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if 1211012010 13:28 Lion Insurance LION INSURANCE COMPANY- ►GROUNDKEEPERS, INC 1/1 CERTIFICATE OF LIABILITY INSURANCE Date 1211012010 Producer: Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # (727) 938 -5562 Insured: South East Personnel Leasing, Inc. 2739 U.S. Highway 19 N Holiday, FL 34691 Insurer A: Lan Insurance Company 11075 Insurer B: Insurer C: Insurer D: Insurer E: Coverages 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 mth 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 Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSIRD Type of Insurance Policy Number Policy Effective Date Policy Expiration Date Limits (MM /DD/YY) (MM /DDNY) GENERAL LIABILITY Each occurrence 4 Commercial General Liability Claims Made ❑ Occur Damage to rented premises (EA occurrence) Mod Exp Personal Adv Injury General aggregate limit applies per: Policy 1:1 Project 11 LOC General Aggregate Products - Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Urnt (EA Accident) $ Arry Auto Bodily Injury AN Owned Autos (Per Person) Scheduled Autos Bodity Injury Hired Autos Non Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS /UMBRELLA LIABILITY Each occurrence Occur Claim Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2010 01/012011 X WC Statu- I CTH- Employers' Liability tory Limits ER E.L. Each Accident $1,DOO,000 Any proprietor /partner /executive officer /member E.L. Disease - Ea Employee $1,000,000 excluded? If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1900,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations/ Location sNehicles /Exclusions added by Endorsement /Special Provisions: Client ID: 06 -65 -784 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following "Client Company ": Groundkeepers, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938-5562 - Project Name: FAX: 305 -825 -1713 / ISSUE 12 -10 -10 (SR) Begin Date:2 22/2007 CERTIFICATE HOLDER CANCELLATION CITY OF SUNNY ISLES BEACH Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will OFFICE O F THE CITY C L E R K endeavor to mail 30 days written notice to the certificate holder named In the left, but failure to do so shall impose no obligation or liability of any Idnd upon the insurer, its agents or representatives. 8070 COLLINS AVE SUNNY ISLES, FL 33160 6 0 RFP- (o- ll -01-o Z0lD