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Client #: 4424 RODDCON ACORD)TM CERTIFICATE OF LIABILITY INSURANCE DATE(M PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER 0 ' a RM ' • , Lanier Upshaw, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1115 US Hwy 98 South HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 468 Lakeland, FL 33802 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Westfield Insurance Company 24112 Rodda Construction, Inc. INSURER B: Bridgefield Employers Insurance 10701 250 E. Highland Drive INSURER C: Lakeland, FL 33813 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 EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) LIMITS A GENERAL LIABILITY CMM4641613 12/31/2010 12/31/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PRFMISFSO REND nre1 $150,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $10,000 X PD Ded:1,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 n JE — 1 POLICY CT IJC I LOC A AUTOMOBILE LIABILITY CMM4641613 12/31/2010 12/31/2011 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT _ $ 1 ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ A EXCESS / UMBRELLA LIABILITY CMM4641613 12/31/2010 12/31/2011 EACH OCCURRENCE $10,000,000 OCCUR CLAIMS MADE AGGREGATE $10,000,000 $ DEDUCTIBLE X RETENTION $ 0 $ B WORKERS COMPENSATION AND 83037282 01/01/2011 01/01/2012 X 1 TORY I MITS 1 I EMPLOYERS' LIABILITY AQN�YCCPROPRIIEETgOR /PARTNER/EXECUTIVE VM E.L. EACH ACCIDENT $1,000,000 (Mandatory In NH� EXCLUDED? I N I E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1 ,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 10 Days for Non - Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL nrl DAYS WRITTEN 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Zephyrhills, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRE ENTATIV ACORD 25 (2009/01) 1 of 2 #S155571/M155264 0 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ALM