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® AC Ma CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/23/2014 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). PRODUCER,CONTACT SUNZ Insurance Solutions LLC ID_ (Essential) c/o Essential HR, Inc. dba irst Star HR 251 O'Connor Ridge Blvd Suite 370 Irving, TX 75038 NAME Jennifer Hanger POLICY EFF (MMIDDIYYYY) PHONE EXn: 214-492-1986 FAX No): E-MAIL(, ADDRESS: jennifer.hauger@firststarhr.com NAIC # INSURERIS) AFFORDING COVERAGE INSURER : SUNZ Insurance Company INSURER a : Aspen Re - London - Best Rating "A" 34762 INSURED Essential HR Inc dba Employee Professionals 251 O'Connor Ridge Blvd Suite 370 Irving TX 75038 INSURER : Catlin Syndicate Lloyds - Best Rating "A" INSURER D: Brit Syndicate - Lloyds - Best Rating "A" $ __ INSURERS: INSURER F • \+Vvcmm.GJ v�..,�.,. ...r, ... ......... �.�. �ivuA.vly 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 ILTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ __ —1 I-1 OCCUR DAMAGE TD -RENTED _ N I$gS jEa occurs :.) $ CLAIMS -MADE _ERE MED EXP (Any one person) $ �_ '_ 1 PERSONAL & ADV INJURY $ _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- r--1POLICY I LOC PRODUCTS -,COMP/OP AGG _ - .J JECT I OTHER, $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT accident) $ ^ ANY AUTO _(Ea BODILY INJURY (Per person) $ .._ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ _._ AUTOS HIRED AUTOS _ AUTOS NON -OWNED PROPERTY DAMAGE (perac$Ldent) $ _ AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ . EXCESS UAB CLAIMS -MADE AGGREGATE' $ DEO 1 1 RETENrONS $ , A WORKERS COMPENSATION WCPE0000018402 10/1/2014 10/1/2015 f STATUTE I ERH _ AND EMPLOYERS' UABIUTY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WCPE00000184 01 10/1/2013 10/1/2014 EL. EACH ACCIDENT' $ 1,000,000 OFFICER/MEMBER EXCLUDED? 1 (Mandatory in NH) N / A E L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes describe under DESCIRIPTION OF OPERATIONS below EL. DISEASE -POLICY LIMIT $ 1,000,000 B C D Workers Compensation Excess Coverage This is for informational purposes and nothing shall create any right under such reinsurance. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Coverage provided for all leased employees but not subcontractors of: Timothy Rose Contracting, Inc. Effective date: 10/1/2013 62200099 vw� Indian River County Building Dept 1801 27th Street Vero Beach FL 32960 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE iik Glen J Distefano ACORD 25 (2014101) -. . The ACORD name and logo are registered marks of ACORD r•vtn. ,n . nlco',i"C •,nrnliw 0/11/fnfA A.IC.Il MN IMTt D-ne t n