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<br />ACORDT/< <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />I <br /> <br />PROOUCER <br />J. Smith Lanier & Company <br />11330 Lakefield Drive <br />i1ding 1; Suite 100 <br />wuluth. GA 30097 <br /> <br />---- <br /> <br />INSURED <br />Staffing Concepts International, Inc. etal <br />Inc. <br />4224 West Henderson Blvd. <br />Tampa, FL 33629 <br /> <br />Alt. Emp: Allbrite Electric Service, <br /> <br />INSURER D: <br />INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONmACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~i~ ~~~ POLICY NUMBER P6'^L+~~ri~~~';:~~E Pg~!fJ(~~.n;I5'~~N <br />I GENERAL L1ABIUTY <br />~. COMMERCIAL GENERAL LIABILITY <br />LlJ CLAIMSMAOE 0 OCCUR <br /> <br />[] <br /> <br />L~!:':"'L AGGRE~~E LIMIT AP~S PER <br />'1 POLICY r I j~p';: I I LOC <br /> <br />I <br />I <br />EACH OCCURRENCE $ =1' <br />I ~~~~U9E~~~~~~n~\ S <br />MED EXP (Anyone person) __ ~___'-j <br />I PEnSONAL & AOV INJURY S <br /> <br />LIMITS <br /> <br />GENERALAGGREGA~E <br />: PRODUCTS. COMP/OP AGG <br /> <br />- <br /> <br />GARAGE LIABILITY <br />~. ANY AUTO <br /> <br />EXCESs/UMBRELLA LIABILITY <br />_J OCCUR 0 CLAIMS MADE <br /> <br />n OEDUCTIBLE <br />'-1 RETENTION S <br /> <br />I,' COMBINED SINGLE LIMIT <br />(Ea acadenl) <br /> <br />I ?p~OIL Y INJURy <br />~r person) <br /> <br />il BODILY INJURY <br />(Per accident) <br /> <br />! PROPERTY DAMAGE -- $ <br />I (Per aoodenl) <br /> <br />I AUTOONLY.EAACCIOENT <br /> <br />~TOMOBILE LIABILITY <br />._ ANY AUTO <br />_ ALL OWNED AUTOS <br />_ SCHEOULED AUTOS <br />HIREO AUTOS <br />- <br />_ NON-OWNED AUTOS <br /> <br />- <br /> <br />EACH OCCURRENCE <br />~ AGGREGATE <br />I <br />I <br />I <br />! <br /> <br />EA ACC $ <br />AGG $ <br />$ <br /> <br />, OTHER THAN <br />i AUTO ONLY: <br /> <br />-I~ <br /> <br />--. $ <br /> <br />A <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />ANY PROPRIETORlPARTNERlEXECUTIVC <br />OFFICER/MEMBER EXCLUDED? <br /> <br />"yes. describe under <br />SPECIAL PROVISIONS below <br /> <br />OTHER <br /> <br />we 45-57 -044-04 <br /> <br />03/01/2008 <br /> <br />03/01/2009 <br /> <br />x I T~~~T~I,~'~ I IOJ.t'. <br />I E.L. EACH ACCIDENT <br />~I,;. DISE!\S~ EA E~LOYEE $ <br />, c.L. DISEASE - POLICY LIMIT $ <br /> <br />1,000,000 <br />1,000,000 <br />1,000,000 <br /> <br />I <br />r <br />I. Location Coverage Period: 03/01/2008 <br />I <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHIC LES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />03/01/2009 <br /> <br />Certifjcate#: <br />Client#: <br /> <br />08FL100751659 <br />01419 <br /> <br />Coverage is proVIded for only <br />those employees leased \0 <br />but not subconlraclors of: <br /> <br />Allbrite Electric Service, Inc. <br />4450 NW 126th Ave Suite 1 01 <br />Coral Springs, FL 33065 <br /> <br />CERTIFICATE HOLDER <br />I <br /> <br />CANCELLATION <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />#268 <br />Sunny Isles Beach, FL 33160 <br /> <br />SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE 1'10 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENT ATIVES. <br />AUTHDRIZEOREPRESENTATlVE A ~ ~ <br /> <br />@ACORD CORPORATION 1988 <br /> <br />I <br />I <br />r <br /> <br />ACORD 25 (2001/08) <br />