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10/26/10 12:53 FAX 813 968 4876 MGM ELECTRIC INC IJ 05 <br /> a , , <br /> ACORD CERTIFICATE OF .LIABILITY INSURANCE °'� "�'°°"�"^ <br /> 922SPXGP 10/26/2010 <br /> PRDSUCE* THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> • Risk, Transfer Programs, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 us wn Liviagccou serest HOLDER.THIS CERTIFICATE GOES NOT AMEND. EXTEND OR <br /> Orlandio, ML 32801 <br /> • PRONE: e65-451 -9363 ALTER THE COVERAGE AFFORDED BYTHE POUCIES BELOW. <br /> __�, _._. , - , , , __ _ _ INSURERS AFFORDING COVERAGE �C <br /> imam <br /> • <br /> ' ^.' INSURERACasciePOlnc Iationsl Insurance Co. 40134 <br /> Global Employment Solutions' MO II, Inc - <br /> G 3350 Suet/mood Park Drive M18UR6RA: <br /> Suite 200 <br /> Tampa, PL 33618 INSURER C: - <br /> PLSURER D: <br /> _ INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED eELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORME POUCY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH <br /> POUCIES AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PLAID CLAIMS - <br /> Ig e <br /> TYPE OPMBu ANLTc POUCY POUCY =- -r PTAUIY <br /> GATEIODORTM DATE lYWO01Y1(1 urns <br /> GIBIEBAL UABIIV <br /> EACH OCCURRENCE 5 <br /> II <br /> II COMMERCIAL GENERAL UABILnY 1 emat S <br /> MANIAS MADE ED OCCUR MED i]IP (Any RR ONION) 3 <br /> PENSONALAADVMUURT S <br /> GENEAALAGGREGATE 5 <br /> — <br /> ■ <br /> GENL AGGREGATE UMITA PPUESPER PRODUCTS- COI/PMDPAGX, 5 <br /> _ ' n . fl <br /> ANTTONOB .P LMMJTV <br /> i III ANY AUTO <br /> IQ <br /> SINGLE LIMIT <br /> AIL OWNED AUTOS — <br /> 11. • ED <br /> scHULED Arras m RY s <br /> ' III M IREDAUTOS - .— ._ -_ -.. _ <br /> BOOLY INJURY <br /> . (cara PROPERTV mernI DAYAGE S <br /> IMAM LIABILITY AUTO ONLY - FA ACCb6NT S <br /> El ANYA D - <br /> ■ , EAACC S <br /> AUTOPSY: AGO $ <br /> IBMINIPAXAMIELLA LIABBI Y <br /> EACH OCCURRENCE S <br /> ■ clam ❑ ciAMNG MA06 AGGREG TC <br /> . S <br /> NI DEDUCTIBLE — <br /> S <br /> RETENTION 5 - -- S <br /> A VIDISSIBIS COISPENPAsION AND WSLTHPE 000092 - 12/31/2009 01/01/2011 X 612,70441 IP°rR <br /> ANY PROPRIEIDRIPARTNERIESECURVE <br /> EL. EACH ACCIDENT 5 1,000,000 <br /> OFFICERARAMER QcLOOSOr <br /> Kyaa dsrlBswex EL DISEASE - EA EMPLOYEE 5 1, ono, 000 <br /> stN aA� oReu�glO�ug lrpn E1. DISEASE POLICY LW' S 1 000, 000 <br /> OBER <br /> 0SOCJMpIbIOPOPIAATMB I LOCATIONS/ OYSCLi9IE3(CWBI01 e001:0 Wm - 00a0EmBRt9PED*LPeom8MO$ <br /> • Coverage is extended to the leased employees of alternate employer (Alabama, Colorado, Florida, Georgia. Indiana, <br /> Michigan, Mississippi, Missouri, South Carolina, Tennessee, and Texas Operations Only):M_G -M. Electric, Inc- *4103264 <br /> (Effective 2/22/10) <br /> I <br /> I <br /> ' CERTIFICATE HOLDER CANCELLATION <br /> ' - • MOULD AM OPINE MOM DES CIVIND mumps VIE CANOELL ®ai0EMEAME3014 <br /> • <br /> DsTe911BLE0P.T1E IEELEM WILL N RVI LL POEAWR70 NAIL DJ OAYE MAIM NOTICE TO <br /> THE Camemme NOLJDBRNAemeloime L9T, evrimaumevo mo so smaii memeE mo <br /> oeusa omeL LIABaftvLFANYTOOUPCNTNEeleuMBL ,ITSAELhM?SOIL <br /> City of Zephyrhilla Building Department <br /> zemb y rb Street <br /> 01 33542 <br /> . � t <br /> Zephrhe, Pl. <br /> Page 1 of 1 <br /> ACORD ZS (2001108) 0 ACORD CORPORATION 190E <br />