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ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDlYYYY} 11 5/18/2016 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 have ADDITIONAL INSURED provisions or 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). PRODUCER SUNZ Insurance Solutions, LLC. ID: (PMI) CONTACT NAME_ Joanne Allen c/o Payroll Managgement Inc. of Delaware 348 Miracle Parkway SW Suite 39 —� X PHONE FA E -MAIC° EXtr_ $50 �s6-7a2o __ _ _ {ArC,No} 888_4$3_1697 Fort Walton Beach, FL 32548 ADDRESS:._ _ _ . Hours@pmipeo.com _ INSURER($} AFFORDING COVERAGE NAIC # — -- INSURER A: SUNZ Insurance Company_ -_ 34762 __ - INSURED Payroll Management Inc. of Delaware INSURER B : Aspen Re - London - Best Rating "A+" INsuRER c : Chaucer�ndicate - Lloyds _Best Rating "A+" 348 Miracle Strip Parkway SW, Suite 39 $ - Fort Walton Beach FL 32548 INSURER 0: Faraday Syndicate - Lloyds - Best Rating "A+" INSURER E: ----'-- _ -- --- - -- 1' $ - INSURER F: I rnvFRAr.FR rFRTIFIrATF NIIIVIRFR• ')QQA71R7 RFVISION Nt1MRFR- 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. INSRTYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DI D/YYVY MM DD/YYYY LIMITS LTR i 'COMMERCIAL GENERAL LIABILITY Vero Beach FL 32960 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE sr. EACH OCCURRENCE DAMAGE TO RENTED t` 1 CLAIMS -MADE .. OCCUR PREMISES Ea occurrence 1111 $ - MED EXP (Any one person) $ - __ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ F I PRO- I- POLICY L JECT t -J LOC PRODUCTS - COMP/OPAGG S OTHER: $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT (Ea acc-dent)_ — I` ANY AUTO— BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per acadent) $ AUTOS ONLY AUTOS -_-_ HIRED NON -OWNED ( PROPERTYDAMAGE $ -__ AUTOS ONLY AUTOS ONLY , (Per accident)___,-. UMBRELLA UAB _ OCCUR _'IMS I EACH OCCURRENCE _ $ EXCESS LIAB -MADE I AGGREGATE $ ' DED RETENTION S i ` $ A WORKERS COMPENSATION WCPE0000035301 11/1/2015 11PER OERH AND EMPLOYERS' LIABILITY Y / N 1/1/2016 1/ STATUTE _ - - ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? : NIA (Mandatory in NH) ' E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B (Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. I DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage provided for all leased employees but not subcontractors of: ALL WEBB'S ENTERPRISES, INC. Client Effective Date: 5/1/2016 Coverage only applies to injuries incurred by PMI & Subsidiaries active EE's while working in the state of FL. Coverage does not apply to statutory EE's or independent contractor(s) of the client Co. or any other entity. Does not cover USL&H PROJECT: South County Water Treatment Plant Well No. 7 Well, Wellhead and Appurtenances and South Oslo Road Water Treatment Plant Floridan Aquifer Wells Rehabilitation rFRTIFICATF I4r1I (IFR rANr.FI I ATInN 1329 {radian River Count County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1800 27th Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Vero Beach FL 32960 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE sr. Glen J Distefano ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2996'1167 1 Master Cett.ificate. I Lakeluuha Straka- Conway 1 h/10/2016 11:19 18 PM (EDT) I Page 1 of 1