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Aco ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) `-w.- 05/11/2010 PRODUCER Fax# 813 - 418 - 5173 Phone# 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 Fax # 813- 289 -1293 Phone# 888 - 340 -9442 INSURER A: Illinois National Insurance Co 23817 Advantec 10, LLC INSURER B: 4890 West Kennedy Blvd., Suite 500 INSURER C: Tampa, FL 33609 INSURER D: I 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE DATE IMMIDD/YYYY) DATE IMM /DD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ — 1 POLICY JF LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ I NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ I (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ ■ OCCUR CLAIMS MADE AGGREGATE $ ■ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION / Y 1 N WC STATU- OTH- AND EMPLOYERS' LIABILITY T ORY I IMITS ER A ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? N 080759637 04/01/10 04/01/11 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If SPEC AL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / 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 CANCELLED 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 DO 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 1 ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD