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Gevity 8 / 31 / 2009 3 : 57 PM PAGE 2 / 002 Fax Server <br /> Certificate of Insurance <br /> This cert f cate Is Issued as a matter of Information only and confers no rights upon the Cerfificate Holder. This cartlficate does not amend, <br /> extend , or alter the <br /> coverage afforded by the policies desalbed hereln . <br /> Named Insured(s) ; <br /> TriNet HR Corporation <br /> Gevity HR , Inc and all its affiliates & subsidiaries' <br /> Masteller Moler Reed & Taylor Inc (Endorsed as alternate employer) Insurer Affording Coverage <br /> COMMERCE AND INDUSTRY INSURANCE COMPANY (A) <br /> 9000 Town Center Parkway <br /> Bradenton , FL 34202 <br /> Covera es ; <br /> The polices of Insurance listed below have been Issued to the Insured named above for the pollay period Indicated. Notwithstanding any requirement <br />, term or <br /> condition of any contract or other document with resped to which the Certificate may be Issued or may pertain , the Insurance afforded by the <br /> polldes described <br /> herein Is subject to all the terms, exduslons and conditions of such policies. Aggregate limits sham may have been reduced by paid calms. <br /> Tlns7umn7ce <br /> Effective Expiration Limits <br /> InsurerPolicy Number State Date Date ® WC Statutory Limits <br /> A 023259191 FL 07 -01 -2009 07-01 -2010 <br /> Workers' Employers Liability <br /> Compensation <br /> Bodily Injury By Accident <br /> $2 ,000, 000 Each Accident <br /> Bodily Injury By Disease <br /> $2 ,000 , 000 Policy Limit <br /> Bodily Injury By Disease <br /> $2 ,000, 000 Each Person <br /> Others ; Client Number 11783 <br /> Project Name : 2005 - 2010 Extension - Indian River County Public <br /> Works Dept 60725 <br /> The above referenced workers' comp ansail on polldes provide statutory benefits only to the employees of the Named Insureds) on such policies, not <br /> to the <br /> employees of any other employer. <br /> " Gevity HR, Inc; GwIty HR, LP; Gevity HR II , LP; Gevlly HR III, LP; Gevity HR IV , LP ; Gevity HR V , LP; Gevity HR VI , LP; <br /> Gevity HR VII , LP; Gevity HR VIII , <br /> LP ; Gevity HR IX , LP; Gevity HR X , LP; Gevity HR XI , LLC ; Gevity HR XII Corp . ; Gevity XIV , LLC <br /> Cancellation : Should any of the above described policies be cancelled before the expiration date thereof, the Insureraffording coverage <br /> will endeavor to mall 22 days wrftten notice to the cadlflcate holder named herein, but failure to mall such notice shall Impose no <br /> obligation or <br /> liability of any kind upon the Insurer affording coverage, its agents or representatives . <br /> Certificate Holder: <br /> r44"pl A1e4 Scwveare We &aW. 1#4 . <br /> Indian River County Building Division AON Risk Swvlcu Northeast, Inc. <br /> Adn: Michael O' Brien Authorized Representative of AON Risk Services <br /> 1801 27th St <br /> Vero Beach , FL 32960 ( 866) 443 848g 06 / 31 sued <br /> Phone Dale Issued <br />