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ACS O" CERTIFICATE OF LIABILITY INSURANCE our T1 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 POUCIES } 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 Follcylles)must have ADDITIONAL INSURED provisions or be endorsed- "If SUBROGATION IS WAIVED, subtect to the terms end conditions of the policy. certain policies may raoubo an endorsement A statement on Ws certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRmUCER SUNZ Insurance Solutions, LLC. ID: (Action) rein-LT f• Lisa Beaty do Action Labor Management LLC WOVE 624 Nottingham Blvd tic.rWI 352-667-2866 tr its): West Palm Beach, FL 33405 ADDRESS: 9sabeaty©loa,sa.mn INSURER(S)AFFORD=COVERAGE WAX• WHERE'A: SUNZ Insurance Company 34762 MOOtion Labor Management.LLC mammae: Aspen Re-London-Best Rating'A.- I ADba'Stafftng Connections Di:uma c: Chaucer Syndicate-Lloyds-Bast Rating'A.' Action Labor of Florida,LLC mums/o: Faraday Syndicate-Lloyds-Best Rath *A= 624 Nottingham Blvd , ,�R E: I INSURER„ West Palm Beach FL 33405 INSURER r: 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 CONDr1TON 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. 04RI A1313311A13133110331-1POLICY EFF VOUCH Ell I LTR TTL OfIAIID.w-! Add LAW! POLICY MfI®FA rIRHTPYYWI Ie WDNYYYTI "OTS 4 I COME RCIAL 6EADM UL LIAAY EACHCCU ORRENCE I "ES1 RUC 1-1 CLANSUADE 0 CC GUN PAMAGE5(1Eaemfeercsf_,5 MED EC.(Aro Dm Deo() IS I PERSONAL 4 ADV LVURY Ie GE.vt AGGREGATE MUT APPLES PER: GENERAL AGGREGATE _II POLICY ri y.CT 1_I LOC PRONICRS-CO MYOP AGG I$ OTHER: - I I yntMI*I E UABRIT a�SINGLE UNIT l NAY AUTO BOOZY LNAIRY(Pm lawn) • AmosO cNAY A{fI05 ED DOOLY AWRY(h Ammnt) f • NJRED NONOAWED PNOPERTYDAWGE AUTOS ONLY — MOS ONLY .I?�P'dev.O I IL 1110REI•AUA! OCNR EKH(lCCtrWRENCE It [ACLU LIAO l—I LLANLSYAJE AGG2G.tE I I -- I DED I I DEIFY:1CW} l I I I A WORxERS COIPENSATION WCSTF0000324 02 7/10/2016 1/102017 I sTRR _u I Lilt”- ARD EMPLOYERS'UAetIY YIN WCSTF000032401 1/102015 1/10/2016 flTi NnvRDPRIETam9ARTIF_REAELInNE N'I NrA E.L.EACH CODES/ I 1,000.000 Or n%ZRLFuRFREACLUOED, ' (MYa�id� laey M 101 E L.DISEASE-EA EMPLOYEE f 1,000 000 DESCRPICW CC OPERATIONS ISR EL DISEASE-POLICY LIMIT 5 1,000,000 B Workers Compensation N TI'Js is for DCcfTmtional purposes C Excess Coverage and nothing shall create any right O I under such reinsurance. CESCRPRON OF OPEAATa"S I LOCATIOMS/VEHICLE!(ACORN ICI,ANDIlasal wmena scfscJAna7 tm HINDS If more.pace I.nit5•41 Workers'Compensation coverage applies only to those temporary employees assigned by Action Labor of Florida.LLC.but toes not extend any other rights or endorsements,unless explicitly requested. CERTIFICATE HOLDER CANCELLATION Cityof SunnyIsles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 18070 Collins Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Sunny Isles FL 33160 . AUTHORIZED REPREMNTATTYE // I Glen J Distefano �'�fyVj/''�/ eD 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2015/03) The ACORD name and logo are registered marks of ACORD 1P042GS: I natter Cent/tear, I LI.A ant 14/T./NOIR I:1sn: FM Ion I PAs. I a: - IB U