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,acoRrD CERTIFICATE OF LIABILITY INSURANCE L-� DATE (MMIDDIYYYY) 2/1 /2012 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Commercial Lines Division NA P Jack Rice Insurance 13080 S Belcher Rd A "C No t: (727) 530 -0684 AIC No: (727)532 -9602 E -MAIL ADDRESS: GENERAL LIABILITY PRODUCER CUSTOMER 0000914.1 INSURER(S) AFFORDING COVERAGE NAIC 9 Largo FL 33773 INSURED iNSURERA:Travelers Insurance Co. 36170 INSURER B:Travelers Insurance Co. 6170 LIMA Engineering Corp. INSURERC:Travelers Insurance Co. 36170 4101 Ravenswood Road Suite #113 Dania Beach FL 33312 1 lN5URER D : IS 100,000 INSURER E: S 5,000 INSURER F; S 1,000,000 MM?ANInrw.r■ n1l M11 LOI N^JmY/`ii!LUYYL•rr .1 ATA r4r i.3111.aMIa 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. INSR LTR TYPE OF INSURANCE -INSR A D UBR WVD1 POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYY LIMITS GENERAL LIABILITY EACHOCCURRENCE ! S 1, D00,000 A �IICLAIMS-MADE MERCIAL GENERAL LIABILITY ❑ OCCUR i 6607AO45009 i 0/1/2011 10/1/2012 DAMAGE T E PREMISES(Eaocrunece IS 100,000 EM' D EXP(Anyone person) S 5,000 PERSONAL & ADV INJURY S 1,000,000 GENERALAGGREGATE S 2,000,000 { GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S 2,000,000 X POLICY PRO LOG 5 AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 BODILY INJURY (Per person) S B ALLOWNEDAUTOS A6A43962711 9/12/2011 9/12/2012 BODILY INJURY (Per accident) $ X SCHEDLLED AUTOS HIREDAUTOS PROPERTY DAMAGE (Peraccidert) S X ' NON- OWNEDAUTOS I S S ' X UMBRELLA LIAB X OCCUR EACHOCCURRENCE S 3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE S 3,000,000 DEDUCTIBLE $ �SFCUP3797T941 .A X RETENTION $ 1(),000 0/1 /2011 0/3/2012 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEYIN OFFICERIMEMBER EXCLUDED? Ej (Mandatory In NH) If yes, describe under NIA UB3822T49312 /25/2012 1/25/2013 X WC STATU- IOTH- E.L EACH ACG DENT $ 1,000,000 E.L. DISEASE - EA EMPLOYED S 1,000,000 E.L. DISEASE - POLICY LIMIT I S 1,000,000 r DESCRIPTION OF OPERATIONS below I r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) l.Ll\ 1 I[ -I l I V LtJl�r\ FOR INFORMATION PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Cynthia Webster /LAIR AL;Urtu Zo t.4UUUIUV) (0 1 98 8 -2009 ACORD CORPORATION. All rights reserver INS025 (200909) The ACORD name and logo are registered marks of ACORD