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11i1b/MM 4:30 PM (GNU Fra: Killilgsworth Agency, Inc. 352 -199 -5986 To: 13525441983 Page 3 of 3 <br /> A R CERTIFICATE OF LIABILITY INSURANCE 11 / 1M1D 0 <br /> 2 <br /> PRODUCER (3 52) 796 -1451 FAX (3 S2) 799 -5986 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 <br /> Kil l ingsworth Agency, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 19259 Cortez Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. 0. Box 1750 <br /> Brooksville, FL 34605-1750 INSURERS AFFORDING COVERAGE NAIL # <br /> INSURED Foster's Roofing Inc INSURER A: Steadfast Insurance Company <br /> Dl Roofing Enterprises Inc. INSURER e: Allstate Insurance Co. <br /> PO Box 643 INSURER C: Bridgefield <br /> Brooksville, FL 34605 INSURER 0: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. <br /> INSR WA EFF NE POLICY EXPM�ATION. <br /> LIMITS <br /> t iR TYPE OF INSURANCE POLICY NUMBER POLICY HATE YN <br /> GENERAL LIABILITY GL0599261400 08/01/2010 08/ 01/2011 EACH OciaMRENCE f 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED f 10000C <br /> CLAMS MAOE I X l OCCUR / PRFMrSFC (ra /rruarre) , <br /> A ,�` ne MED EXP (Any O Person) $ 5,000 <br /> — <br /> . / PERSONAL & AIYU INJURY $ 1,000,000 <br /> \\ ' � GENERAL AGGRE3A7E f 2,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG f <br /> I PO n Tai n LOC 2,000,000 <br /> AUTOMOBILE LIABILITY 048966586 06/21/2010 06/21/2011 <br /> COMB accident) <br /> GLE LIMT f <br /> ANY AUTO accident) <br /> ALL OWNED AUTOS 300,00 <br /> BODILY INJURY <br /> B X SCHEDULED AUTOS ((P S <br /> X HIRED AUTOS <br /> BODILY INJURY f <br /> X NON -OWNED AUTOS (Pp, accident) <br /> PROPERTY DAMAGE f _ <br /> (Per axiden0 <br /> GARAGE LIABILITY <br /> ANY AUTO AUTO ONLY - EA - S - <br /> OTHER THAN EA ACC f <br /> AUTO ONLY: AGG f <br /> EXCESS/UMBRELLA LIABILITY <br /> EACH OCCURRENCE S <br /> OCCUR n CLAIMS MADE AGGREGATE f <br /> S <br /> DEDUCTIBLE <br /> RETENTION S - 5 - <br /> _R S <br /> WORKERS COMPENSATION AND 83030622 12/01/2010 2/01/2011 X 1 T ORY I t WC ST U ' I oTN ER - <br /> EMPLOYERS LIABILITY <br /> C ANY PROPRIETOR/PARTNER/EXECUTIYE E.L. EACH ACCIDENT $ 100,000 EMBE IIy e. dThc ER/M ba und beund EXCLUDED <br /> Byes. o, , \\✓- // E . DISEASE - EA EMPLOYEE S 100,000 <br /> SPECIAL PROVISIONS below <br /> EL DISEASE - POLICY LIMIT 5 500,000 <br /> OTHER <br /> DESCRIPTIO OF OPERATIONS / OCATIOIIS / VEHIQI ES 1 EXCLUS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> Limits shown are t in effect at policy inception da te. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> \ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> City of Zeph ryh i l i s - Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 5335 8th Street oc ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES . <br /> Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE <br /> Danielle Heal is /CLARE SN'""2& ,e( /4e4- <br /> ACORD 25 (2001/08) <br /> ®ACORD CORPORATION 1988 <br />