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Feb 20 12 12 : 37p Employee Pro 9042780558 p , l CERTIFICATE OF LIABILITY INSURANCE FC CTE`(0N2 C9 ;; ! B AM 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 ceeficate holder Is an ADDITIONAL INSURED , the pollcy( ies) 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 Ileu of such endorsement(s ). PRODUCER cornu. naNe Highpoint Risk Services LLC rxareru. w. mc (800) 726.0623 Fssruc, sp ; (972 ) 404-03BO 5510 LBJ Freeway , Suite 1200 Ex sooacss: Dallas , TX 75240 INSURERS AFFORDING COVERAGE NAlC f INSURER A cor'2'nion FroPercy "da ,o, tty tns � rance c�sny 1215 ' INSURED: PPS '_ / C / f : INSURERB' TIMCTHY ROSE CCt: TRAC': ING , INC . INSURER C: 1360 Sy: OLD D = X .IE HW -i SU: TE 126 INSURER D : V? RO BEACH , F :. 32962 Phone : # 2 ) 2E6 - 4334 Fax : ( 1 - INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: AC12 - 18900165 - 1073308 REVISION NUMBER : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 VE RIPEN RE nI ICF Y PAIn CI A IMS NSR TYPE OF INSURANCE ADDL 3U8R POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR IAMJR WVD TE II DATEIMMIODfYYI GENERAL LIABILITY EACH OCCURRENCE g COMMERCIAL GENERAL LIABILITY DAMAGE ORtN uvPREM .nco) 5 CLAIMS MADE ❑ OCCUR ❑ ❑ MED EXP (Any one parson) S PERSONAL A ADV INJURY S GENERAL AGGREGATE S GEML AGGREGATE UMIT APPUES PER: PRODUCTS - COMP/OP AGO f POLICYr"l JFERO•T r7 LOC S AUTOMOBILE LIABILITY COMBINED SINGLE UMIT ANY AUTO (Ea amdent) S ALL OWNED AUTOS ❑ ❑ BODILY INJURY (Per person) S SCHEDULED AUTOS BODILY INURY Par acc'iderlry S HIRED AUTOS PROPERTY DAMAGE S (Per sceWenq NON-OWNED AUTOS 5 S UMBRELLA LLABCLAJMS,MADE EACH OCCURRENCE f EXCESS UAB OCCUR D AGGREGATE f DEDUCTIBLE S RETENTION f S WOR IRS COMPENSATION AND X TOR UMI S OTM EMPLOYERS' UABILITY YINFtER ANY PROPERIETORIEXECUTIVE O E. L- EACH ACCiDEN7 $ L000000 OFFICER. MEMBER EXCLUDED? NIA DPF00143530060 01 / 01 / 2012 01 / 01 / 2013 1000000 A (Mandatory In NH) E. L . DISEASE - EA EMPLOYEE S If yea, describe under E.L. DISEASE - POLICY LIMIT S 10130000 SPECIAL PROVISION below DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attschad ACORD101 , Additional Ramsrks Schedule, H more space is mquirsd This certificate r i S in effectt ro ided th cl1ient ' s ccount is in pod standin w tth PPS . ov88ragqe is qt pLovLede� r an Y emAlo �Q or whic� th c _ 1 n not re rii waj s oto SPS . DR11 � S0 iU 9C DL jhe YmA 0 Mat o : PS leaved tp TIMO� HY F. e CemenACTINC: � i � ., �eftective 11770011 flflLL 1111 PPr ^ ttIh _ oCLmation : bthh AEe . SW CLllert 1Ret acement Nort o 23r St . Sw ns re is of o d O rs ompensation 6 mployers iabi i y as a co - emp oyer un er the po cy for emp OyeeS leaserd ? rom . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH = NDIh22 RIVER COUNTY PURCHAS : N' DEPARTh; El: T THE POLICY PROVISIONS. - E00 2 ' th STREET VFPO REACH , CL 32960 r AUTHORIZED REPRESENTATIVE ACORD 25 (2010105 ) © 19884010 ACORD CORPORATION . All right reserved