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ACORD CERTIFICATE OF LIABILITY INSURANCE RBJ965AU 1 06/21/201 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF WIFORMATION . <br /> Risk Transfer Programs, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 219 Fast Livingston Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Orlando, FL 32801 ALTERTHE COVERAGE AFFORDED BY THE POUCIES BELONG <br /> 866- 481 -9363 <br /> INSURERS AFFORDING COVERAGE NAIC 1 <br /> INSURER A: SUA Insurance Company 40134 <br /> mum) <br /> Global Employment Solutions P80 IL, Inc. <br /> INSURER B: <br /> 3350 Bushwood Park Drive INSURERC: <br /> suite 200 <br /> Tampa, PL. 33618 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE REOU IT , TE1 OR LISTED OF CONTRACT OTHER DOCUMENT T WITH RESPECT O WH POLICY <br /> THUS PERIOD ICA MARY BENOTWITHSTANDING <br /> ANY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALLTHETERMIS, EXCLUSIONS N40 CONDITIONS OF SUCH <br /> POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECflVE DAM VAR : PO U CY NUMBER ANTE O YY► LIAM <br /> TYPE OF SitAIANCE EACH OCCURRENCE $ <br /> CiBIEAAL WLSIUT'Y P <br /> uwoomiL S � IH NYikU s <br /> COMMERCIAL GENERAL LIABILITY MED ESP (Any = one encs) $ <br /> 1� CLAIMS MADE OCCUR <br /> PERSONAL & ADV INJURY $ <br /> _ GENERAL AGGREGATE $ <br /> PRODUCTS - COMP/0P AGG S <br /> GEM..N3GREGATE LIMIT APPLIES PER: <br /> POLICY fl I I L <br /> AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ <br /> (Ea =Olden!) <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> .... SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> (Pa accident) <br /> NON- OMfNED AUTOS _ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> GARAGE UABIUTM EA ACC S <br /> ANY AUTO � ONLY <br /> AGG $ <br /> EACH OCCURRENCE S <br /> ETLCEiBAJMBREI.LJIUAMURT' <br /> OCCUR n AGGREGJITE S <br /> CLAIMS MADE $ <br /> _s <br /> DEDUCTIBLE $ <br /> RETENTION S ' WCS1I I <br /> A womaNE COrPBisATTONAND WSLTHPE 000082 -06 12/31 /2009 01/01/2011 X TOIIY 1,000,000 <br /> EMPLOYERS' UABILJTY E.L. EACH ACCIDENT S <br /> ANY PROPRE1ORIPARTNERIEXECUTIYE L. DISEASE - EA EMPLOYEE S 1,000,000 <br /> OFFICERIM IMBED, EXCLUDE07 1 1,000,000 <br /> 000 , 000 <br /> H describe PROVISIONS belay <br /> S El. DISEASE - POLICY LIMIT $ PEt:IAL PROVISIO <br /> CRIER <br /> oescRr ION OF OPERATIONS / LOCATIONS /VEHICLES I EICUJmONB ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br /> Coverage is extended to the leased employees of alternate employer (Alabama, Colorado, Florida, _G_' ConstructionjlF , <br /> Michigan, Mississippi, Missouri, South Carolina, Tennessee, and Texas Operations Only): <br /> 5003187 (Effective 08- 01 -02) <br /> DISCLAIMER: The Certificate of Insurance does not constitute a contract between the <br /> representative or producer, and the certificate holder, nor does it affirmatively or "negatively amend, extend or alter <br /> the coverage afforded by the policies listed thereon. CANCELLATION <br /> HOLDER SHOULD ANY OF R* ABOVE DESCRIBED POLICIES BE CANCELLED BB 0RERIE EIPIRATION <br /> DATETNEEIBOF,INEMUMS Si.niERMILL ENDEANORTO MBAS DAMS WgTT®I NOTICE1O <br /> THE CERTIFICATE MOLDER NAMEDTOTME LEPT, BUT I#ILIAIE W 0010 SMALL SSPOSE NO <br /> osmium OR mammy OF ISIS unarm SS)INBEB, STAIN* OR <br /> R <br /> City of Zephyrhills <br /> 5335 8th Street AUTIRORIZED REPUBIENSIRIVE <br /> 2ephyhills, FL 33540 Page 1 of 1 <br /> 0 ACORD CORPORATION 11)118 � ACORD 25 (20171108) <br />