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JUN -10 -2010 16:19 FROM:LR SIMMONS PLUMBING 8136542188 TO:7800021 P.1/ <br /> x oiiuitulu iee:[i LIOrt insurance L.LUN 1N.NIJKANCt: cuNrANT -el :try Ur LtrlITKH1LL.S L/1 <br /> Orb <br /> CERTIFICATE OF LIABILITY INSURANCE 1 6/1012010 <br /> Producer: Lion Insurance Company Tide CerWkate is lamed as a metier .1Information ally bad colds. no right. <br /> upon the Certificate Holder. Thin Certificate does not bowed, eetae.d orbiter <br /> 2739 U S. Highway 19 Certificate <br /> the mw raga afforded' by eke whams herds. <br /> Holiday, FL 34691 <br /> fishers Affordng Coverage 1 NAIL • <br /> Moto** South East Personnel Leasing, Inc_ Insurer 0. Uan tnswa p0 Carmen./ <br /> 2739 U.S. Highway 19 N. Il'""'r e <br /> Holiday. FL 34691 Insurer Cr • <br /> Inner O. <br /> kratnr E <br /> r <br /> COverages <br /> • cm merino , " r/w • twat b gWaNn tt$..rr.l not • den • .M e.neaet Or' • • . d1,1 nasc ncao se menace debed dia de tc rbe d n ` r sl noboe metrtta,mi e o lan.adomblorsatue oracles ApphpeoMm exam meifoe eboa <br /> pm Ow <br /> LIR INSIID Type of Simian= Polley Number p Ors Paley expamion Deb LlrfYt5 <br /> (MM/ODMYY) (MMJ130Mf) <br /> GENERAL LIABILITY r.drdeeu...Ie. <br /> 13 <br /> Cwrrrnercial General Uabiily <br /> Claims Made 0 Ocar nrmattnerraea (EA New <br /> A <br /> ....w�.a M od Be L <br /> �' - .N.. Pommel Ark In)ttfy i <br /> Genrrel apgnspde IImit applies per . <br /> Od tY Q Peen tOC Centre Ma � �+ <br /> beaunn- Comaoo A 1 <br /> I <br /> AUTOM081LE LIABILITY Ca.birptl$Mtioel <br /> /try <br /> Aim <br /> (CA Accbtrin 1 <br /> "" AI Owned Aten HoeMhwv <br /> Sdt.dt Atoll ta'erNereonl 5 <br /> r... Hired Alias • 8adur bey <br /> Nm.Oreed ParAccI*) f <br /> AeselN <br /> r .I� A;d►d..p t <br /> EXCESS/UMBRELLA LIABILITY ` Ewe crummy,. <br /> Ma <br /> ❑ cam de Noma* <br /> Deaklae <br /> A waken Conversation and WC 71949 • 01J1)1l1010 01,0112011 u I boy WC Stew I Lone. . ' <br /> Employers' Ley ,y Lade 1 LER ■ <br /> MY laepriworrowh edarecudv. oflh;Mlltlarl0er E.L. Each Accideel 11p00,0M <br /> cab led? <br /> E.L. Dian.- Es Employee 11.000)Xe <br /> ItYes, describe under special p rnisione below, <br /> E L. Dis..w.. Pocky Limit Stool= <br /> Odor Lion Insurance Company is A.M. Moot Company rated A. (Excellent). AMR It 12016 <br /> Descriptions of daetllecl added by Endmsenwtlt/$pedv Provheloro: Ciao ID: 60.65.327 <br /> Coverage only epplec to active employees) of South East Personnel. Lamina; Inc. that ere leased tulle Hollowing "Client Company': <br /> L.R. $bentens Piaabitg, Inc. <br /> Covarepe only applies to Injuries irutrrad by South East Pommel bating, Inc. soave artployww(s) , wldle working in Florida. <br /> Coverage does not apoty to statutory employee(s) or independent contractor(s) of One Client Company or any other entity. <br /> A list of the active employee(s) leased. In the G1e:ntCartherly can be obtained by fatdng a request to (727)937 -2138 or by caning (727) 938 -5562. <br /> Project Name: <br /> FAX: 813.6542188 & 813654.2188 / ISSUE 06-10410(90) <br /> C6RTIp'Ul1 NOLpHI ae.ln DM.: 3/16/2010 <br /> rrwcre- LArION <br /> CITY OF ZEPH YRMILLS Sawa demo. so.vse.eenb.e poaw.r a =cow amore ter. pr H sur.a, a..eru.tq Wawa wu <br /> BUILDING DEPARTMENT alawmr rn. 3° aebe t* ben teao e .rnreero amore arse a e. Iel ate farte. b ee m enet Inpe ro <br /> mYgolonorttraW AIM upon M * IsIOear teo Nero aa.y.eenerier <br /> 6536 IITH St. <br /> ZEPHYRHILLS, FL 33642 <br /> 4 ,61‘ 6" ._ "4 :. .. - - - - <br />