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06/01/2010 09:23 FAX 863 701 9025 WARDS AIR Z 002/004 <br /> Client#: 20630 WARDHEA <br /> — ACORD,M CERTIFICATE OF LIABILITY INSURANCE D ATE( o D'T""I <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Lanier Upshaw, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1115 US Hwy 98 South ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> P.O. Box 468 <br /> Lakeland, FL 33802 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A; Westfield Insurance Company 24112 <br /> Ward's Resting & Air Conditioning, Inc, INSURER E: Brldgefield Employers Insurance 10701 <br /> 865 Creative Drive INSURER C: <br /> Lakeland, FL 33813 INSURER D; <br /> 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 CONDIT)ONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTR INSRC, TYPE OF INSURANCE POLICY NUMBER DATE (MMID DATE MM10D T/YYY/L LIMITS <br /> A OENRRAL LIABILITY TRA5280807 06/03/2010 06/03/2011 EACH OCCURRENCE 11,000,000 <br /> X COMMERCIAL GENERAL LIABILITY ; SY SFr T. /Fe nra+ 5500 000 RENTED <br /> CLAIMS MADE in OCCUR 54 P0 EXP (Any one person) 510,000 <br /> PERSONAL IL ADV INJURY 51,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN 'L AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP /OP AGG 12.000.000 <br /> 7 POLICY f JECT r7 LOC _ <br /> A AUTOMOBILE LABILITY TRA5280807 06/03/2010 06/03/2011 COMBINED SINGLE LIMIT <br /> X ANY AuTO (Ea accident) 51,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> `^ SCHEDULED AUTOS (Per wean) 5 <br /> X MIRED AUTOS BODILY INJURY <br /> X NON -OWNED AUTOS (Per modem) 1 <br /> PROPERTY DAMAGE 1 <br /> (Perecddenq <br /> GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ <br /> H ANY AUTO OTHER THAN EA ACC 1 <br /> AUTO ONLY: AGO 1 <br /> A EXCESS / UMBRELLA LIABILITY TRA5280807 06/03/2010 06/03/2011 EACH OCCURRENCE 52.000.000 <br /> OCCUR E CLAIMS MADE AGGREGATE X 12 000,_000 <br /> 1 <br /> DEDUCTIBLE 1 <br /> )C I RETENTION 1 0 � OGA. <br /> $ <br /> WORKERS COMPENSATION AND 083041305 - <br /> B 5 <br /> 04101/2010 04/01/2011 X) TOY Wdr <br /> EMPLOYERS' LIABILITY <br /> ANY C PR Ep O � PRIETOR/ PARTNERJEXECUTIVE E.L. EACH ACCIDENT s500,000 <br /> anlde�drYFrnMI� EXCLUDED? <br /> N E,L, DISEASE - EA EMPLOYEE 1500,000 <br /> :n e ar yePECIe. d.e Pcdb. un ONS below E.L. DISEASE - POLICY LIMIT s500,000 <br /> AL ROVISI <br /> A OTHER Rented or TRA5280807 06/0312010 06/03/2011 550,000 Limit <br /> Leased Equipment 51,000 Deductible <br /> DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION 10 Days for Non - Payment <br /> sHOULD ANY of THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION <br /> City of Zephyrhllls DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 4n DAYS WW1 - TEN <br /> 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PAILURE TO 00 30 SHALL <br /> Zephyrhllls, FL 33540 -4312 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS CR <br /> REPREBENTA1WEB, <br /> AuTTotoruZEO REPR ENTATIVE - ` <br /> / 4 1 Z Gamz - <br /> ACORD 25 (2009/01) 1 of 2 #S144935/M144885 0 1988 -2009 ACORD CORPORATION. All rights reserved. <br /> TM ACORD name and logo are registered marks of ACORD ALM <br />