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• ® -ACORD CE ` T FICATE OF LIABILITY INSURANCE • DATE(MMIDD/YYYY)• 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: (Essential) CON AMTE:ACT . q NJennifer Hauger • C/o Essential HR, Inc. dba First Star HR PHONE FAX • 4455 LBJ Freeway, Suite 1080 E-MAILo.Ext)- 972-404-0295 (A/C,Ne): Dallas; TX 75244 ADDRESS: iennifer.hauger anfirststarhr.com INSURER(S)AFFORDING COVERAGE NAIC N • INSURER A: SUNZ Insurance Company • 34762 ' INSURED ' • INSURER B: • Essential HR Inc., Essential HR II, Inc. dba FirstStar HR INSURER C 4455 LBJpFreeway • INSURER D: Suite 1 080 INSURER E Dallas TX 75244. • INSURER F: • COVERAGES CERTIFICATE NUMBER: 38008820 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 ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP {MMIDD/YYYY) (AIMIDDlYYW) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE'S $ • DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ • PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: . $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) _ ANY AUTO - BODILY INJURY(Per person) $ • OWNED SCHEDULED • AUTOS•ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB' OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE •AGGREGATE $ • DED RETENTION$ $ A WORKERS COMPENSATION WCPE0000018405 10/1/2017 10/1/2018 PER 0TH STATUTE AND EMPLOYERS'LIABILITY Y/N WCPE0000018404 / 10/1/2016 10/1/2017 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED7 N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 • • DESCRIPTION OF OPERATIONS I LOCATIONS I 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. 1360 SW OLD DIXIE HWY SUITE 106 Effective date: 10/1/2013 CERTIFICATE HOLDER CANCELLATION 62200099 ' Indian River County Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1801 27th St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Vero Beach FL 32960 ACCORDANCE WITH THE POLICY PROVISIONS. • AUTHORIZED REPRESENTATIVE Glen J Distefano• (N/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) , The ACORD name and logo are registered marks of ACORD 38000820 1 Essential HR Inc PEO 184 MASTER CERT 1 Natalie Matthews 19/26/2017 5:16:00 PM (CDT) 1 Page 1 of 1 -