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iguulf „ CERTIFICATE 4F LIABILITY INSURANCE CERI I1ICATEN0DATE <br />Hell-]-�8snules-1o4naen <br />9/23!'701] 2:OH:36PM <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />5501 Lint Risk yr SUITE LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5501 I , FR75240, 80Ixs 1200 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Dallas, TX 75240 <br />(800) 728-0623 (972) 404-0380 <br />Fax: (972) 404-0380 INSURERS AFFORDING COVERAGE <br />INSURED: pPS 1/c/f: INSURER A: <br />'C" MO; NY ROS}'• INSURER 8: <br />1300 SW OLD DIXIE HWY SUITE 1.00 <br />VENO B:ACH, FL 32962 INSURER C: <br />("7'12) 206-4334 Fax: INSURER D. <br />INSURER E. <br />THE POLICIES OF INSURANCE L187ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERK)D MIDICATEDa NOTWITHSTANDING <br />ANY REOUNiEME. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POL)CIES. AGGREGATE LIMIT'S BROWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />7tAl. LIABR.ITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F'j OCCUR <br />GEN'L AGGREGATE LJMIT APPLIES PER: <br />I POLICY n TA 1 ^ 1 LOC <br />AUTOMOBILE LUU3ILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILRY <br />ANY AUTO <br />EXCESS LIABILITY <br />OCCUR �CLAIMSMADE <br />DEDUCTIBLE <br />RETENTION S <br />WORKERS COMPENSATION AND DPEOU12C144U0(0 <br />EMPLOYERS' LIABILITY <br />OTHER <br />03/23/2011 101/01/2012 <br />EACH OCCURRENCE S <br />FIRE DAMAGE (Any One FM) $ <br />MED EXP (Any, one person) S <br />PERSONAL & ADV INJURY 3 <br />GENE RAL AGGREGATE S <br />PRODUCTS-COMPfOPAGO li <br />COMBINED SINGLE LIMIT ( 3 <br />(Ee ecddent) <br />BODILY INJURY <br />(Per person) <br />BODILY tNURY 'S <br />(Per ecddent) <br />PROPERTY DAMAGE $ <br />(Pereccidenq <br />AUTO <br />a <br />E L EACH ACCIDENT S <br />E L DISEASE - EA EMPLOYEE i <br />E L. DISEASE • POLICY LIMIT 3 <br />LIMITS I S <br />LIMITS S <br />. This certificate remains in effect, provided the cl.i.ent.'s accounC is :in gciod standingq with PPS. <br />Overage i.s not provided far any employee for which the client: is not repportingq wages fo PPS. <br />aplies to 1C0� of the emplo ees of PPS leased tD TIMOTHY ROSE CONTRPCTTNG, TNC., effective <br />3123/201.1. 2. Insured .is <br />e policy for employees leased aed ffrom PPS. Workers c:Dmpensation ti t:mj,oyer.9 l..i.ability as a co-emp_oyer under <br />1 <br />CERTIFICATE HOLDER ( 1ADDITIONALINSURED;INSURERLETIER: <br />iNDIhN <br />RPdEH <br />CUUiJ';'r' <br />PURCHA"11N(:, <br />ONLY, EA ACCIDENT <br />3 <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />B <br />S <br />EACH OCCURRENCE <br />S <br />AGGREGATE Is <br />a <br />E L EACH ACCIDENT S <br />E L DISEASE - EA EMPLOYEE i <br />E L. DISEASE • POLICY LIMIT 3 <br />LIMITS I S <br />LIMITS S <br />. This certificate remains in effect, provided the cl.i.ent.'s accounC is :in gciod standingq with PPS. <br />Overage i.s not provided far any employee for which the client: is not repportingq wages fo PPS. <br />aplies to 1C0� of the emplo ees of PPS leased tD TIMOTHY ROSE CONTRPCTTNG, TNC., effective <br />3123/201.1. 2. Insured .is <br />e policy for employees leased aed ffrom PPS. Workers c:Dmpensation ti t:mj,oyer.9 l..i.ability as a co-emp_oyer under <br />1 <br />CERTIFICATE HOLDER ( 1ADDITIONALINSURED;INSURERLETIER: <br />iNDIhN <br />RPdEH <br />CUUiJ';'r' <br />PURCHA"11N(:, <br />1GOG 2"'I'FI <br />ST <br />BLDG <br />B <br />CANCELLATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FA0.URE TO 00 60 SHALL <br />IMPOSE NO OBLgATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES, <br />AUTHORQED REPRESENTATIVE <br />r" ' <br />