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�an, �1. 201� 3: lOPM No, 4904 P. 1 <br /> , <br /> '��°� C�RTt�IC/�TE OF LIABILITY INSIJRANCE DATE�MMIDpIYYYY) <br /> THIS CER7IKICA7�IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI(iHTS UPON THE CERTIFICA'�HOLDER.THI3 <br /> CERTIFICATE DO�S NOT AFFIRMATIVELY OR WE(iATiVELY AMEND, EXTENO OR AtTER TNE COVERAGE AFFORDED BY TME P0�(CIES <br /> sEI.OW. THIS CERTIFICATE 0� INSURANCE DOES N07 CONS'11TUTE A CONTRACT BETWEEN THE 198UIN0 INSUR�R(S�,AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND TH�CERTIPICA7�HOLDER. <br /> IMPORTANT: If lhe ceRlflcete holder is an Abb1710NAL INSURED,ti�e policy(ios)lnust ba andorsod. if SIIBROGATiQN 19 WAFVEC,subject W <br /> ina torms and condltlons of the pollcy,certaln polklas may re4ulra an endors.msnf. A statemenl on Ihls certificak doas not eo�Nar dphls to lho <br /> certlflcafe holder In Ileu of such endorsemenl s. ' <br /> PR��� Alliahce Insurance SoluUons,LLC. ID:(birectHR) <br /> c1010A <br /> 1855 West State Road 434 E <br /> Longwood, FL 32750 EJiWL ADDRESS: <br /> W /1F pN COVERA�f � <br /> I AFRA: <br /> �NSURED INSUREiI b: <br /> Direct HR Services, Inc. <br /> PO Box 1367 u+su+�/ec: • • • <br /> Holmes Beach Fl. 34218 � a�ao: • • • <br /> 1NSURER E• <br /> 1p$ RK• <br /> COVERAOES CEItTiFICAY�NUMB�R: �� ItEVIS10N NUMBER: <br /> 7HIS 15 TO CERTIFY TFIAT Tf1�POUC��S Of INSURANCE LISTEO BELOW HAVE BEEN ISSU�P Tp 7HE INSURED NAM{EO ABOVE FOR THE POLICY p�R10D <br /> INDICATED. MO'fWITHSTANOMG ANY RBQUIREMENT,TERM OR CONDITION OF ANY CONY'RAC7 OR OTHER DOCUMENT WITH RESPECT TO WHICH 7NIS <br /> CERtIFICAYE MqY B�1$$UED OR MAY PERT/11N,THE INSURANCE AFFORDEd 8Y 7HE POLICIES DESCRI8E0 HEREIN IS 5U9J�CT TO AL�7HE TERMS, <br /> EXCLI)$IONS AND CONDITIONS OF SUCH POLICIES.LIMITS SMOWN IuAY MAVE BEEN IiEDUCED BY PAID CLAIMS. <br /> IN N TypE OF M9URANCE � p�y N wO�A P �E F P LICY <br /> M LIMITS <br /> aEHERA6 Wsum <br /> E s <br /> cotiw�CUU lse►�ni.Lw&�.nY I 000urrww S <br /> CUUA�S•MAOE ❑OCIJUR MEOExP oneDersaU S <br /> PEA50NN.dAdVIWURY 5 <br /> GFNERALAGGREGATE S <br /> GENLAC(iREdATEUMR/WPLI�SP�R; PRODUCTS.COMPOOPA6G S <br /> POI,ICY WC S <br /> AVTOMOEIIE WBIIITf <br /> i 1 S <br /> ��O fiODILY1NA1flY(PMpNSp�) S <br /> N.LOVIMED 6CFIE ULfO <br /> Aur03 � 80DIl.YM�,MIRY(PKaa�denQ s <br /> HIREOAUr05 ��ED E S <br /> S <br /> S <br /> UMBRELUILIAB �� EACMOCCIIRitENCE S <br /> E1�CESb�us r,W�e,J�E AGCREC�ATE ,4 <br /> p�0 RE7ENipNS S <br /> s <br /> a <br /> q wowcEas co�weNSnnou WCpE0000�109 01 5/2012p12 512012013 ST�T�' � <br /> ANC£MPLOYEkS'WBp.ITY Y!N <br /> O�f� IF�6A�E�EkG,UDE���� N/A ELrrACH11CCIDEI�R S 1 O <br /> K�e�a�,OewWer ELWSEASE-EAEMPI.O S 1 00 <br /> 0-�S'CwatlOw OF oa� f.G oaE�S�-pOUCV uuR S 1000 <br /> B Wor�cers CompensaUon This is For informBUone1 p�rposes <br /> � ���0��e and nol�Ing shall cr�le arry ri�hl <br /> DESCRIPTtOH OF OPERASIONSf LOCATOH8/YEMICLE9(M��oh ACON010/,Add[Uonal Remarks 8eheluls,if mon e0ec�N nqukr0) , <br /> Cove►'8ge provlded(or all leased employeas but not subconlractors of; DaVid N.Paqte dba PaRle Eleclrlc� Refrigeralion <br /> Locatbn Etfedive: 1!ll20S3 <br /> CBRTIF(CATE HOLDER CANCEL T <br /> 771 <br /> SHOULD ANY OF THE AeOVE DE9CRISEb pOLIC1ES 8E CANCELLED BEFORE <br /> Clfy of zephyrhills�guilding dept THE EXPNtAT10N oqTF 7HEREOF, NOTiCE WILL BE DELIVERED IN <br /> 5335 Sth StreeE ACCORWINCE WI7N tHE pOIICY PROVF610NS. ' <br /> zepnyrnnrs F� �s5a2 <br /> �„��,�o�R��„� .'G� <br /> Glen J Distefano <br /> � �� <br /> �1996-2010 AGQRD CORPORATION, All rlghts reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are re$Islered ma�lcs of ACaRD <br /> C¢RT lf0.: 1539149B L�6f�G Xlal 1��1�=OLa La1����J b11 D�9'i 1 OC 1 <br />