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� • DATE(MMIDD/YYY1� ACOR� CERTIFICATE OF LIABILITY INSURANCE 03/05/2013 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 certificate does not confer rights to the certificate holder in lieu of such endorsement s . PRODUCER NAME: Michael E.Santarsiero PHONE , g14 412-0559 aC Na; 914 381-1134 c/o Kevin Spero Whitelaw,Inc. E.�,�Ai� 500 Mamaroneck Ave. nooreess: Harrison,NY 10528 INSURER S AFFORDING COVERAGE NAIC# iNSUrtertn: Zurich-American Insurance Company 16535 INSURED INSURER B. DSK Group,Inc.et al Alt.Emp:C&C ELECTRICAL CONTRACTORS INC �NSURER C: dba:C&C ELECTRIC of TAMPA BAY,INC 6715 W Grover Cleveland Blvd INSURER D: Homosassa,FL 34446 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER:12FL076799792 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 BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE �DL SUBR POLICY EFF POLICY EXP LIMITS lTR POLICY NUMBER MM/DD MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILIN DAMA E T RENTED PREMI ES E cc rrence $ CLAIMS-MADE � OCCUR MED EXP(My one person) $ PERSONAL 8 ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PR� LOC $ AUTOMOBILE LIABILITY M IN D IN LE LIMI Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-0WNED PPe�a c dentDAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y 1 N �' ANY PROPRIETOR/PARTNERlEXECUTIVE E.L.EACH ACCIDENT $ 'I,OOO,OOO A OFFICERlMEMBER EXCLUDED? � N�A WC 40-51-06&05 10/25/2012 10l25/2013 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,DU�,UO� If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Location Coverage Period: 10/25/2012 10/25/2013 Client# 35-FL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additlonal Remarks Schedule,N more space Is requirod) Coverage is provided for C&C ELECTRICAL CONTRACTORS�NC dba:C&C only those employees ELECTRIC of TAMPA BAY,INC leased to but not 15915 N Florida Ave subcontractors of: Tampa,FL 33549 CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHRYHILLS-BLDG.DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5335 8TH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ZEPHYRHILLS,FL 33542 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i�� �O 1988-2010 ACORD CORPORATION. All rights reserved.