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s I ACORDm CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) PRODUCER 10/07/2010 Serial TIB120 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SURETY AGENCY, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 552-B NEW HAW CREEK ROAD HOLDER . THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ASHEVILLE , NC 28805 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 828-236-1000 FAX 828 -236- 1001 INSURERS AFFORDING COVERAGE INSURED DICKERSON FLORIDA , INC . - - " INSURERA CHARTER OAK FIRE INS . CO . P . . 60X 910 -- INSURER_ B TRAVELERS INDEMNITY_ COMPANY FT. PIERCE , FL 34954-0910 INSURERC: TRAVELERS PROPERTY CASUALTY CO . OF AMERICA INSURER D, COVERAGES - - INSURER E: 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 . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR LTR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION - - - - " - POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000 , 000 B X COMMERCIAL GENERAL LIABILITY $ 280662907101 /2010 - . - 07/01 /2010 07/01 /2011 FIRE DAMAGE (Any o one fire) $ 300 , 000 CLAIMS MADE X , OCCUR - - - - MED EXP (Any one person ) $ 101000 PERSONAL & ADV INJURY $ 1 , 0001000 - ' GENERAL AGGREGATE $ 2 , 000 , 000 EN'LAGGREGATE LIMIT APPLIES PER: - POLICY ; X PRO , PRODUCTS - COMP/OP AGG $ Z , 000 , OOO JECT � LOC AUTOMOBILE LIABILITY 82806630 07/01 /2010 07/01 /2011 COMBINED SINGLE LIMIT C . X ANY AUTO ( Ea accident) $ 11000 , 000 - ALL OWNED AUTOS i11 - " - - BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS - -" I - BODILY INJURY $ X NON- OWNED AUTOS (Per accident ) PROPERTY DAMAGE d $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO - - - - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 3 , 000 , 000 C X OCCUR CLAIMS MADE 828OB654 07/01 /2010 07/01 /2011 AGGREGATE $ 3 , 000 , 000 DEDUCTIBLE - $ RETENTION $ $ - WORKERS COMPENSATION AND 82806549 07/01 /2010 07/01 /201 1 X WC STATU- OTH A . TORY LIMITS , _ ER _ EMPLOYERS' LIABILITY E. L. EACH ACCIDENT . -$ 500 , 000 E . L. DISEASE--_EAEMPLOYEEI $ 500 , 000 j E. L. DISEASE - POLICY LIMIT is 500 , 000 OTHER I , i I j DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ROADWAY IMPROVEMENTS , IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER SHALL BE ADDED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY PER THE ATTACHED ENDORSMENT . THIS INSURANCE IS PRIMARY OVER ANY OTHER MAINTAINED BY THE CERTIFICATE HOLDER . POLICY INCLUDES CONTRACTUAL LIABILITY COVERAGE . WORKERS COMPENSATION POLICY INCLUDES A WAIVER OF SUBROGATION PER ATTACHED ! ENDORSEMENT. i CERTIFICATE HOLDER ! X ADDITIONAL INSURED; INSURER LETTER : — CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PULTEGROUP , INC . , ITS AFFILIATES & SUBSIDIARIES DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN j NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SAMPLE CERTIFICATE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE KAREN BEARD ACORD 25 -S (7/97) O ACORD CORPORATION 1988