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08/10/2010 10:08 9543456770 AWESOME CONSTRUCTION PAGE 04/05 Ai lz • CERTIFICATE OF LIABILITY INSURANCE OP ID T4 DATE(MM/OD/YYY1f) 08/10/10 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMCND, EXTEND oR ALTER THE I:OVERAGE AFFORDED BY THE POLICIES BELOW. THIS' CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: lithe certificate holder is an ADDITIONAL INSURED, (he polieyQee) must be encursed. H SUBROGATION IS WAIVED, subject to -- the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the Certlticete holder In lieu ot such endorsement(s). PRODUCER HVAIAbI Brown a brown ot Florida, Inc. NANA tin 5900 N. Andrews Ave. #300 (ac,No,E>j; _...._..._....__- ___._'...... _._.__._. ?! •No): P.O. Box 5727 E- — .._..- -._. ADDRESS: irecaseece.- _.__....-. -- -- ...... ..... - Ft _ Lauderdale FL 33310 -5727 CUSTOMER air AWESO -2 Phone:954- 776 -2222 Fax:954- 776 -4.446 ___... ...-- .-- .-- _ -.... _..---.--__._._...._......-.--.------- ........__..__.__..._._.... • • INSURED ._.. _____. --__- • .- ..__-- ---...- ..__ —__ INSVRER(Sy AFFORDING COVERAGE - e. INSURER A: Atnerisure Mutual Ins. Cn. i "� 23396 - -- +eesotnE Construction, inc. INSURER B 3766 N.W. 124 Avenue - --.__ . -- - - - _..... --I- - Coral Springs FL 33065 INSURER C INSURER D : _._.__. -... , INSURER E : INSURER F : 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY ReouIREMtNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T•II$ CERTIFICATE MAY BE ISSUED OP MAY PERTAIN. me INSURANCE AFFOROEO BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLU9lfNC AND l.nNnmONS OF CuoR POUCIEC. uMR3 SHOWN MAY NAVE DEEN ReUUUtU BY PAID CLAIMS. YEW . . -- . .- ._____- _.... ...._. — __ ... LTR I TYPE OF INSURANCE a19R 1,71:14L POLICY NUMBER ( MM/ODIY �� (MM � jpo y mY � Yl - --- -.... uMns GENERAL UAeIUTV � EACH OCCURRENCE :$1,000,000 'DANIAGETORENTEII ---- _._.- '-.--.-.-- A d � I.:UMMERCIAL GENERAL LIABIUTY I GL2046508030010 l07/01/3.0 !07/01/11 ; PREMISES(e.camenee) to 300,000 CLAIMS•lmoe I X ; OCCUR HIED EXP!Any one person) s 10 000 I PQasoNAL mutiny 4 3 1, 000, 000 I 1 GENERAL AGGREGATE I S 2, 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS_ COMP/OP AGG j S 2 , 000000 r----7 r ' �D- i P I _ -� -- - ..__...... _ _ ...... OLICY . X ! .)Er_T ; LOC. I stop ben . !v i, 000, 000 L AUTOMOBILE LIABILITY I I ; COMBINED SINGLE LIMIT l I • (EaAeadenq ; $1,000 f 000 A 1 j ANY AUTO CA20465050302 07/01/10 !07/01/11 L ' ALL OWNED AUTOS — - RDOILY INJURY (Per pawn) 6 -- _..__...._ ' ! , BODILY INJURY (Per occident); S SCHEDULED ALTOS —_..... ...,.,_.__— �_._...... PROPERTY DAMAGE 1 VIREO AUTOS I I ! (Per accident NON•OWNED AUTOS �- -..._..__.._. ...._..--.-- -. .._.. _._.. • ! 1 _ ..._ ............. ; UMBRELLA UM) OCCUR I ! ` EACI, OC .unnc e F EXCESS LIAB I I CLAIMS•MAOE i I l : AGGREGATE I E ` 1 DEDUCTIBLE I _ ...... ...... .... — ...__.... .. _ _......- ........ ......._ I1 ..__..__.. - ._... l --•- NTION e I I I A I wo x I RETE ERScommas/LTon , WC204651003 07/01/10 07/01/11 ' X; wcsTAlu• ; ,tlli -, AND EMPLOYERS• LUI91UTY Y / N I. j ?DRY LIMBS I_. _i. EA :_. _..... ; ANY PROPRIETOR/PARTNER/EXECUTI I ( , _._. _.__.._._ OFFICER/MEMBER EXCLUDED? N/ A I L E L .EACH ACCIDENT I¢ S O O, 0 0 0 __________ (man/lime In "M ! EL. DISEASE - EA EMPLOYEE $ 500, 000 ■ II yes, de=cdbg udder ; •- ------ ........... .. .- ._._........-- - - - - -- . ... -- DESCRIPTION OF OPERATIONS below 1 EL. DISEASE - POLICY WW1 3500, 000 1 • ■ oascniPT10N OF OPERATIONS / LOCATIONS 1 VEHICLES (AIIson ACORD 101. Additional Remarks Schedule, 11 more space le required) CERTIFICATE HOLDER CANCELLATION 9HOUI.0 ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ZEPHYRS! THE EXPIRATION DATE TNERFDP. NAME WILL BC OCLIVCACD D, ACCORDANCE WITH THE POLICY PROVISIONS. City of Zephyrhills Building Department AUTHORIZED REPRESENTAT.V5 5335 8th Street Zephyrhilis FL 33542 0a 1 PORA110N- an rights reserved. ACORD 25 (2009 /09) The ACORO name and logo are registered marks of ACORD