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`---1 a ACORD CERTIFICATE OF LIABILITY INSURANCE iiss......y. DATE (MMlDDlYYW) 01/31/2017 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(les) 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 Bouchard Insurance for WBS P.O.BOX 6090 Clearwater, FL 33758-6090 CONTACT NAME: PHONE293-3600 ext. 623 FAX CANo. Est): (866) Mat): • . E ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: American Zurich Insurance Company 40142 INSURED Workforce Business Services, Inc. AIL Emp: Guettler Brothers Construction LLC 1401 Manatee Ave. West Ste 600 Bradenton, FL 34205-6708 INSURER B : INSURER C: EACH OCCURRENCE INSURER D DAMAGE PREM SESO(EaENTED occurrence) INSURER E : INSURER F : CLAIMS -MADE l 1 OCCUR BER:16FL079902691 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 LTR TYPE OF INSURANCE "knot_ INSt INSD suBR VD WVD POLICY NUMBER POLICY Ef F (MMIDDIYYYY) POLICY EXP (MMJODIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE PREM SESO(EaENTED occurrence) $ CLAIMS -MADE l 1 OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE S GEN'I AGGREGATE POLICY; OTHER: LIMIT APPLIES /ECT PER: LOC PRODUCTS-COMPIOPAGG $ 5 AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT 1ga accident) BODILY INJURY (Per person) $ 5 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANYPROPRIETOR EXCL DEED ECUTIVE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN NIA WC 90-00-818-06 12/31/2016 12/31/2017 X STATUTE ER ERFICCERIMEMBER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 12/31/2016 12/31/2017 Client# 050682 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Elmore apace la required) Guettler Brothers Construction LLC Coverage Is provided for only Lose co -employees 4401 White Way Dalry Road or, but not subcontractors Fort Pierce, FL 34947 to: CERTIFICATE HOLDER CANCELLATION Sea Oaks Property Owners Association, Inc 8811 Highway A1A Vero Beach, FL 32963 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 }}}yNTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD