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MAY. 7. 2010 9:56AM Work Comp Associates, Inc. NO. 7844 P. 1/1
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<br /> PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
<br /> RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND
<br /> Work Comp Associates, Inc. OR ALTERTHE COVERAGE AFFORDED BY THE POUCIES BELOW,
<br /> P.O. Box 33297
<br /> Palm Beach Gardens, FL 33420 -3297 COMPANIES AFFORDING COVERAGE
<br /> USA
<br /> C OMPANY
<br /> A Bridgefield Employers Insurance Co.
<br /> INSURED
<br /> Airboume ANC, Inc. B
<br /> 25278 Bunting Clyde COMPANY
<br /> Land O'Lakes,FL 34639 -5534 C
<br /> COMPANY
<br /> II
<br /> 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
<br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE
<br /> INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
<br /> REDUCED BY PAID CLAIMS.
<br /> El TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
<br /> DATE (MIUDONY) DATE (MMIODA'Y) LIMITS
<br /> II
<br /> GENERAL LIABILITY GENERAL AGGREGATE -
<br /> COMMERCIAL GENERAL UABIUTY PRODUCTS • COMP/OP , .. ■ CLAIMS MADE EI occu PERSONAL 6 ADV INJURY
<br /> ■ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE
<br /> 11 FIRE DAMAGE (My one Are) alIllIllIllIll
<br /> MED EXP OM one Poran)
<br /> I
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 4
<br /> ■ ANY AUTO
<br /> Ell ALI. OWNED AUTOS BODILY INJURY
<br /> III SCHEDULED AUTOS (Per Person)
<br /> IIIIIIII
<br /> II. HIRED AUTOS BODILY INJURY 1 NI NON - OWNED AUTOS (Per Amtlelll)
<br /> MI PROPERTY DAMAGE
<br /> NI Mil ,
<br /> I
<br /> GARAGE LIABILITY AUTO ONLY • EA ACCIDENT
<br /> III II ANY AUTO OTHER THAN AUTO ONLY:
<br /> EACH ACCIDENT MIMIIIIIIIIII
<br /> AGGREGATE .
<br /> I EXCESS LIABILITY EACH OCCURRENCE
<br /> ■ UMBRELLA FORM AGGREGATE
<br /> • OTHER THAN UMBRELLA FORM
<br /> I
<br /> WORKERS COMPENSATION AND ® C STATU- II OTH-
<br /> EMPLOYERS' LIABILITY DRY ER
<br /> 0030376900000 4/1 /2010 4/1/201 EL EACH ACCIDENT 11111111111M MI
<br /> , 1 1
<br /> THE PROPRIETOR! MCI EL DISEASE - POLICY LIMIT PARTNERS/ EXECUTIVE . 1 1 1 1 1
<br /> OFFICERS ARE: ■ Exc EL DISEASE -EA EMPLOYEE 100 000
<br /> OTHER
<br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL HEMS
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<br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
<br /> City of Zephyrhills Building Dept. EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS
<br /> WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO
<br /> 5335 Eighth Street MAIL SUCH NOTICE SHALL IMPOSE NO OISUGATION OR LABILITY OF ANY KIND UPON
<br /> Zephyrhills, FL 33540 - 4312 THE COMPANY. MB AGENTS OR REPRESENTATIVES.
<br /> AUTHORIZED REPRESENTATIVE /' / ��
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