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naro <br /> • CERTIFICATE OF LIABILITY INSURANCE ��5izoii <br /> Producer Lion Insurance Company This Certlficate is i�ued as a matEer of informatlon only and confers no rights <br /> . 2739 U S HIghWBy 19 N. upon the CertlFlcaee Holder This Certlficate does not amend, extend or alber <br /> Holiday, FL 34691 �e ���9e afforded by the policles below. <br /> (727) 938 Insurers Affording Coverage NAIC # <br /> Insured South East Employee Leasing Services �nC. InsurerA. tionInsuranceCompeny 11075 <br /> 2739 U S Highway 19 N. �nsurer e: <br /> H011day, FL 34691 �nsurerc: <br /> Insurer D� <br /> Insurer E: <br /> Coverages <br /> epuiues insurance iste euw ave eeniswe to emsure reme a ove or epuicyGeno m icate . utm stan ingaMrequiremeM,termurcon i�on arycoiro'adcr er ocumeMm respeRto r <br /> this cerd�cote moy be issuetl or may pertom, the msuronce ottorAetl by Vie poliaes tlescnbetl heram is subJect to oll the terms, exclusions, ontl contli4ons of such pohaes Aggrego[e limrt9 5hovm mfry hOVe been fetlutetl qy <br /> peid claims <br /> INSR ADOL Poliey Effeetive Poliey E�iration Date LIn11tS <br /> �rn IfJSRD Type of Insurence Policy Number p� <br /> (MM/DD/YY) (MM/DD/YY) <br /> ENERAL LIABILITY Eachocarrence 6 <br /> Commercial General Liability <br /> DamaSle to rerted premises (EA <br /> Claims Made � Occur occurrence� � <br /> Med E� <br /> eneral aggregate limit applies per Personal Adv injury <br /> Generel Aggrega[e <br /> P�h�y ❑ Pru�ett ❑ LOC <br /> Products - Como/0o A90 <br /> UTOMOBILE LIABILITY Combined Sin�e Limit <br /> Arry Auto (EA Acadenq 6 <br /> All Owned Au[os BotliN In�ury <br /> Sched�ed Autos (Per Person) <br /> Hued Autos Dod�y In�ury <br /> Non-Omed Autos (Per Acaderrt) <br /> Property Damage <br /> (Per Acaderrc) <br /> EXCESS/UMBRE�LA LIABILITY Each occurrence <br /> Occur ❑ Claims Made Aggregate <br /> DeducGble <br /> A Workers Compensation and WC 71949 01J01/2011 01/0112012 x wC swa,- O7H- <br /> Empbyers' Llabllity to L'mits ER <br /> Arry proprietodpartner/exeeudve officerhnember E.L. Eech Aaident 81.000,000 <br /> excluded9 <br /> C.L. Disenae - Ce Cmployee S�.00O,000 <br /> If Yes, describe under special provisions below. <br /> E.L. Disease - Poliey Limits S�.000,000 <br /> other Lion Insuranee Company is A.M. Best Company rated A- (Exeeilent . AMB # 12616 <br /> Descriptfons of OperationslLocationsNehicles/Exclusions added by EndorsementlSpecial Provisions: Client ID: 06-65-644 <br /> Coverage only applies to acdve employee(s) of South East Employee Leasing Senrices, Inc. that are leased to the following "Client Company": <br /> Superior Heatiny & Cooliny Manayement, Inc. <br /> Coverage only applies to injuries incurred by Soutli Eest Employee Leasing Services, Inc. acdve employee(s) , while woiicing in Florida. <br /> Coverage does not apply to statutory employee(s) or independent conuactor(s) of the Client Company or any other endty. <br /> A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562. <br /> Project Name: <br /> FAX. 813-814-3449 & 813-780-0021 / ISSUE 11-02-09 (TD) / RENEWAL 12-17-09 (SH) ! REISSUE 01-0&10 (SD� / REISSUE 03-3410 (SD) / REISSUE 0�29- <br /> 11 (SD) / REISSUE 07-05-11 (TD) <br /> In Date: 1 1 2007 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF ZEPHYRHILLS Should ary ofttre above descnbed policies be canceNed before tAe expiretlon dffie thereof, the issuing insurerwill <br /> BUILDING DEPARTM ENT endoavor to mail 30 duyc wnttcn no4cc to Ibc ccrtificatc holder nomed to thc Icft, but failurc to do co ohall impooc no <br /> ob6gauon or hebihry of arry Wnd upon [he msurer rts ager� or represerrcauves. <br /> 5535 8TH STREET <br /> ZEPHYRHILLS, FL 33512 / �O� <br /> K A <br />