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A ORCP CERTIFICATE OF LIABILITY INSURANCE DATE 7/2oW°°2 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 pollcypes) 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 Bouchard Insurance for WBS NAME: tirpj P.O.Box 6090 aLtri'aim (866)293-3600 ext.623 i, ,Nok Clearwater,FL 33758-6090 ADDRESS: INSURERS)AFFORDING COVERAGE I /WC• INSURER A: American Zurich Insurance Company 40142 INSURED Workforce Business Services,Inc.Alt.Emp:Sports Turf One Inc a s 1401 Manatee Ave.West Ste 600 INSURER e Bradenton,FL 34205-6708 INSURER 0: INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: 11FL079806999 REVISION NUMBER: :IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS RTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. of INSURANCE AOO<f: I Po�Y N I 1 M«„Y°n 1 �sFJIERAL IJABaRY EACH OCCURRENCE I f MIMS COMMERCIAL GENERAL I An my DAMAGE TO RENTED IPREMISE t omnmssl S I CUIMS.MADE OCCUR MED E) (My one Peron) S PERSONAL B ADV INJRY S GENERAL AGGREGATE S GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGO I f I POLICY n n LO I ASmoNOBaE LIASSITY COMBINED SINGLE LIMIT (Ea=Cent) S ANY AUTO BODILY INJURY(Par person) f I (AUTOS i I EDU1E0 B000.YWMri(Pe aaidmc) f HIRED AUTOS NON- ED PROPERTY DAMAGE f BM acodeml If FIUMBRELLA LIAR I I OCCUR EACH OCCURRENCE I f EXCESS we I I CLAIMS MADE AGGREGATE I f I I DED I I RETENTIONS S AND EM6LOY LA RJTTY X I rri RV�U"wITS l I°R ANY PRaccurr rrExc lFRIE2GlffIVE YIN A OFF CERtIENBER IX0.A DT n NIA WC 90-00-818-01 12/31/2011 12/31/2012 EL EACH Ate°ENT I f 1,000,000 ylLryaaAldatoryti NH) E.L DISEASE.EA EMPLOYE 1 1,000,000 DESCRIFMON OF OPERATIONS bolos EL.DISEASE-POLICY UNIT I f 1,000,000 Qualifier: Burdell A Haverland Location Coverage Period: 12/31/2011 12/31/2012 Client 001239 DESCRIPTOR OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Aemibnal Remake Seadu*,U more apace Is requbad) Coverage is provided for Sports Turf One Inc Proposal 12.10-03 only those employees 9819 SR 7 Gwen Margolis a Peecan Community parks leased to but not Boynton Beach,FL 33472 subcontractors of: Endorsements:30 days written cancel notice(10 days for non payment of premium) CERTIFICATE HOLDER CANCELLATION ® City of Sunny Isles Beach,City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - 18070 Collins Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sunny Isles Beach,FL 33160 ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORE:ED REPRESENTATIVE ‘9 -- @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD