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LINRROG -01 AUCH ACORfl CERTIFICATE OF LIABILITY INSURANCE DATE ) 10 /8 2010 PRODUCER (404) 633 -4321 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Yates Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 Executive Park East, NE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Atlanta, GA 30329 INSURERS AFFORDING COVERAGE NAIC # INSURED Lin R. Rogers Electrical Contractors, Inc. INSURERA Charter Oak Fire Insurance Company 25658 Rogers Electric Service Corporation INSURER B Travelers Property Casualty Co of America 25666 2050 Marconi Dr Suite # 200 INSURER C National Union Fire Ins Co Pittsburgh PA 19445 Alpharetta, GA 30005 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF INSURANCE DATE IMM/DD/W MI I DATE 1MDDIYYI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY VT22KCO5787B539 1/112010 1/1/2011 DAMAGE TO KEN IED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X x I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 B X ANY AUTO VTJCAP5787B540 1/112010 1/112011 (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) X Hired Physical Damage PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 15,000,000 C X OCCUR CLAIMS MADE BE11579455 1/112010 1/112011 AGGREGATE $ 15,000,000 DEDUCTIBLE $ — X RETENTION $ 10,000 $ WORKERS COMPENSATION AND x WRYTATT- TORY LIMITS ER R B EMPLOYERS' LIABILITY VTC2HUB8571 C37310 1/1/2010 1/1/2011 ANY PROPRIETOR /PARTNER /EXECUTIVE EL. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E. L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E . DISEASE - POLICY LIMIT $ 1,000,000 OTHER B Leased /Rented Equipment QT6600104L715 1/1/2010 1/1/2011 $2,500 Ded. 300,000 B Equipment - Scheduled QT6600104L715 1/112010 1/112011 If Applicable See Below DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS General Liability policy referenced above provides per project aggregate limit as required by written contract. Workers Compensation includes State of FL In 3A. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 5335 8th Street Zephyrh i Ils, FL 33542- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ ACORD 25 (2001/08) 0 ACORD CORPORATION 1988