Laserfiche WebLink
05/03/2011 13:?4 FA1 9 PES-PEO 1�002/002 <br /> �'� °� CERTIFICATE OF LIABILITY INSURANCE DAT!(MMIDD/YYYY) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RKiHTS UPON THE CERTIFlCATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMAI7VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TNE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEIWEEN THE fSSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMP�RTAN7: If the ce�t111cate holder is an ADDITIONAL INSURED, U►� policy(fes) must be endorsed. If SUBRO�iATION IS WAIVED, subJ�ct to <br /> th� terms and tondidona of the polky, cortafn poUci�s may nquim sn �ndorsement. A statement on this cerdflcata doas not conhr riyhts to thQ <br /> cort�cabe holder in liau ot such end a. <br /> PRODUCER Alliance Insurance Solutions LLC r,r� T <br /> PO BOX � 777 pHpME 7-4 7-1 47 A/C No : 727-4 7-12 <br /> St Petersburg, FL 33731 <br /> L A DRE <br /> IN6URE S AFFORdNG COVERAGE NAIC N <br /> INSURER A: SU fl '� 2 <br /> INSURED Progresslve Employer Management Company If1C. INSURERB. <br /> Progressive Employer Management Company II, Inc. „�,�,Renc: <br /> 6407 Parkland Dr <br /> Sarasota FL 34243 ���+ o • <br /> ir�suRea e : <br /> IN$URER F : <br /> COVERAGES CERTIFlCATE NUMBER: 10111385 REVISION NlIMBER: <br /> THIS IS TO CERI'IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUm TO THE INSURED NAMED ABOVE FOR 7HE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REpUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOYVN MAY HAVE BEEN REDUCED BY P/UD CWMS. <br /> �� TYPE OF INSURANCE <br /> POLICY NUM R P r EFF I Y E7� LIMfTS <br /> GEkERAL LIADILITY <br /> D EaCH OCCURREMCE S <br /> COMMERCIAL GENERAL LU161LITY PR S Ea ota�w�rence S <br /> CWMS-MADE � OCCUR MEDEXP M one S <br /> PERSONAL d ADV INJURY S <br /> GENERALAGGREGATE E <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRO�UC7S -COMP/OP AGG S <br /> POLICV � �pC s <br /> AU70MOaLE LWILtTY <br /> S <br /> .wr nuro BODILY 1NJURY (Per parson) s <br /> ALL OWNEO SCHEDULED <br /> AU70S AUTOS BODILV IWLIHV (Var acOaant) f <br /> HIRED AUTOS NON-0WNED Q �p r „ t � S <br /> AUTOS <br /> aopden <br /> S <br /> S <br /> UNBRELLA LlAB pCCUR EACH OCCURRENCE s <br /> EXCE55 LIAB CW�_u�E AaQRE6ATE S <br /> DED RETENTION$ E <br /> S <br /> S <br /> q wo�ascarre�row WCPE0000005401 11H/2010 11/1/2011 �STATU• H <br /> AND EMPLOI/!RS' LIA6ILITY V/ N RY M �R � <br /> OFF�CEWMEMBE ��NE�ECtlrIVE� N/A E.LEACHACCIDENT j <br /> ��� �� N � ) E.L OI6EASE - EA EMPLOYEE $ <br /> If ygs, dapaipp unEqr <br /> DESCRIPTION OF OPERATIONS below E-L DISEASE - POLICY LIMIT S 1 OOO OOO <br /> DESCRWTION Oi 07ERATION3 ! LOCATIONS ! VlHC�ES (Atlaeh ACORD 701, AddlNOnd RNnri�s SchWul�, if mor� �p�e� Is r�q��lnd) <br /> Cover�ge Provided for aq leased empbyees but not subcontractors ofi <br /> NORTH COUNTY PLUMBING, INC. <br /> Client Effective: 11/1/2010 <br /> 64B4 <br /> AN ELLATI N <br /> SHOULD ANY OF TNE ABOVE DESCRIBED POLIC�S BE CANCELLED BEFORE <br /> City Of Zephyrhills Building Department THE EJ(PIRATIpN DATE TIiEREOF, NOTICE WILL BE DELIYERED IN <br /> 5335 8th Strret ACCORDANGE WITH THE POLICY PROVISIONS. <br /> Zephyfiilis FL 33542 <br /> AUTHORIgD REPRE$ENTATNE <br /> �����/��� ^ � ` f► <br /> Glen J Dbtsfano <br /> � 198Q ACORD CORPORATION. All riybts reserved. <br /> ACORD 25 (2010/05) The ACORD name and logo aro rvgistorod marks of ACORD <br /> CERT NO 30111365 (.T,IENP CODE. pEMCp NiCk CiCCiie110 5/3/3011 10:09�45 AM Pege 1 of 1 <br />