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wt IV1 1 1 AcoRo - CERTIFICATE OF LIABILITY INSURANCEDATE IMWDDIYYYY ) llkm� 1 06 /13/ 11 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 (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 lieu of such endorsement (s). CONTACT PRODUCER 888 -822- 1173 NAME: Terri Talley Hawkins 8 Rawlinson , Inc . a334-821 -5801 a334-821 -5800 cP . O. Box 3493 - /cN : Nol: 334 -821 -5801 2515 East Glenn Ave , Ste 101 EMAIL ADDRESS: ttalley@hrinsurance . com Auburn , AL 36831 -3493 PRODUCER Chuck Hawkins &USTOMFRID #: TAGGR - 1 INSURER(S) AFFORDING COVERAGE NAIL k INSURED TAG Grinding Services , Inc. INSURER A : Companion Property & Casualty 12157 JWB Leasing Co. , Inc . INSURER B : 1113 Horseshoe Bend Road INSURER C : Dadeville, AL 36853 INSURER O : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : REVISION NUMBER : 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 I ADDTYPE OF INSURANCE L POLICY NUMBER SUSH MWDDYYYY MUCY EFF M LICY EXP TR /DO/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ MA COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MAOE OCCUR MEO EXP (Any one person) $ PERSONAL & ACV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINEO SINGLE LIMIT S ( Ea accident) ANY AUTO BOOILY INJURY (Per person) S ALL OWNEO AUTOS SOOILY INJURY (Per accident ) S SCHEOULEO AUTOS PROPERTY OHMAGE S HIREOAUTOS ( Per accident) NON-OWNEO AUTOS $ S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR ClAIMS-MAOE AGGREGATE $ OEOUCTIBLE S RETENTION S $ WORKERS COMPENSATION X WCTATU- OTH - AND EMPLOYERS' LIABILITY T SIT R A ANY PROPRIETORiPARTNER/EXECUTIVE YIN N / A WC3613878 01 01 07/27/10 07/27/11 E. L. EACH ACCIDENT S 17000, 00 OFFICER/MEMBER EXCLUOEO? El (Mandatory in NH ) E. L. OISEASE - EA EMPLOYEE $ 1 , 000100 It yes, describe under DESCRIPTION OF OPERATIONS below E. L. (DISEASE - POLICY LIMIT I S 11000100a DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Anaeh ACORD 101 , Additional Remarks Schedule, If more space Is required) Grinding I Covered states are Georgia , Alabama , Texas and Florida I CERTIFICATE HOLDER CANCELLATION INDVE02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Indian River County Board ACCORDANCE WITH THE POLICY PROVISIONS. of Commissioners AUTHORIZED REPRESENTATIVE 1800 27th Street Vero Beach, FL 32960 © 1988-2009 ACORD CORPORATION . All rights reserved . ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD