ J i. 1 CLAIMS MADE 1 I OCCUR MED EXP IAny one parson $ - i , PERSONAL & ADV INJURY 8 GENERAL AGGREGATE S GM_ AGGREGATE LIM'T APPLIES PER t - PRODUCTS • COMP/OP AGG S IPRO I POL.CY I _ JECT - . E LOC 1 i AUTOMOBILE UABILITY COMBINED SINGLE LIMIT ' $ i ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY I SCHEDULED AUTOS (Per person) 5 HIRED AUTOS °_ -- - BODILY INJURY S IPer accdent) NUN- LANNtU AUTOS s . . _. _.... { PROPERTY DAMAGE i 5 ,,. .. - .. 9 (Per acWenl) 'GARAGE LIABILITY � �U70 � ` Y N EAACCIDfNT ; S 1 AGG S ANY AUT EA ACC $ -_ _- -.. ....._- i �� EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ `.. n(niR 1 - -_.' CLAIMS MADE I AGGREGATE 5 . I IS DEDUCTIDLE -. j _S I I RETENTION S I i 3 WORKERS COMPENSATION ! WC STATU• • LOTH AND EMPLOYERS' LIABILITY Y / N Y I TORY LIMITS:.. Eft A ANY PROPRIETOR,PARTNER/EXECUTIVE 1 E L EACH ACCIDENT $ 1,000,000 y OFFICER/MEMBER EXCLUDED? © ' 080759637 04 /01 /10 04/01/11 -- 1 DISEASE - EA EMPLOYEE - - -- _�. (Mandatory in NH) E L DI $ 1 ,000,000 If yes, describe under ... _.... _... SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT 5 1 ,000,000 OTHER DESCRIPTION OF OPERATIONS 4 LOCATIONS / VEHICLES l EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS For the benefit of employees leased to K -Tech Solutions, LLC from the captioned named insured. The certificate holder's actual effective and expiration dates may differ from the dates above and are subject to the terms set forth in the Client Service Agreement between AdvanTech and K -Tech Solutions, LLC and the regulation of the state of domicile. CERTIFICATE HOLDER Fax# Phone# CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ICANLELLtU BEFORE THE EXPIRATION City of Zephyrhills - Building Department DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL Zephyrhills, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Baldwin Insurance Group, LLC ACORD 25 (2009101) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD