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OROS ACrao"YYYI CO CERTIFICATE OF LIABILITY INSURANCE OATS I 'm 524/2016 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(les)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms end conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In/IOU of such andoraement(s). ' PRODUCFACONTACT SUNZ Insurance Solutions, LLC. ID: (Action) NAME: Lisa Beaty do Action Labor Management LLC PHONE FAA 624 Nottingham Blvd .iNC .E.0 352-867-2866 cA/clxe): West Palm Beach, FL 33405 ADDRESS: esa.beaty.©loausa.com INSURERS)AFFORDING COVERAGE NAIL• B4suRER A: SUNZ Insurance Company 34762 INSURED INSURER B: Aspen Re-London-Best Rating"A+' Action Labor Management, LLC Dba Staffing Connections INSURER C: Chaucer Syndicate-Lloyds-Best Rating At' Action Labor of Florida, LLC INSURER o: Faraday Syndicate-Lloyds-Best Rating'A+' 624 Nottingham Blvd INSURER E, West Palm Beach FL 33405 INSURER F: COVERAGES CERTIFICATE NUMBER: 30042052 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. OISR Abei take POLICY EFF POLICY SIP LTR TYPE OF INSURANCE INSOJjWRI POLICY NUMBER PMMIDGYYWI IMWDOM'YYII LOOTS COMMERCIAL GENERAL LABDJTY GIALNSIMDE FI OCCUR EACH OCCURRENCE 5 ' AMAORFt7TED— INIEMISESiea oqueerceL a I MED EXP(AnY re person) S PERSONAL A ADV INJURY GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE IS POLICY PRO-JECT !LOC PRODUCTS-COMPOPAGG 15 OTHER: I5 AUTOMOBILE LIABILITY �.SaWED SINGLE LIMIT. f ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED • AUTOS ONLY _ AUTOS BODILY INJURY(Par accident) 5 • HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY -(Per n t) If iUMBRELLA LJAS I � JII I OCCUR I EACH ENCS I S EXCESS DM I CLAIMS-MADE-MADEIIID AGGREGATE EGAtE I f DEO IRETENfON$ S A WORMERS COMPENSATION WCSTF0000324 02 1/10/2018 1/10/2017 /I PPERTUTE 1 1 E1Rw AND EMPLOYERS'UMNUTY YIN WCSTF0000324 1/10/2015 1/10/2018 ANYPROPRIE TOn PAR TNERIEXECUT W E OFTICEBMEMSEREXCLUOEDT II NIA E.L.EACH ACCIDENT S 1.000.000 (Mandatary In MI) E.L.DISEASE-EA EMPLOYEE 5 1,000000 DESCRIPTION OF OPERATIONS Cabot E.L.DISEASE•POLICY LIMIT S 1,000.000 B Workers Compensation This Ls for informational purposes C Excess Coverage and nothing shall mate any right 0 under such reinsurance. OESCRW110N OF OPERATIONS/LOCATIONS I VEHICLES(AGGRO 101,AAd111onel Renu*.Schoch*rimy be Mashed If more.pace Ie required) Workers'Compensation coverage applies only to those temporary employees assigned by Action Labor of Florida,LLC,but does not extend any other rights or endorsements,unless explicitly requested. CERTIFICATE HOLDER CANCELLATION City of SunnyIsles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 18070 CollinTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SunnyIslesAvenue ACCORDANCE WITH THE POLICY PROVISIONS. 3160 - AUTHORIZED REPRESENTATIVE .......11 Y —_ -7 gale- I Glen J Distefano CI 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 12242052 I !Mater Certificate I Lisa Beaty 15/2./2056 1.15:15 IM I®2) I Page l o: 1