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<br />~ <br /> <br />ACORO@ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) <br />~ 6/11/2010 <br />PRODUCER (813)890-0415 FAX: (813)885-4311 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PrimeGroup Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />5440 Beaumont Center Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite #445 <br />Tampa FL 33634 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: FCCI Insurance Group <br />Tenex Enterprises, Inc. INSURER B: Employers Preferred Ins. Co. <br />850 SW 14th Court INSURER C: <br /> INSURER D: <br />Pompano [Beach FL 33060 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, NOTVVITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT 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 OI5UCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR [ADD'L TVDO: no: IN~III'4"'r.o: POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> 0 <br /> ~NERAL LIABILITY EACH OCCURRENCE $ 1.000 000 <br /> ~ 5MMERCIAL GENERAL LIABILITY ~~~a~~S Ea occurrencel $ 300 000 <br />A - CLAIMS MADE W OCCUR pLOOO4B61 6/25/2010 6/25/2011 MED EXP (Anyone person) $ 10 000 <br /> ~ Blanket Addt'l Insd PERSONAL & ADV INJURY $ 1.000 000 <br /> - GENERAL AGGREGATE $ 3 000 000 <br /> ~'LAGGREr~!r LIMIT AnS PER: PRODUCTS-COMP~PAGG $ 3.000 000 <br /> X POLICY ~~P.T LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> ~ ANY AUTO (Ea accldenl) <br />A '-- ALL O'tvNED AUTOS ~OOO5134 6/25/2010 6/25/2011 BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-O'tvNED AUTOS (Per accident) <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> NN AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> ~ESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 3 000 000 <br /> X OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br />A M DEDUCTIBLE PMsOOO57B61 6/25/2010 6/25/2011 $ <br /> X RETENTION $ lO.OO( $ <br />B WORKERS COMPENSATION X 'NC STATU- X IOJ~- <br /> AND EMPLOYERS' LIABILITY Y/N <br /> ANY PROPRIETORlPARTNERlEXECUTIVE D E,L. EACH ACCIDENT S 1. 000 000 <br /> OFFICERlMEMBER EXCLUDED? ~CV70614B2 6/30/2010 <br /> (Mandatory In NH) 6/30/2011 E,L. DISEASE - EA EMPLOYE $ 1 000 000 <br /> ~~~Mts~~~~~1~~s below E.L. DISEASE. POLICY LIMIT $ 1. 000 000 <br />A OTHER Inl.and Marine ~OO5136 6/25/2010 6/25/2011 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SHOULD 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 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KlND UPON THE INSURER. ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE ~c-:: 7~,,~1..- <br />Ed Ellsasser <br /> <br />ACORD 25 (2009/01) <br />INS025 (200901) <br /> <br />@ 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are regIstered marks of ACORD <br />