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CERTIFICATE OF LIABILITY INSURANCE 1 0.:.1/2/2014 Producer: Lion Insurance Company This certificate Is Issued as a matte of Information only and confers no 2739 U.S.Highway 19 N. rights upon the Certificate Holder.This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727)93 8-5562 Insurers Affording Coverage NAIL# Insured: South East Personnel Leasing, Inc. & Subsidiaries ins"`ef A' Lion Insurance CrmPany 11075 r 2739 U.S.Highway 19 N. insurer B: Holiday, FL 34691 insurer C: Insurer D: Insurer E: Coverages The pdedes of Insurance kstea below have been issued to the Insured named above 4or the policy period relocated. Notwithstanding any requirement.term or wnnson of any contract or odter document Imes shown rra have been reducedbyby paid bairns. �y pertain,the resonance afforded by the podded aescrieed herein is subject to ell the lerrrs,adusiorts,and carbide=of such policies.Aggr•gree IHSR ADM T Poligr Effective Policy Expiration - LTA INSRD Type of Insurance Policy Number Date Date Limits (MM/DD/YY) (MM/DDIYY) GENERAL LIABILITY Commercial General Liability Each occurrence 5 Claims Made ❑ Occur Damage to rabid premises(EA occurrence) S Nov Ev s General aggregate Emit applies per: Personal Adv Injury s D policy El Ptojed 13 LOC General Aggregate S • Products-Co're Op Agg S AUTOMOBILE LIABILITY rconeinea Single Limit My Auto (EA AcddeM) S i■ Ad Owned Autos —Body Injury ■.ie Scheduled Autos (Per Person) S Hired Aube Bodily ln)ury "m Non-Owned Autos (Pa Accident) s Property Damage rs∎ (Par Accident) S I 4 EXCESS/UMBRELLA UAB1LITY Each Occurrence Occs El Claim Made r AfilieTabi Deducible A Workers Compensation and WC 71949 01/01/2014 01/01/2015 X I WC Statu- i J OTH- Employers'Liability tors omits ER Any proprietor/partner/exeaftive of edmember E.L.Each Accident r S1,000.1:00 excluded? No if Yes,describe under special provisions below. E.L.Disease•Ea Empkryee 51.000,000 . E.L.Disease-Policy Limits $1,000.000 Other _ Lion Insurance Company Is A.M.Best Company rated A-(Excellent). AMB#12616 Descriptions of Operations/LocafionsNehfcles/Exclusions added by Endorsement/Special Provisions: Coverage only apples to active employee(s)of South East Personnel CAert ED: 37-02-040 Leasing,Inc.& that are leased to the following'Client Company: Florida Engineering and Development Corp. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries amve employee(s;,while working n:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A Est of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by cling(727)938-5562. Project Name: NW 14TH STREET HEALTH DISRICT,B-30500 WAIVER OF SUBROGATION APPLES W FAVOR OF CITY OF MIAMI FLORIDA/ISSUE 01.02-14(TD) CERTIFICATE HOLDER _ CANCELLATION ttteoish Dale 2/26/7031 CA Should any of the above described policies be conceded before the en:erslion date thereof,the issuing insurer wit enoeavor to nail 30 days written notice to the certificate holder named to the left but failure to do so shad emcee no obligation or tiab0ty of any kind upon the insurer,its agents or representatives.