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07-�7-'11 16;09 F�OM-Miller Electric 4078127171 T-768 P002 F-949 <br /> �►�'a' p CERTIFICATE �F LIABILITY INSURANCE oi�o6� o�i"" <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INPORMATION ONLY AND CONFERS NO RiGHTS UPON TNE CERTIFICATE HOLLIER. THIS <br /> GERTIFlCATE DOES N07 AFFIRMATIVELY OR NEGATIII��Y AMEND, EXTENO OR ALTER TH� CQVERAGE AFFORDED BY THE POLICIE$ <br /> BEL4W. TF�IS CERTIFICATE OF INSt1RANCE DOES NOT C�N$TITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATtVE OR PRODUCER, AND TNE CERTIFICATE HOLDER. <br /> IMPORTANT: If !he Certiflcate ho{der is an ADOITIONAL INSURED, the policy(ies) tnust b2 Endoraad. If SUBROGATION 1S WANEG, SubjeCt to <br /> ths tarms and condidon5 0� the poltcy, certain policie9 mdy require an endorsement. A st0tement on lhis aarfJflcats does not coMer rights to tl1e <br /> r,artlfleate holde� in lieu of 9uCh andorsem s. <br /> PRODl1CFJt NAMEf T <br /> Doug JOnas c/o AJG Risk Manageme� Services, Inc. P •(480 951-4177 F ,,, ^ �� � 951-4268 <br /> 8800 E. ChapBrral Rd, Suite 230 E-MA1L <br /> Scottsdale, AZ 85250 ����� <br /> INSUR S AF OINp CQ1/ERAGE NAIC t <br /> �nsur�rca: Zurich-ArnenCan Insuranoe Comparry 16535 <br /> INSURED INSURER 6 : <br /> Oasis Acquisition, Inc Alt Emp: Miller Elechical Services Inc irisutt�t c: <br /> 2054 Vista Parlcway Suite 300 INSURER D : <br /> West Palm 8each, PL 33411 <br /> INSURER E : <br /> INSUR£R F : <br /> COVERAGES CERTIFICATE NUNBER: 11FL075815852 REVISION NUMB�R: <br /> THIS �S TO CERTIFY THAT TME POLICI�S OF INSURANCE LiSTED B6LOW hIAVE BEEN ISSUED TO THE INSl1RED NAMED A80VE FOR T11E POLICY P£RIOD <br /> INDICATED NOTVIATHSTANDING ANY REQU�REMENT, TERM OR CONDiT10N Of ANY CONTRACT pR OTHER DOCUMENT VNThI RESP$CT TO 1AM�CH THIS <br /> CERTIFICATE MAY BE 15SUED OR MAY PERTAIN, TH£ INSURANCE AFFORDED BY 7ME POl1CIES DE$CRIBED HEREIN 15 SUBJEC7 TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POtICIE3. LIMITS SHOwN MAY HAVE BEEN REDUCED BY PAID CWMS. <br /> TYPE OF IN6YRANOE � E � �� � LIMTS <br /> �� N MND POLICY NtlMBER MMID MID <br /> oE►+au� uas�urr �,,cr, xcuaaENCe s <br /> COMt�RCtAL GENERAL LIABILTTY PR MI earanenee 4 <br /> CuIMS•MADE � OCCUR MED F�(P OM peft0l�) S <br /> PERSONAL 8 ADV INJURY S <br /> GENEFiAIAGGREGRTE S <br /> GEN'L AGGRE4A7f L1MIT APPIIES PER: PRODUC'rS - COMPIOP ACaG S <br /> POLICY PR lOC = <br /> AUSOMOBILE LIABILIIY Ea � ecide <br /> ANY AUTO BODILY INJURY �Par pwsa+) t <br /> �I �OSULED BODILY INJURY (Per accident) i <br /> NON-0WNED PROPBRrfl+�C+E : <br /> HIRED AUTOS AUTOS <br /> s <br /> uMBREIU une OCCUR EACM OCCURRENCE S <br /> �� � CWMS-MAOE AGGREGA7E i <br /> DED RfTENT10N s f <br /> WORKERS COMPEN9ASION X V4C STA7U- OTH- <br /> pND EAIPLOYFRS' WIBMJTY <br /> ANY PROPRIETORIPARTNER/dCECUTn/E �� N/ A WC 29�3�87�9 ��01r1�11 06101/2012 E.L EACM ACCIDENT E 1,000,000 <br /> A o�ic��e� excwo�m l„_J <br /> (M in NM) E.L. DISEASE. EA EMPL S �,OOO,OOO <br /> DESCRI�10 OF dPERAT10NS oelow El. �ISEASE - Pp41Cr Lw11T S 1,000,000 <br /> Locatfon Covorags P�rlod: 06I0112011 06/01/2012 Cli�nt�l: 526 <br /> OESC�uP1yON OC OPERATIONS! lOCA710NS J VEMCLE9 (AttNCh ACORD tot, Adatdona� RemaAcs S�hedula, H mOro sp�ee is roqulrotl) <br /> Coverage trs provided for Mfller Eledrical Services lnc <br /> only tlwse empbyees 2�53 Premier Row <br /> leased to but not Odando, FL 32809 , <br /> subcantradas of: <br /> CERTIFICATE HOLOER CANCELLATION <br /> CITY OF ZEPHYRHI LLS SNOULD ANY OF THE ABOVE DESCRIBED VOLICIES BE CANCELLEO BEFORE <br /> A77N: BUILDING DEPT TNE EXPIIiAT10N pATE THEREQF, NOTICE WILL BE DELNERED IN <br /> 5335 8TH ST ACCORDANCE W17N THE POLICY PROVISfONS. <br /> ZEPHYRHILLS, FL 33542 <br /> AV7'HQR�O REPRESEN7ATNE <br /> ����„'' <br /> � 1888-2010 ACORD CORPORA710N. Atl rights reserved. <br />