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Ac R°r CERTIFICATE OF LIABILITY INSURANCE DATE(MIMODNTYY) I 12/9/2010 THIS CERTIFICATE 1S• ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 'DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE 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: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tames and conditions of the policy, certain policies may require an endorsement A statement on this certificate doss not confer rights to the certificate holder in Hen of such endorsement(s). • PROWLER CONTACT Theresa Fields NAME: American Westbrook Insurance Services, LLC Ejlp_Exa: (800) 894 -9091 Da Not: (630)990 -9099 Four Westbrook Corporate Ct.r Amens tf ieldeeamweetbrook . cos Suite 500 PRODUCER 00000964 CUSTOMER ID Ir. Westchester IL 60154 INSURERS) AFFORDING COVERAGE NAIC 1< INSURED INSURER A :SUA Insurance Co INSURER B : Metal Roofing Consultants, Inc. INSURER C DBA Alums -Tile Roofers INSURER D : 333 Falkenburg Road N. A -127 INSURER E. Tampa FL 33619 -7891 INSURER F: COVERAGES CERTIFICATE NUMBER:10 /11 MASTER 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUER POLfef 1:FP - POUCY EXP — INSR WVD POUCY NUMBER (MWODIYYYY) (MMIDDIYYYYI UMITS GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERA. LIABILITY DAMAGE TO RENTED � PREMISES (Ea occurrence) S 100,000 A CLAIMS-MADE ! A I OCCUR 10APRRF100525GLO3 9/18/2010 9/18/2011 MED EXP (Any one person) — $ 5, 000 PERSONA. & ADV INJURY $ 1, 000 , 000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE UMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 2C POLICY nJFRTT n LOC s — AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) ! SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE (Per accident) NON-OWNED AUTOS — $ - S — UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAMS MADE AGGREGATE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION i AND EMPLOYERS' 1JA91U7Y ' WC STATU- I I ANT PROPRIETOR/PARTNER/EXECUTIVE Y / N TORY LMIT8 { 1 ER OFFICERIYEMBER EXCLUDED? n N 1 A E.L EACH ACCIDENT S (Mandatory In NH) yyeesa E.L DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below • E.L DISEASE - POUCY LIMIT $ DESCRIPTION OF OPERATIONS U LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Zephryhil l s- Building Dept ACCORDANCE WITH THE POUCY PROVISIONS. 5335 8th Street Zephyrhills, FL 33542 AUTHORIZEDREPRESENTATA(E 442,44.41100 riferfaLthiC Mike Melniak /TFI ACORD 26 (2008!09) 019882009 ACORD CORPORATION. Ni rights reserved. 1NS026, (200909) The ACORD name and logo are registered marks of ACORD •