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�i�� AK(aU5-1 '`��,� CERTIFICATE OF LIABILITY INSURANCE DATOGI2/ THIS CERTIFICATE IS 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 terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifcate does not confer rights to the ceRificate holder in lieu of such endorsement(s). PRODUCER CONTACT 407-359-1009 N,u�E: Sil G oup 407-386-7427 ac"N Ex� : - -- --_- — __ — _ — _ -- - — �ac N�--- 1200 City View Center A DR�ESS: Oviedo, FL 32765 — , - - Jeannine Ellenson INSURER(S) AFFORDING COVERAGE _ _ _ __ � _ _NAIC # _ INSURER A; Commerce & Industry Ina -- - ---- - -- - - INSURED Argos Builders LLC INSURER B: Rebecca Dominger ----- ------- --- - -- ----- --- --- - - -------- 310 S. Dillard St. Suite 215 iNSUReRC : _ ____ ____ Winter Garden, FL 34787 INSURER D INSURER E � - — --- ------ ---- - --- �- - -- INSURER P : ' COVERAGeS CERTIFICATE NUMBER: 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 BE R EDUCED B PAID CLAIMS. f LTR NPE OF INSURANCE ADDL SUBR pOLICY NUMBER —� MMIDD/YYYY I� LIMITS ' GENERAL LIABILITY l � EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY i I ��(`'E T6l2ENTE�� --- I P REMISES _(E_a_x currence) $ CLAIMS-MADE OCCUR MED EXP (Any one person) $ PER SONAL 6 AD V INJURY $ -� ---- -- - --- - -- �-- -- -- GENERALA $ C GEN'L AGGREGATE LIMIT APPLIES PER: , � PRODUCTS - COMP/OP AGG $ POLICY I PRO- I LOC li - -- -- - � $ - -- - AUTOMOBILE LIABILITY '' �� ' �, ' COMBINED SINGLE LIMIT � - (Ea accide y_ ANY AUTO � I ' BODILY INJURY (Per person) I$ ALL OWNED , SCHEDULED BODILY INJURY Per accident $ AUTOS _� AUTOS � ( )' -- --- PROPERTY DAMAGE + NON-OWNED �-�"- _ HIRED AUTOS AUTOS 1 Per accident) _ $ -- � , UMBRELLA LIAB l i, OCCUR �'� � EACH OCCURR $ � EXCESS LIAB I� CLAIMS-MADE AGGREGATE $ --- -� -- -- ` - - -- - I DED RETENTION $ � ' $ WORKERS COMPENSATION I �� WC STATU- OTH- I AND EMPLOYERS' LIABILITY � ' TORY LIMITS ER /4 � ANY PROPRIETORJPARTNER/EXECUTIVE Y/ N I IWC003�9598$ 04/25H 1 I, �4/25/� 2 �EqCH ACCIDENT $ �,��,�� � OFFICER/MEMBER EXCLUDED? � N � A -- -- �----- _ _ (Mandatory in NH) I I �F L. DISEASE - EA EMPLOYE I S �,QOO.00O It yes, describe under i --- -- -- --- -- DESCRIPTION OF OPERATIONS below �E.L. DISEASE - POLICY LIMIT � $ 'I,OOO,OOO I I , DESCRIPTION OF OPERATIONS I IOCATION5/ VEHICLES (Atfach ACORD 101, Additlonal Remarks Schadule, if more space ia required) CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CI�/ Of Z@pF1�/fI11IIS ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 5335 8th Street AUTHORIZED REPRESENTATIVE Zephyrhills, FL 33542 O 7988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD